Women’s Views and Outcomes of an Educational Intervention Designed to Enhance Psychosocial Support for Women During Pregnancy

Authors

  • Kelsey Hegarty PhD, MBBS, FRACGP, DRANZCOG,

    Corresponding author
    1. 1Kelsey Hegarty is an Associate Professor and Jane Gunn is a Professor in the Department of General Practice, 2Stephanie Brown is a Principal Research Fellow, and Cate Nagle is a Doctoral Student in the Murdoch Children’s Research Institute, University of Melbourne, Melbourne, Victoria; 3Della Forster is a Midwifery Consultant in the Mercy Hospital for Women and a Research Fellow in the Mother and Child Health Research, and 4Judith Lumley is a Professor in the Mother and Child Health Research, La Trobe University, Melbourne, Victoria; and 5Belinda Grant is a Research Assistant at Turning Point Alcohol and Drug Centre Inc., Melbourne, Victoria, Australia.
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  • 1 Stephanie Brown BA(Hons), PhD,

    1. 1Kelsey Hegarty is an Associate Professor and Jane Gunn is a Professor in the Department of General Practice, 2Stephanie Brown is a Principal Research Fellow, and Cate Nagle is a Doctoral Student in the Murdoch Children’s Research Institute, University of Melbourne, Melbourne, Victoria; 3Della Forster is a Midwifery Consultant in the Mercy Hospital for Women and a Research Fellow in the Mother and Child Health Research, and 4Judith Lumley is a Professor in the Mother and Child Health Research, La Trobe University, Melbourne, Victoria; and 5Belinda Grant is a Research Assistant at Turning Point Alcohol and Drug Centre Inc., Melbourne, Victoria, Australia.
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  • 2 Jane Gunn PhD, MBBS, FRACGP, DRANZCOG,

    1. 1Kelsey Hegarty is an Associate Professor and Jane Gunn is a Professor in the Department of General Practice, 2Stephanie Brown is a Principal Research Fellow, and Cate Nagle is a Doctoral Student in the Murdoch Children’s Research Institute, University of Melbourne, Melbourne, Victoria; 3Della Forster is a Midwifery Consultant in the Mercy Hospital for Women and a Research Fellow in the Mother and Child Health Research, and 4Judith Lumley is a Professor in the Mother and Child Health Research, La Trobe University, Melbourne, Victoria; and 5Belinda Grant is a Research Assistant at Turning Point Alcohol and Drug Centre Inc., Melbourne, Victoria, Australia.
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  • 1 Della Forster RN, DipAppSci, BHealthSci, MMid, PhD,

    1. 1Kelsey Hegarty is an Associate Professor and Jane Gunn is a Professor in the Department of General Practice, 2Stephanie Brown is a Principal Research Fellow, and Cate Nagle is a Doctoral Student in the Murdoch Children’s Research Institute, University of Melbourne, Melbourne, Victoria; 3Della Forster is a Midwifery Consultant in the Mercy Hospital for Women and a Research Fellow in the Mother and Child Health Research, and 4Judith Lumley is a Professor in the Mother and Child Health Research, La Trobe University, Melbourne, Victoria; and 5Belinda Grant is a Research Assistant at Turning Point Alcohol and Drug Centre Inc., Melbourne, Victoria, Australia.
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  • 3 Cate Nagle BN, GradDip(Mid), MPPH, PhD,

    1. 1Kelsey Hegarty is an Associate Professor and Jane Gunn is a Professor in the Department of General Practice, 2Stephanie Brown is a Principal Research Fellow, and Cate Nagle is a Doctoral Student in the Murdoch Children’s Research Institute, University of Melbourne, Melbourne, Victoria; 3Della Forster is a Midwifery Consultant in the Mercy Hospital for Women and a Research Fellow in the Mother and Child Health Research, and 4Judith Lumley is a Professor in the Mother and Child Health Research, La Trobe University, Melbourne, Victoria; and 5Belinda Grant is a Research Assistant at Turning Point Alcohol and Drug Centre Inc., Melbourne, Victoria, Australia.
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  • 2 Belinda Grant BA/BSc,

    1. 1Kelsey Hegarty is an Associate Professor and Jane Gunn is a Professor in the Department of General Practice, 2Stephanie Brown is a Principal Research Fellow, and Cate Nagle is a Doctoral Student in the Murdoch Children’s Research Institute, University of Melbourne, Melbourne, Victoria; 3Della Forster is a Midwifery Consultant in the Mercy Hospital for Women and a Research Fellow in the Mother and Child Health Research, and 4Judith Lumley is a Professor in the Mother and Child Health Research, La Trobe University, Melbourne, Victoria; and 5Belinda Grant is a Research Assistant at Turning Point Alcohol and Drug Centre Inc., Melbourne, Victoria, Australia.
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  • and 5 Judith Lumley MA, MBBS, PhD, FAFPH 4

    1. 1Kelsey Hegarty is an Associate Professor and Jane Gunn is a Professor in the Department of General Practice, 2Stephanie Brown is a Principal Research Fellow, and Cate Nagle is a Doctoral Student in the Murdoch Children’s Research Institute, University of Melbourne, Melbourne, Victoria; 3Della Forster is a Midwifery Consultant in the Mercy Hospital for Women and a Research Fellow in the Mother and Child Health Research, and 4Judith Lumley is a Professor in the Mother and Child Health Research, La Trobe University, Melbourne, Victoria; and 5Belinda Grant is a Research Assistant at Turning Point Alcohol and Drug Centre Inc., Melbourne, Victoria, Australia.
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  • This study was supported by a Quality Improvement and Best Practice Funding Program Grant, Department of Human Services, Melbourne, Victoria, Australia.

Kelsey Hegarty, PhD, MBBS, FRACGP, DRANZCOG, Department of General Practice, University of Melbourne, 200 Berkeley Street, Carlton, Melbourne, Victoria 305, Australia.

Abstract

ABSTRACT: Background: Identification of psychosocial issues in pregnant women by screening is difficult because of the lack of accuracy of screening tools, women’s reluctance to disclose sensitive issues, and health care practitioner’s reluctance to ask. This paper evaluates if a health professional education program, a new (ANEW) approach, improves pregnant women’s ratings of care and practitioner’s listening skills and comfort to disclose psychosocial issues. Methods: Midwives and doctors from Mercy Hospital for Women, Melbourne, Australia, were trained from August to December 2002. English-speaking women (< 20 wks’ gestation) were recruited at their first visit and mailed a survey at 30 weeks (early 2002) before and after (2003) the ANEW educational intervention. Follow-up was by postal reminder at 2 weeks and telephone reminder 2 weeks later. Results: Twenty-one midwives and 5 doctors were trained. Of the eligible women, 78.2 percent (584/747) participated in a pre-ANEW survey and 73.3 percent (481/657) in a post-ANEW survey. After ANEW, women were more likely to report that midwives asked questions that helped them to talk about psychosocial problems (OR 1.45, CI 1.09–1.98) and that they would feel comfortable to discuss a range of psychosocial issues if they were experiencing them (coping after birth for midwives [OR 1.51, CI 1.10–2.08] and feeling depressed [OR 1.49, 1.16–1.93]; and concerns relating to sex [OR 1.35, CI 1.03–1.77] or their relationships [OR 1.36, CI 1.00–1.85] for doctors). Conclusions: The ANEW program evaluation suggests trends of better communication by health professionals for pregnant women and should be evaluated using rigorous methods in other settings. (BIRTH 34:2 June 2007)

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