Talrich Florence, Van Damme Astrid, Rijnders Marlies, Bastiaens Hilde, Beeckman Katrien
Department of Public Health, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB)-Campus Jette, Laarbeeklaan 103, 1090 Jette, Belgium.
Departement of Nursing and Midwifery Research Group (NUMID), Universitair Ziekenhuis Brussel (UZB), Laarbeeklaan 101, 1090 Jette, Belgium.
Healthcare (Basel). 2025 Aug 7;13(15):1930. doi: 10.3390/healthcare13151930.
Empowerment during pregnancy is linked to improved maternal and infant health outcomes and greater maternal well-being. Group Antenatal Care (GANC), a participant-centered model of care, promotes empowerment, active engagement, and the deconstruction of hierarchy between participants and care providers. It combines health assessment, interactive learning, and community building. While empowerment is a core concept of GANC, the ways it manifests and the elements that facilitate it remain unclear. We conducted a generic qualitative study across four organizations in Brussels, using multiple data collection methods. This included interviews with 13 participants and 21 observations of GANC sessions, combining both the insider and outsider perspective. An adapted version of the Pregnancy-Related Empowerment Scale (PRES) guided the interviews guide and thematic analysis. We identified seven themes that capture how empowerment occurs in GANC: peer connectedness, provider connectedness, skillful decision-making, responsibility, sense of control, taking action, and gaining voice. Several aspects of GANC contribute to empowerment, particularly the role of facilitators. This study highlights how GANC enhances empowerment during pregnancy through interpersonal, internal, and external processes. Important components within GANC that support this process include the group-based format and the interactive nature of the discussions. The presence of skillful GANC facilitators is an essential prerequisite. In a diverse and often vulnerable context like Brussels, strengthening empowerment through GANC presents challenges but is especially crucial.
孕期赋权与改善母婴健康结局及提升母亲幸福感相关。小组产前护理（GANC）是一种以参与者为中心的护理模式，促进赋权、积极参与以及参与者与护理提供者之间等级制度的解构。它将健康评估、互动学习和社区建设结合在一起。虽然赋权是GANC的核心概念，但其表现方式及促进因素仍不明确。我们在布鲁塞尔的四个组织中开展了一项一般性定性研究，采用多种数据收集方法。这包括对13名参与者的访谈以及对21次GANC会议的观察，结合了内部人员和外部人员的视角。一个改编版的孕期相关赋权量表（PRES）指导了访谈指南和主题分析。我们确定了七个主题，这些主题体现了赋权在GANC中是如何发生的：同伴联系、与提供者的联系、明智的决策、责任感、掌控感、采取行动以及获得发言权。GANC的几个方面有助于赋权，特别是促进者的作用。这项研究突出了GANC如何通过人际、内部和外部过程在孕期增强赋权。GANC中支持这一过程的重要组成部分包括基于小组的形式和讨论的互动性质。经验丰富的GANC促进者的存在是一个必不可少的前提条件。在像布鲁塞尔这样多样化且往往较为脆弱的环境中，通过GANC加强赋权存在挑战，但尤为关键。
