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Characteristics of Swedish women who do not attend childbirth and parenthood education classes during pregnancy
Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Karolinska Institutet, Stockholm, Sweden.
Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
Karolinska Institutet, Stockholm, Sweden .
2004 (engelsk)Inngår i: Midwifery, ISSN 0266-6138, Vol. 20, nr 3, s. 226-235Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVE: to investigate the attendance rate at childbirth and parenthood education classes during pregnancy in a national Swedish sample and describe the characteristics of women who did not attend. DESIGN: a cohort study utilising a postal questionnaire in early pregnancy and at 2 months after birth. SETTING: women were recruited from 97% of all antenatal clinics in Sweden at their first 'booking' visit during three different weeks spread over 1 year in 1999-2000. PARTICIPANTS: 2546 women, who were 77% of those who consented to participate in the study and 55% of all women eligible for the study. MEASUREMENT AND FINDINGS: most primiparous women (93%) attended classes and the majority of the multiparae (81%) did not. Having a native language other than Swedish was associated with non-attendance in both primiparae and multiparae (OR 2.7, 95% CI 1.3-5.4; OR 2.1, 95% CI 1.4-3.1). In addition, the following factors were associated with non-attendance in the primiparae: unemployment (OR 2.0, 95% CI 1.1-3.8), smoking during pregnancy (OR 2.7, 95% CI 1.2-5.8), having considered abortion (OR 4.3, 95% CI 1.2-16.1), and having had few antenatal check-ups (OR 2.0, 95% CI 1.1-3.7). The following factors were associated with non-attendance in the multiparae: age older than 35 years (OR 1.6, 95% CI 1.1-2.3), low level of education (OR 3.6, 95% CI 2.3-5.7), and pregnancy unplanned but welcome (OR 1.5, 95% CI 1.1-2.0), having had counselling because of fear of childbirth (OR 1.6, 95% CI 1.1-2.4), and expressing a need of such counselling (OR 1.9, 95% CI 1.1-3.1). KEY CONCLUSIONS: the childbirth and parenthood education programme reached the majority of pregnant women, and that non-attendees were more disadvantaged in terms of socio-demographic background and feelings about the approaching birth. These women should be given special attention during the antenatal check-ups so that childbirth and parenthood education could be adapted to their specific needs.

sted, utgiver, år, opplag, sider
2004. Vol. 20, nr 3, s. 226-235
HSV kategori
Identifikatorer
URN: urn:nbn:se:mdh:diva-3535DOI: 10.1016/j.midw.2004.01.003ISI: 000223966300003Scopus ID: 2-s2.0-4344635908OAI: oai:DiVA.org:mdh-3535DiVA, id: diva2:116200
Tilgjengelig fra: 2007-06-07 Laget: 2007-06-07 Sist oppdatert: 2015-07-06bibliografisk kontrollert

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