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Strengthening Antenatal Care towards a Salutogenic Approach: A Meta-Ethnography

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  • Kristiina Heinonen

    (Health Care and Health Promotion, Metropolia University of Applied Sciences, P.O. Box 4000, FI-00079 Helsinki, Finland
    Department of Nursing Science, University of Eastern Finland, Yliopistonranta 1, FI-70210 Kuopio, Finland)

Abstract

The aim was to explore how midwives, public health nurses and nurses view caring in antenatal care (ANC) as provided for mothers and fathers/partners. Based on Noblit and Hare (1988), meta-ethnography was used to address meaning by synthesizing knowledge and understanding inductively through selected qualitative studies ( n = 16). Four core themes were identified: (1) supporting the parents to awaken to parenthood and creating a firm foundation for early parenting and their new life situation; (2) guiding parents on the path to parenthood and new responsibility; (3) ensuring normality and the bond between baby and parents while protecting life; and (4) promoting the health and wellbeing of the family today and in the future. The overarching theme can be expressed as “helping the woman and her partner prepare for their new life with the child by providing individualized, shared care, firmly grounded and with a view of the future”. Caring in antenatal care (ANC) is being totally present, listening and using multidimensional professional competence but also being open-minded to new aspects and knowledge. The health promotion and positive health aspects should be considered an important part of supporting parents and the whole family now and in the future. A more conscious salutogenic approach to ANC would lead to more favorable results and could be a fruitful research topic in the future. There is a need to provide midwives/nurses with enough time to allow them to concentrate on specific needs and support for different kind of families in ANC but also training for midwives to make them more familiar with online and other options.

Suggested Citation

  • Kristiina Heinonen, 2021. "Strengthening Antenatal Care towards a Salutogenic Approach: A Meta-Ethnography," IJERPH, MDPI, vol. 18(10), pages 1-28, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5168-:d:553768
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    References listed on IDEAS

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    1. Simon Lewin & Claire Glenton & Heather Munthe-Kaas & Benedicte Carlsen & Christopher J Colvin & Metin Gülmezoglu & Jane Noyes & Andrew Booth & Ruth Garside & Arash Rashidian, 2015. "Using Qualitative Evidence in Decision Making for Health and Social Interventions: An Approach to Assess Confidence in Findings from Qualitative Evidence Syntheses (GRADE-CERQual)," PLOS Medicine, Public Library of Science, vol. 12(10), pages 1-18, October.
    2. Bente Dahl & Kristiina Heinonen & Terese Elisabet Bondas, 2020. "From Midwife-Dominated to Midwifery-Led Antenatal Care: A Meta-Ethnography," IJERPH, MDPI, vol. 17(23), pages 1-22, December.
    3. McCourt, Christine, 2006. "Supporting choice and control? Communication and interaction between midwives and women at the antenatal booking visit," Social Science & Medicine, Elsevier, vol. 62(6), pages 1307-1318, March.
    4. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Kristiina Heinonen, 2022. "Listening to the Fathers of Twins—Being Sensitive to Fathers’ Needs in Maternity and Child Healthcare," IJERPH, MDPI, vol. 19(17), pages 1-11, August.

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