Antenatal group consultations: Promoting wellbeing

Authors

  • Antoinette Fage-Butler School of Communication and Culture, Aarhus University, Denmark http://orcid.org/0000-0002-4849-0227
  • Michael C. Brannigan The College of Saint Rose, Albany, New York, USA

DOI:

https://doi.org/10.7146/qhc.v1i1.125534

Keywords:

wellbeing, antenatal group consultations, post-intentional phenomenology, presence, qualitative interviews

Abstract

Background: Most healthcare encounters take place in a dyadic encounter between a patient and healthcare practitioner, and improving dyadic communication has been the object of much health communication research. However, it seems that an alternative to the dyadic encounter – group consultations – may have distinct advantages for the promotion of patients’ wellbeing. Aim: This article focuses on antenatal group consultations (AGCs), where groups of pregnant women meet with one or more healthcare practitioners instead of meeting their midwife individually, and explores how the presence of other pregnant women in AGCs may promote wellbeing. Methods: Adopting a post-intentional phenomenological approach, we analysed the transcripts of 16 semi-structured interviews undertaken with pregnant women who attended AGCs in Denmark, focusing on their accounts of being with each other. Results: The presence of other pregnant women helped to generate trust, with the participants’ pregnant bodies symbolising their common situation. The presence of peers prompted feelings of identification and solidarity, generally decreased the women’s concerns, and normalised their experiences of pregnancy. Discussion and conclusion: This article develops understandings of how patients experience interpersonal healthcare encounters, and suggests the value of alternatives to the clinical dyad, such as group consultations, for promoting the wellbeing of other patient groups.

References

Altman, A. (December 18, 2016). The year of hygge, the Danish obsession with getting cozy. The New Yorker. https://www.newyorker.com/culture/culture-desk/the-year-of-hygge-the-danish-obsession-with-getting-cozy

Andersson, E., Christensson, K., & Hildingsson, I. (2012). Parents’ experiences and perceptions of group-based antenatal care in four clinics in Sweden. Midwifery, 28(4), 502-508. https://doi.org/10.1016/j.midw.2011.07.006

Araten-Bergman, T., Avieli, H., Mushkin, P., & Band-Winterstein, T. (2016). How aging individuals with schizophrenia experience the self-etiology of their illness: A reflective lifeworld research approach. Aging & Mental Health, 20(11), 1147-1156. https://doi.org/10.1080/13607863.2015.1063110

Baldwin, K. A. (2006). Comparison of selected outcomes of CenteringPregnancy versus traditional prenatal care. Journal of Midwifery & Women’s Health, 51(4), 266-272. https://doi.org/10.1016/j.jmwh.2005.11.011

Balint, E. (1969). The possibilities of patient-centered medicine. Journal of the Royal College of General Practitioners, 17(82), 269-276.

Borger (2021). Fødselsforberedelse [Antenatal classes]. https://www.borger.dk/sundhed-og-sygdom/barn_oversigtsside/Foedselsforberedelse#

Brannigan, M. C. (1992). Reversibility as a radical ground for an ontology of the body in medicine. The Personalist Forum, 8(1), 219-224.

Brannigan, M. C. (2001). Medical feeding: Applying Husserl and Merleau-Ponty. In S. K. Toombs (Ed.), Handbook of phenomenology in medicine (pp. 441-454). Dordrecht: Kluwer Academic Publishers.

Brannigan, M. C. (2012). Cultural fault lines in healthcare. Plymouth: Lexington Books.

Brinkmann, S., & Kvale, S. (2015). InterViews: Learning the craft of qualitative research interviewing (3rd ed.). Thousand Oaks, CA: Sage.

Brot, C., & Poulsen, A. (2013). Anbefalinger for Svangreomsorgen [Recommendations for antenatal care]. https://www.sst.dk/da/udgivelser/2015/~/media/C18BD8F183104A8384F80B73B155826D.ashx

Cameron, D. (2010). PM speech on wellbeing. https://www.gov.uk/government/speeches/pm-speech-on-wellbeing

Carel, H. (2016). Phenomenology of illness. Oxford: Oxford University Press.

Centering Healthcare Institute (2021). CenteringPregnancy. https://www.centeringhealthcare.org/what-we-do/centering-pregnancy

Coran, J. J., Koropeckyj-Cox, T., & Arnold, C. L. (2013). Are physicians and patients in agreement? Exploring dyadic concordance. Health Education & Behavior, 40(5), 603-611. https://doi.org/10.1177/1090198112473102

Coxon, K., Scamell, M., & Alaszewski, A. (2012). Risk, pregnancy and childbirth: What do we currently know and what do we need to know? An editorial. Health, Risk & Society, 14(6), 503-510. https://doi.org/10.1080/13698575.2012.709486

Daymon, C., & Holloway, I. (2011). Qualitative research methods in public relations and marketing communications. London: Routledge.

Department of Health (2014). Wellbeing: Why it matters to health policy. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/277566/Narrative__January_2014_.pdf

Dodge, R., Daly, A. P., Huyton, J., & Sanders, L. D. (2012). The challenge of defining wellbeing. International Journal of Wellbeing, 2(3), 222-235. https://doi.org/10.5502/ijw.v2i3.4

Downe, S., Finlayson, K., Tunçalp, Ӧ., & Metin Gülmezoglu, A. (2016). What matters to women: a systematic scoping review to identify the processes and outcomes of antenatal care provision that are important to healthy pregnant women. BJOG: An International Journal of Obstetrics & Gynaecology, 123(4), 529-539. https://doi.org/10.1111/1471-0528.13819

Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129-136.

Forgeard, M. J. C., Jayawickreme, E., Kern, M. L., & Seligman, M. E. P. (2011). Doing the right thing: Measuring wellbeing for public policy. International Journal of Wellbeing, 1(1), 79-106. https://doi.org/10.5502/ijw.v1i1.15

Gaggioli, A., & Riva, G. (2013). From mobile mental health to mobile wellbeing: Opportunities and challenges. Studies in Health Technology and Informatics, 184, 141-147. https://doi.org/10.3233/978-1-61499-209-7-141

Gagnon, A. J., & Sandall, J. (2007). Cochrane Database of Systematic Reviews: Individual or group antenatal education for childbirth or parenthood, or both. Cochrane Database of Systematic Reviews, 3(Art. No.: CD002869). https://doi.org/10.1002/14651858.cd002869.pub2

Groll, D. (2016). Medicine and well-being. In G. Fletcher (Ed.), The Routledge handbook of philosophy of well-being (pp. 504-516). Abingdon: Routledge.

Husserl, E. (1983). Ideas pertaining to a pure phenomenology and to a phenomenological philosophy: First book: General Introduction to a Pure Phenomenology. (F. Kersten, Trans.). Dordrecht: Kluver. https://doi.org/10.1007/978-94-009-7445-6 (Original work published 1913).

Ickovics, J. R., Kershaw, T. S., Westdahl, C., Magriples, U., Massey, Z., Reynolds, H., & Rising, S. S. (2007). Group prenatal care and perinatal outcomes: A randomized controlled trial. Obstetrics and Gynecology, 110(2(1))), 330-339. https://doi.org.10.1097/AOG.0b013e31816bf4be

Jones-Devitt, S. (2011). Wellbeing and health. In A. Knight & A. McNaught (Eds.), Understanding wellbeing: An introduction for students and practitioners of health and social care (pp. 23-36). Banbury: Lantern Publishing.

Jongbloed, J., & Andres, L. (2015). Elucidating the constructs happiness and wellbeing: A mixed-methods approach. International Journal of Wellbeing, 5(3), 1-20. https://doi.org/10.5502/ijw.v5i3.1

Kingsley, J. Y., Townsend, M., & Henderson‐Wilson, C. (2009). Cultivating health and wellbeing: members' perceptions of the health benefits of a Port Melbourne community garden. Leisure Studies, 28(2), 207-219. https://doi.org/10.1080/02614360902769894

Knight, A., & McNaught, A. (2011). Conclusion. In A. Knight & A. McNaught (Eds.), Understanding wellbeing: An introduction for students and practitioners of health and social care (pp. 253-256). Banbury: Lantern Publishing.

Koushede, V., Brixval, C. S., Axelsen, S. F., Lindschou, J., Winkel, P., R.D. Maimburg, R. D., Due P., & NEWBORN trial group (2013). Group-based antenatal birth and parent preparation for improving birth outcomes and parenting resources: Study protocol for a randomised trial. Sexual & Reproductive Healthcare, 4(3), 121–126. https://doi.org/10.1016/j.srhc.2013.08.003

Kurtz, S. M., & Silverman, J. D. (1996). The Calgary—Cambridge Referenced Observation Guides: An aid to defining the curriculum and organizing the teaching in communication training programmes. Medical Education, 30(2), 83-89. https://doi.org/10.1111/j.1365-2923.1996.tb00724.x

La Placa, V., McNaught, A., & Knight, A. (2013). Discourse on wellbeing in research and practice. International Journal of Wellbeing, 3(1), 16-125. https://doi.org/10.5502/ijw.v3i1.7

Laclau, E., & Mouffe, C. (1985). Hegemony and socialist strategy: Towards a radical democratic politics. London: Verso.

Laitinen, A., & Pessi, A. B. (2015). Solidarity: Theory and practice. An Introduction. In A. Laitinen & A. B. Pessi (Eds.), Solidarity: Theory and practice (pp. 1-20). Lanham: Lexington Books.

Lavoie, J. G., Wong, S. T., Chongo, M., Browne, A. J., MacLeod, M. L. P., & Ulrich, C. (2013). Group medical visits can deliver on patient-centred care objectives: Results from a qualitative study. BMC Health Services Research, 13(1). https://doi.org/10.1186/1472-6963-13-155

Levinas, E. (2006). Humanism of the other. Chicago, IL: University of Illinois Press.

Liederman, E. M., & Morefield, C. S. (2003). Web messaging: A new tool for patient-physician communication. Journal of the American Medical Informatics Association, 10(3), 260-270. https://doi.org/10.1197/jamia.M1259

Ljungdalh, A. K., & Møller, J. E. (2012). The social in medicine: Social techniques in patient education. Health, 16(4), 418-433. https://doi.org/10.1177/1363459311416835

Lomas, T. (2019). Translating happiness: A cross-cultural lexicon of well-being. Cambridge: MA: MIT Press.

Manant, A., & Dodgson, J. E. (2011). CenteringPregnancy: An integrative literature review. Journal of Midwifery & Women's Health, 56(2), 94-102. https://doi.org/10.1111/j.1542-2011.2010.00021.x

McDonald, S. D., Sword, W., Eryuzlu, L. E., & Biringer, A. B. (2014). A qualitative descriptive study of the group prenatal care experience: Perceptions of women with low-risk pregnancies and their midwives. BMC Pregnancy and Childbirth, 14(1), 334. https://doi.org/10.1186/1471-2393-14-334

McLeish, J., & Redshaw, M. (2017). Mothers’ accounts of the impact on emotional wellbeing of organised peer support in pregnancy and early parenthood: A qualitative study. BMC Pregnancy and Childbirth, 17(28), 1-14. https://doi.org/10.1186/s12884-017-1220-0

McNaught, A. (2011). Defining wellbeing. In A. Knight & A. McNaught (Eds.), Understanding wellbeing: An introduction for students and practitioners of health and social care (pp. 7-22). Banbury: Lantern Publishing.

Mead, N., & Bower, P. (2000). Patient-centeredness: A conceptual framework and review of the empirical literature. Social Science & Medicine, 51(7), 1087-1110. https://doi.org/10.1016/S0277-9536(00)00098-8

Merleau-Ponty, M. (1968). The visible and the invisible (A. Lingis, Trans.). Evanston; Il: Northwestern University Press. (Original work from 1964)

Merleau-Ponty, M. (2017). Phenomenology of perception (C. Smith, Trans.). London: Routledge & Kegan Paul. (Original work from 1962)

Morgan, D. L. (2018). Themes, theories, and models. Qualitative Health Research, 28(3), 339–345. https://doi.org/10.1177/1049732317750127

Napier, A. D., Depledge, M., Knipper, M., Lovell, R., Ponarin, E., Sanabria, E., & Thomas, F. (2017). Culture matters: Using a cultural contexts of health approach to enhance policy-making. http://www.euro.who.int/__data/assets/pdf_file/0009/334269/14780_World-Health-Organisation_Context-of-Health_TEXT-AW-WEB.pdf?ua=1

Nisbeth Jensen, M., & Fage-Butler, A. M. (2016). Antenatal group consultations: Facilitating patient-patient education. Patient Education and Counseling, 99(12), 1999-2004. https://doi.org/10.1016/j.pec.2016.07.032

Nisbett, R. E., & Wilson, T. D. (1977). The halo effect: Evidence for unconscious alteration of judgments. Journal of Personality and Social Psychology, 35(4), 250-256. https://doi.org/10.1037/0022-3514.35.4.250

Novick, G., Sadler, L. S., Kennedy, H. P., Cohen, S. S., Groce, N. E., & Knafl, K. A. (2011). Women’s experience of group prenatal care. Qualitative Health Research, 21(1), 97-116. https://doi.org/10.1177/1049732310378655

Novick, G., Sadler, L. S., Knafl, K. A., Groce, N. E., & Kennedy, H. P. (2013). In a hard spot: Providing group prenatal care in two urban clinics. Midwifery, 29(6), 690-697. https://doi.org/10.1016/j.midw.2012.06.013

Parks, A. C., Williams, A. L., Tugade, M. M., Hokes, K. E., Honomichl, R. D., & Zilca, R. D. (2018). Testing a scalable web and smartphone based intervention to improve depression, anxiety, and resilience: A randomized controlled trial. International Journal of Wellbeing, 8(2), 22-67. https://doi.org/10.5502/ijw.v8i2.745

Reiners, G. M. (2012). Understanding the differences between Husserl’s (descriptive) and Heidegger’s (interpretive) phenomenological research. Journal of Nursing & Care, 1(5), 1-3. https://doi.org/10.4172/2167-1168.1000119

Rising, S. S. (1998). Centering Pregnancy: An interdisciplinary model of empowerment. Journal of Nurse-Midwifery, 43(1), 46-54.

Rising, S. S., Kennedy, H. P., & Klima, C. S. (2004). Redesigning prenatal care through CenteringPregnancy. Journal of Midwifery & Women's Health, 49(5). https://doi.org/10.1016/j.jmwh.2004.04.018

Robinson, O. C. (2014). Sampling in interview-based qualitative research: A theoretical and practical guide. Qualitative Research in Psychology, 11(1), 25-41. https://doi.org/10.1080/14780887.2013.801543

Schetter, C. D. (2011). Psychological science on pregnancy: Stress processes, biopsychosocial models, and emerging research issues. Annual Review of Psychology, 62, 531-558. https://doi.org/10.1146/annurev.psych.031809.130727

Schoenthaler, A., Basile, M., West, T. V., & Kalet, A. (2018). It takes two to tango: A dyadic approach to understanding the medication dialogue in patient-provider relationships. Patient Education and Counseling, 101(8), 1500-1505. https://doi.org/10.1016/j.pec.2018.02.009

Seefat-van Teeffelen, A., Nieuwenhuijze, M., & Korstjens, I. (2011). Women want proactive psychosocial support from midwives during transition to motherhood: A qualitative study. Midwifery, 27(1), e122-e127. https://doi.org/10.1016/j.midw.2009.09.006

Seligman, M. E. P. (2011). Flourish. New York: Simon & Schuster.

Silverman, J., Kurtz, S., & Draper, J. (2016). Skills for communicating with patients. London: Taylor & Francis.

Spigner, C., & Moreno-Leguizamon, C. (2011). Public health, wellbeing and culture: A critical perspective. In A. Knight & A. McNaught (Eds.), Understanding wellbeing: An introduction for students and practitioners of health and social care (pp. 174-186). Banbury: Lantern Publishing.

Taylor, C. (1992). Atomism. In S. Avineri & A. de-Shalit (Eds.), Communitarianism and individualism (pp. 29-50). Oxford Oxford University Press.

Teate, A., Leap, N., Rising, S. S., & Homer, C. S. E. (2011). Women’s experiences of group antenatal care in Australia: The CenteringPregnancy Pilot Study. Midwifery, 27(2), 138–145. https://doi.org/10.1016/j.midw.2009.03.001

Thompson-Lastad, A. (2018). Group medical visits as participatory care in community health centers. Qualitative Health Research, 28(7), 1065-1076. https://doi.org/10.1177/1049732318759528

Vagle, M. D. (2018). Crafting phenomenological research (2nd ed.). New York: Routledge.

van Manen, M. (1990). Researching lived experience: Human science for an action sensitive pedagogy. Albany, NY: State University of New York Press.

Veatch, R. M. (2009). Patient heal thyself. New York: Oxford University Press.

Wedin, K., Molin, J., & Crang Svalenius, E. L. (2010). Group antenatal care: New pedagogic method for antenatal care—A pilot study. Midwifery, 26(4), 389-393. https://doi.org/10.1016/j.midw.2008.10.010

Weiss, G. (1999). Body images: Embodiment as intercorporeality. New York: Routledge.

WHO. (1986). The Ottawa Charter for Health Promotion. http://www.who.int/healthpromotion/conferences/previous/ottawa/en/

WHO. (2003). WHO definition of health. https://www.who.int/about/who-we-are/constitution

WHO. (2013). Health 2020: A European policy framework and strategy for the 21st century. http://www.euro.who.int/__data/assets/pdf_file/0011/199532/Health2020-Long.pdf

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Published

2022-01-25

How to Cite

Fage-Butler, A., & Brannigan, M. C. (2022). Antenatal group consultations: Promoting wellbeing. Qualitative Health Communication, 1(1), 84–100. https://doi.org/10.7146/qhc.v1i1.125534

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