Midwife-led integrated pre-birth training and its impact on the fear of childbirth. A qualitative interview study
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Date
2020
Authors
Onchonga, David
Várnagya, Ákos
Keraka, Margaret
Wainaina, Pius
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
Background: Although most expectant women with severe fear of childbirth take pre-birth training sessions, the
available literature does not provide substantial emphirical data on its impacts, especially in developing
countries like Kenya.
Aim: The study aimed at exploring women’s experience from midwife-led integrated pre-birth training and its
impact on the fear of childbirth.
Method: A qualitative interview was conducted using a thematic analysis. Thirty-three women who had experienced
high and severe fear of childbirth, and had completed midwife-led integrated pre-birth training were
interviewed one month after giving birth. The interviews were conducted in a maternal and child health clinic in
Samburu, Kenya from December 2019 to January 2020. Collected data was analysed based on thematic analysis.
Results: The general theme ‘midwife-led integrated pre-birth training promoted constructive disposition and
enhanced trust in the process of giving birth’ was validated by the interviewed participants. Their contributions
covered three themes: ‘the significance of midwife-led pre-birth training’, ‘the role of efficient communication
during pregnancy,’ and ‘adaptation to procedures for improved childbirth experience’.
Conclusions: In this study 85% (n = 29) of the participants revealed that midwife-led integrated pre-birth
training enhanced their expectations for birth processes. They demonstrated readiness and preparedness for this
process, which would lead to improved childbirth outcomes.
Description
A research article published in Sexual & Reproductive Healthcare
Volume 25, October 2020, 100512
Keywords
pre-birth training, fear of childbirth
Citation
Sexual & Reproductive Healthcare Vol 25, October 2020