Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Matern Child Health J. 2024 Apr;28(4):738-745. doi: 10.1007/s10995-023-03882-3. Epub 2024 Feb 9.
The World Health Organization (WHO) states that good quality antenatal care should strive for both mother and child achieving their best possible health. On a policy level, in Europe these goals are reached with varying approaches. This research offers a fresh look on the underlying assumptions embedded in the ANC policies in three European countries.
A framing analysis was conducted to publicly available ANC policies on uncomplicated pregnancies in Finland, England, and the Netherlands. Analysis was guided by van Hulst and Yanowa and included the following phases: a) Sense-making, b) Selecting, naming, and categorizing and c) Storytelling.
Findings of this study demonstrate how ANC is organized with distinct frames. The Finnish ANC policies emphasized equity in care and instead of focusing on women, the ANC focused on the family. In England the pregnant woman was central, and it is seen as her responsibility to understand the ANC protocols. The ANC in the Netherlands focused on the pregnant woman's pregnancy experience and freedom.
The three studied countries had individual priorities and values guiding ANC provision. Despite each country being in line with the WHO ANC recommendations, areas requiring improvement should not be overlooked.
世界卫生组织（WHO）指出，优质的产前护理应努力使母婴双方都达到最佳健康状态。在政策层面上，欧洲各国采取了不同的方法来实现这些目标。本研究从全新视角审视了芬兰、英国和荷兰三国产前护理政策中所隐含的基本假设。
本研究采用框架分析方法，对芬兰、英国和荷兰三国针对无并发症妊娠的公开产前护理政策进行分析。分析以 van Hulst 和 Yanowa 的方法为指导，包括以下三个阶段：a）理解意义，b）选择、命名和分类，c）讲述故事。
本研究结果表明，产前护理是如何通过不同的框架来组织的。芬兰的产前护理政策强调护理中的公平性，而不是将重点放在妇女身上，而是将产前护理的重点放在家庭上。在英国，孕妇是核心，她有责任理解产前护理协议。荷兰的产前护理重点是孕妇的妊娠体验和自由。
研究的三个国家在指导产前护理服务提供方面有各自的优先事项和价值观。尽管每个国家都符合世界卫生组织的产前护理建议，但仍不应忽视需要改进的领域。
