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Group antenatal care compared with standard antenatal care for Somali-Swedish women: a historically controlled evaluation of the Hooyo Project
Karolinska Institutet, Stockholm.
Högskolan Dalarna, Institutionen för hälsa och välfärd, Sexuell, reproduktiv och perinatal hälsa.ORCID-id: 0000-0002-1713-6014
Uppsala University, Uppsala.
Karolinska Institutet, Stockholm.
Vise andre og tillknytning
2023 (engelsk)Inngår i: BMJ Open, E-ISSN 2044-6055, Vol. 13, nr 1, artikkel-id e066000Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVES: Comparing language-supported group antenatal care (gANC) and standard antenatal care (sANC) for Somali-born women in Sweden, measuring overall ratings of care and emotional well-being, and testing the feasibility of the outcome measures.

DESIGN: A quasi-experimental trial with one intervention and one historical control group, nested in an intervention development and feasibility study.

SETTING: Midwifery-led antenatal care clinic in a mid-sized Swedish town.

PARTICIPANTS: Pregnant Somali-born women (<25 gestational weeks); 64 women in gANC and 81 in sANC.

INTERVENTION: Language-supported gANC (2017-2019). Participants were offered seven 60-minute group sessions with other Somali-born women led by one to two midwives, in addition to 15-30 min individual appointments with their designated midwife.

OUTCOMES: Primary outcomes were women's overall ratings of antenatal care and emotional well-being (Edinburgh Postnatal Depression Scale (EPDS)) in gestational week ≥35 and 2 months post partum. Secondary outcomes were specific care experiences, information received, social support, knowledge of pregnancy danger signs and obstetric outcomes.

RESULTS: Recruitment and retention of participants were challenging. Of eligible women, 39.3% (n=106) declined to participate. No relevant differences regarding overall ratings of antenatal care between the groups were detected (late pregnancy OR 1.42, 95% CI 0.50 to 4.16 and 6-8 weeks post partum OR 2.71, 95% CI 0.88 to 9.41). The reduction in mean EPDS score was greater in the intervention group when adjusting for differences at baseline (mean difference -1.89; 95% CI -3.73 to -0.07). Women in gANC were happier with received pregnancy and birth information, for example, caesarean section where 94.9% (n=37) believed the information was sufficient compared with 17.5% (n=7) in standard care (p<0.001) in late pregnancy.

CONCLUSIONS: This evaluation suggests potential for language-supported gANC to improve knowledge acquisition among pregnant Somali-born women with residence in Sweden ˂10 years. An adequately powered randomised trial is needed to evaluate the effectiveness of the intervention.

TRIAL REGISTRATION NUMBER: ClinicalTrials.gov Registry (NCT03879200).

sted, utgiver, år, opplag, sider
2023. Vol. 13, nr 1, artikkel-id e066000
Emneord [en]
Antenatal, Maternal medicine, Prenatal diagnosis, Reproductive medicine, SOCIAL MEDICINE
HSV kategori
Identifikatorer
URN: urn:nbn:se:du-45330DOI: 10.1136/bmjopen-2022-066000ISI: 001088973400018PubMedID: 36697050Scopus ID: 2-s2.0-85146867717OAI: oai:DiVA.org:du-45330DiVA, id: diva2:1733219
Tilgjengelig fra: 2023-02-01 Laget: 2023-02-01 Sist oppdatert: 2023-12-07bibliografisk kontrollert

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