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Women’s views on contact with a health visitor during pregnancy: an interview study

  • Ellinor K. Olander (a1), Maria Raisa Jessica (Ryc) Aquino (a2), Celine Chhoa (a3), Erica Harris (a1), Suzanne Lee (a1) and Ros Bryar (a1)...

Abstract

Aim:

To explore recent mothers’ views of the health visiting antenatal contact in England.

Background:

English health visitors are mandated to be in contact with all women in the third trimester of pregnancy. The aim of this antenatal contact is to assess the needs of the family before the birth and support preparation for parenthood. Recent data show that this contact is provided fragmentarily and not always face-to-face. More information on how women view this contact could inform service provision.

Methods:

Twenty-nine mothers with a baby less than 1 year old were recruited via social media and word of mouth. Having had antenatal contact with a health visitor was not a requirement to participate in the study. Women took part in face-to-face or phone interviews and all recordings were transcribed verbatim. Data were analysed using systematic thematic analysis.

Findings:

Eleven women had contact with a health visitor during pregnancy: nine through a home visit, one via a letter and one via a phone call. The remaining 18 women were asked about what they would have wanted from an antenatal contact. Three themes were identified: relationship building, information provision, and mode and time of contact. Some participants who had experienced a home visit reported building rapport with their health visitor before the postnatal period, but not everyone had this experience. Women reported requesting and receiving information about the health visiting service and the role of the health visitor. Finally, women suggested different modes of contact, suggesting a letter or that the information about health visiting could be provided by a midwife. A few women preferred a home visit. These study findings show women were unclear regarding the aim of the health visitor antenatal contact. As such, the contact is unlikely to reach its full potential in supporting parents-to-be.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

Author for correspondence: Ellinor K. Olander, Centre for Maternal and Child Health Research, School of Health Sciences, City, University of London, Northampton Square, London EC1V 0HB, UK. E-mail: Ellinor.olander@city.ac.uk

References

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Aquino, MRJV, Olander, EK and Bryar, RM (2018) A focus group study of women’s views and experiences of maternity care as delivered collaboratively by midwives and health visitors in England. BMC Pregnancy and Childbirth 18, 505.
Aquino, MRJV, Olander, EK, Needle, JJ and Bryar, RM (2016) Midwives’ and health visitors’ collaborative relationships: a systematic review of qualitative and quantitative studies. International Journal of Nursing Studies 62, 193206.
Astrup, J (2017) The case for vital contact. Community Practitioner 90, 1213.
Barimani, M and Hylander, I (2012) Joint action between child health care nurses and midwives leads to continuity of care for expectant and new mothers. International Journal of Qualitative Studies on Health and Well-being 7, 18183.
Barimani, M, Oxelmark, L, Johansson, SE and Hylander, I (2015) Support and continuity during the first 2 weeks postpartum. Scandinavian Journal of Caring Sciences 29, 409417.
Bidmead, C, Cowley, S and Grocott, P (2016) The role of organisations in supporting the parent/health visitor relationship. Journal of Heatlth Visiting 4, 366374.
Boyatzis, R (1989) Transforming qualitative information: thematic analysis and code development. Thousand Oaks: Sage.
Braun, V and Clarke, V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77101.
Brook, J, Rayment, J, Bryar, RM and Olander, E (2018) Midwifery students’ experiences in a health visiting placement: an interview study. Journal of Health Visiting 6, 552559.
Burns, N (1989) Standards for qualitative research. Nursing Science Quarterly 2, 4452.
Christie, L (2016) The importance of the antenatal home visit by the health visitor. Journal of Heatlth Visiting 4, 142148.
Cowley, DS, Whittaker, K, Grigulis, A, Malone, M, Donetto, S, Wood, H, Morrow, E and Maben, J (2013) Why health Visiting? A review of the literature about key health visitor interventions, processes and outcomes for children and families. London: National Nursing Research Unit, Kings College London.
Cowley, S, Caan, W, Dowling, S and Weir, H (2007) What do health visitors do? A national survey of activities and service organisation. Public Health 121, 869879.
Curtis, C and Davidson, J (2013) A survey of antenatal advice and education by the Sedgemoor health visitor team. Community Practitioner 86, 3739.
Department of Health (2009) Healthy child programme: pregnancy and the first five years of life [Online]. Retrieved 10 June 2019 from https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/167998/Health_Child_Programme.pdf.
Donetto, S, Malone, M, Hughes, J, Morrow, E, Cowley, S and Maben, J (2013) Health visiting: the voice of service users - Learning from service users’ experiences to inform the development of UK health visiting practice services. London: National Nursing Research Unit, King’s College London.
Jenkins, MG, Ford, JB, Todd, AL, Forsyth, R, Morris, JM and Roberts, CL (2015) Women’s views about maternity care: how do women conceptualise the process of continuity? Midwifery 31, 2530.
Kemp, L, Harris, E, Mcmahon, C, Matthey, S, Vimpani, G, Anderson, T, Schmied, V and Aslam, H (2013) Benefits of psychosocial intervention and continuity of care by child and family health nurses in the pre-and postnatal period: process evaluation. Journal of Advanced Nursing 69, 18501861.
Kurth, E, Krähenbühl, K, Eicher, M, Rodmann, S, Fölmli, L, Conzelmann, C and Zemp, E (2016) Safe start at home: what parents of newborns need after early discharge from hospital – a focus group study. BMC Health Services Research 16, 82.
Monaghan, N and Owen, J (2012) ‘Getting to Know Your Baby’: delivering a universal antenatal home visit. Community Practitioner 85, 3436.
NHS England (2014) 2015–16 National Heath Visiting Core Service Specification [Online]. Retrieved from https://www.england.nhs.uk/?s=health+visitors.
Olander, E, Coates, R, Brook, J, Ayers, S and Salmon, D (2018a) A multi-method evaluation of interprofessional education for healthcare professionals caring for women during and after pregnancy. Journal of Interprofessional Care 32, 509512.
Olander, EK, Rayment, J, Bryar, R and Brook, J (2018b) Midwifery students in health visitor placements: the importance of student-mentor relationships. Midwifery 62, 4951.
Pandey, S, Porter, M and Bhattacharya, S (2015) What women want from women’s reproductive health research: a qualitative study. Health Expectations 18, 26062615.
Peckover, S and Aston, M (2018) Examining the social construction of surveillance: a critical issue for health visitors and public health nurses working with mothers and children. Journal of Clinical Nursing 27, e379e89.
Psaila, K, Kruske, S, Fowler, C, Homer, C and Schmied, V (2014) Smoothing out the transition of care between maternity and child and family health services: perspectives of child and family health nurses and midwives’. BMC Pregnancy and Childbirth 14, 151.
Public Health England (2013) Health visiting and midwifery partnership – pregnancy and early weeks [Online]. Retrieved 10 June 2019 from https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/465344/2903819_PHE_Midwifery_accessible.pdf.
Public Health England (2016) Review of mandation for the universal health visiting service. London: Public Health England.
Public Health England (2017) Health visitor service delivery metrics: 2016/17 annual data [Online]. Retrieved 10 June 2019 from https://www.gov.uk/government/publications/health-visitor-service-delivery-metrics-2016-to-2017.
Tuominen, M, Kaljonen, A, Ahonen, P and Rautava, P (2014) Relational continuity of care in integrated maternity and child health clinics improve parents’ service experiences. International Journal of Integrated Care 14, e029.
UNICEF UK (2017) Government to continue mandating five universal health visitor visits [Online]. Retrieved 28 September 2018 from https://www.unicef.org.uk/babyfriendly/health-visiting-mandate-continues/.

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