Ray D. Wolfe Department of Family Medicine, Sinai Health, 60 Murray Street, Box 25, Toronto, ON, M5T 3L9, Canada.
Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
BMC Pregnancy Childbirth. 2024 Apr 2;24(1):227. doi: 10.1186/s12884-024-06405-2.
Group prenatal care (GPC) has been shown to have a positive impact on social support, patient knowledge and preparedness for birth. We developed an interprofessional hybrid model of care whereby the group perinatal care (GPPC) component was co-facilitated by midwives (MW) and family medicine residents (FMR) and alternating individual visits were provided by family physicians (FP's) within our academic family health team (FHT) In this qualitative study, we sought to explore the impact of this program and how it supports patients through pregnancy and the early newborn period.
Qualitative study that was conducted using semi-structured telephone interviews with 18 participants who had completed GPPC in the Mount Sinai Academic Family Health Team in Toronto, Canada and delivered between November 2016 and October 2018. Interviews were audio-recorded and transcribed verbatim. Thematic analysis was conducted by team members using grounded theory.
Four over-arching themes emerged from the data: (i) Participants highly valued information they received from multiple trusted sources, (ii) Participants felt well cared for by the collaborative and coordinated interprofessional team, (iii) The design of GPPC enabled a shared experience, allowing for increased support of the pregnant person, and (iv) GPPC facilitated a supportive transition into the community which positively impacted participants' emotional well- being.
The four constructs of social support (emotional, informational, instrumental and appraisal) were central to the value that participants found in GPPC. This support from the team of healthcare providers, peers and partners had a positive impact on participants' mental health and helped them face the challenges of their transition to parenthood.
群体产前护理（GPC）已被证明对社会支持、患者知识和分娩准备有积极影响。我们开发了一种跨专业混合护理模式，其中群体围产期护理（GPPC）部分由助产士（MW）和家庭医学住院医师（FMR）共同提供，家庭医生（FP's）在我们的学术家庭健康团队（FHT）中提供交替的个体访问。在这项定性研究中，我们试图探讨该计划的影响以及它如何在妊娠和新生儿早期为患者提供支持。
采用半结构式电话访谈对 18 名参与者进行定性研究，这些参与者在加拿大多伦多西奈山学术家庭健康团队完成了 GPPC，分娩时间为 2016 年 11 月至 2018 年 10 月。访谈进行了录音并逐字记录。团队成员使用扎根理论进行主题分析。
从数据中出现了四个总体主题：（i）参与者非常重视他们从多个可信赖的来源获得的信息，（ii）参与者感到受到协作和协调的跨专业团队的精心照顾，（iii）GPPC 的设计使他们能够共享经验，从而增加对孕妇的支持，以及（iv）GPPC 促进了向社区的支持性过渡，这对参与者的情绪健康产生了积极影响。
社会支持的四个结构（情感、信息、工具和评估）是参与者在 GPPC 中发现的价值的核心。来自医疗保健提供者、同行和合作伙伴的这种支持对参与者的心理健康产生了积极影响，并帮助他们应对过渡到父母身份的挑战。
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