Cent Eur J Nurs Midw 2022, 13(1):579-586 | DOI: 10.15452/cejnm.2021.12.0028

Midwife-led antenatal consultation: towards a communication model

Anja Siegle1, Martina Roes1,2
1 Department of Nursing Science, Faculty of Health, University of Witten / Herdecke, Germany
2 German Centre for Neurodegenerative Diseases, Witten, Germany

Aim:  Evidence on effective communication in antenatal consultations between midwives and pregnant women is lacking. In a study, antenatal consultations implementation outcomes were evaluated. From the data, relevant aspects emerged concerning communication during consultations. This paper presents selected results and proposes a theoretical foundation for antenatal consultations. Design: A qualitative design. Methods: Semi-structured interviews were conducted with ten midwives, eight pregnant women, eight managers, and eight physicians in two hospitals. The interviews were audiotaped, transcribed, and analyzed with framework analysis using the following steps: 1) Familiarization; 2) Coding: first, inductive coding (open coding to identify new themes), followed by deductive coding (by theory-predefined codes); 3) Development and application of an analytic framework; 4) Data-charting in a matrix; and 5) Interpretation. Results: Amongst others, the following findings emerged from the data: communication about childbirth is influenced by the perceptions and conceptions of the midwife and the pregnant woman herself; pregnant women’s degree of participation in the consultation process depends to a significant extent on the attitude of the midwife. Conclusion: To assure the success of consultations, we propose a consultation model comprising the following elements: the life world of the woman and midwife, the construction of a social reality, and the mediation of mutual goals, expectations, intentions, wishes, and beliefs.

Keywords: antenatal consultation, communication barriers, communication theory, midwifery, prenatal care

Received: April 25, 2021; Revised: September 5, 2021; Accepted: September 6, 2021; Prepublished online: February 3, 2022; Published: March 5, 2022  Show citation

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Siegle A, Roes M. Midwife-led antenatal consultation: towards a communication model. Central European Journal of Nursing and Midwifery. 2022;13(1):579-586. doi: 10.15452/cejnm.2021.12.0028.
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    References

    1. Albrecht, M., Loos, S., Sander, M., Schliwen, A., & Wolfschütz, A. (2012). Versorgungs - und Vergütungssituation in der außerklinischen Hebammenhilfe [Care provision and reimbursement in out-of-hospital midwifery]. IGES Institut. Retrieved August, 16, 2019 from https://www.iges.com/sites/iges.de/myzms/content/e6666/e6694/e6705/e12912/e12913/attr_objs12922/IGES_Institut_Gutachten_zur_Versorgungs_und_Verguetungssituation_in_der_auerklinischen_Hebammenhilfe_2012_ger.pdf
    2. Bamberger, G. G. (2015). Lösungsorientierte Beratung. Praxishandbuch [Outcome-oriented counselling, a manual for practice] (5th ed.). Beltz.
    3. Chang, Y.-S., Coxon, K., Portela, A. G., Furuta, M., & Bick, D. (2018). Interventions to support effective communication between maternity care staff and women in labour: a mixed-methods systematic review. Midwifery, 59, 4-16. https://doi.org/10.1016/j.midw.2017.12.014 Go to original source... Go to PubMed...
    4. Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., & Petticrew, M. (2013). Developing and evaluating complex interventions: the new Medical Research Council guidance. International Journal of Nursing Studies, 50(5), 587-592. https://doi.org/10.1016/j.ijnurstu.2012.09.010 Go to original source... Go to PubMed...
    5. Creswell, J. W., & Plano Clarke, V. L. (2011). Designing and conducting mixed methods research. Sage.
    6. DNQP, & Verbund-Hebammenforschung. (2014). Expertinnenstandard Förderung der physiologischen Geburt. Deutsches Netzwerk für Qualitätsentwicklung in der Pflege und Verbund Hebammenforschung [Expert standard promoting physiological birth. German Network for Quality Development in Nursing and midwifery science network eds.]. Schriftenreihe DNQP.
    7. Dresing, T., & Pehl, T. (2015). Praxisbuch Interview, Transkription & Analyse Anleitungen und Regelsysteme für qualitativ Forschende [Manual for interview, transcription, analysis, rules for qualitative researcher] (6th ed.). Retrieved August, 16, 2019 from www.audiotranskription.de/
    8. Dusenbury, L., Brannigan, R., Falco, M., & Hansen, W. B. (2003). A review of research on fidelity of implementation: implications for drug abuse prevention in school settings. Health Education Research, 18(2), 237-256. https://doi.org/10.1093/her/18.2.237 Go to original source... Go to PubMed...
    9. Elsbernd, A. (2013). Konzepte für die Pflegepraxis: Theoretische Einführung in die Konzeptentwicklung pflegerischer Arbeit [Concepts for nursing practice: theory introduction to concept development for nursing] In A. Riedel, S. Lehmeyer, & A. Elsbernd (Eds.), Einführung von ethischen Fallbesprechungen: Ein Konzept für die Pflegepraxis (3rd ed., pp. 13-38). Jacobs Verlag.
    10. Fahy, K. M., & Parratt, J. A. (2006). Birth territory: a theory for midwifery practice. Women and Birth, 19(2), 45-50. https://doi.org/10.1016/j.wombi.2006.05.001 Go to original source... Go to PubMed...
    11. Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M. C., & Denis, J. L. (2015). The sustainability of healthcare innovations: a concept analysis. Journal of Advance Nursing, 71(7), 1484-1498. https://doi.org/10.1111/jan.12633 Go to original source... Go to PubMed...
    12. Gale, N. K., Heath, G., Cameron, E., Rashid, S., & Redwood, S. (2013). Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology, 13(1), 117. https://doi.org/10.1186/1471-2288-13-117 Go to original source... Go to PubMed...
    13. Garfinkel, H. (1996). Ethnomethodology's program. Social Psychology Quarterly, 59(1), 5-21. https://doi.org/10.2307/2787116 Go to original source...
    14. Höfer, S. (2013). Möglichkeiten und Grenzen der Betreuung schwangerer Frauen aus Hebammensicht [Possiblities and limits in caring for pregnant women from the perspecitve of midwives]. In C. Wewetzer & M. Winkler (Eds.), Beratung schwangerer Frauen. Kohlhammer.
    15. Meibauer, J., Demske, U., Geilfuß-Wolfgang, J., Pafel, J., Ramers, K. H., Rothweiler, M., & Steinbach, M. (2015). Einführung in die germanistische Linguistik [Introduction to German Linguistics] (3rd ed.). Metzler. Go to original source...
    16. Raschper, P. (2015). Kommunikation zwischen Pflegenden und onkologischen Patienten. Eine empirische Kompetenzerfassung als Beitrag zur Qualifikationsforschung im Berufsfeld Pflege [Communication of nurses and oncological patients. An empirical asessment of competence as contribution to qualification research in nursing]. Jacobs Verlag.
    17. Rogers, C. (1951). Client-centered therapy: its current practice, implications and theory. Constable.
    18. Siegle, A., Sayn-Wittgenstein, F. Z., & Roes, M. (2019). Adharenz von Hebammensprechstunden - eine quantitative Dokumentenanalyse [Adherence of antenatal consultations by midwives - a quantitative content analysis]. Z Geburtshilfe Neonatol, 223(2), 99-108. https://doi.org/10.1055/a-0754-2686 Go to original source... Go to PubMed...
    19. Siegle, A., & Schmidt, K. (2016). Wie Sie Frauen bei der Suche nach ihrem eigenen Weg situationsbedingt unterstützen [How you can support women in finding their own way depending on the situation]. Die Hebamme, 29(4), 248-251. https://doi.org/10.1055/s-0042-108416 Go to original source...
    20. Tabak, R. G., Khoong, E. C., Chambers, D. A., & Brownson, R. C. (2012). Bridging research and practice: models for dissemination and implementation research. American Journal of Preventive Medicine, 43(3), 337-350. https://doi.org/10.1016/j.amepre.2012.05.024 Go to original source... Go to PubMed...
    21. Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042 Go to original source... Go to PubMed...
    22. Villalobos, M., Siegle, A., Hagelskamp, L., Handtke, V., Jung, C., Krug, K., Bossert, J., Deis, N., Jünger, J., Wensig, M., & Thomas, M. (2019). HeiMeKOM (Heidelberger Meilenstein Kommunikation): Entwicklung einer interprofessionellen Intervention zur Verbesserung der Kommunikation bei Patient*Innen mit eingeschränkter Prognose [MCA (Milestone communication approach: Development of an interprfessional intervention to improve communication with patients with limited prognosis]. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, 147-148, 28-33. https://doi.org/10.1016/j.zefq.2019.06.006 Go to original source... Go to PubMed...
    23. Witzel, A. (2000). Das problemzentrierte Interview [The problem centered interview]. Forum: Qualitative social research, 1-9. Retrieved August, 16, 2019 from http://www.qualitative-research.net/index.php/fqs/article/view/%201132/2519 Go to PubMed...

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