+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

To see or not to see? Midwives' perceptions of reduced antenatal attendances for 'low-risk' women



To see or not to see? Midwives' perceptions of reduced antenatal attendances for 'low-risk' women



Midwifery 15(4): 257-263



To explore the views of midwives towards traditional and flexible schedules of antenatal attendance for women at low risk. A qualitative approach using focus groups. Three NHS Trusts providing maternity care in and around Bristol. 14 midwives who had provided antenatal care to women participating in the Bristol Antenatal Care Study. Midwives generally expressed support for a move away from the traditional schedule of antenatal attendances, suggesting that this represented a move towards the acceptance of pregnancy as a normal life event. They recognised that some women would prefer flexible care and the possibility of a reduction in the number of antenatal attendances. However, they suggested that some women would require additional information in order to feel confident in these circumstances. The midwives also recognised that both they and pregnant women have reservations about reducing contact during the antenatal period. Central to these reservations is a concern that women's psychosocial as well as physical needs may go unmet if antenatal contact is reduced. Although in principle supporting a move away from the traditional schedule of antenatal attendances, the reservations felt by midwives towards a reduction in antenatal attendances are reflected in their practice. These concerns currently impede any radical move away from the traditional schedule of antenatal check-ups and will need to be addressed by midwifery managers prior to the implementation of a more flexible schedule of antenatal attendances, if any such change is to be sustainable.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 047794956

Download citation: RISBibTeXText

PMID: 11216259

DOI: 10.1054/midw.1999.0183


Related references

The midwife's role in providing smoking cessation interventions for pregnant women: The views of midwives working with high risk, disadvantaged women in public sector antenatal services in South Africa. International Journal of Nursing Studies 53: 228-237, 2016

Differences in quality of antenatal care provided by midwives to low-risk pregnant dutch women in different ethnic groups. Journal of Midwifery and Women's Health 57(5): 461-468, 2012

Quality of Antenatal Care Provided by Nurse Midwives in an Urban Health Centre with Regard to Low-Risk Antenatal Mothers. Indian Journal of Community Medicine 42(1): 37-42, 2017

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: 334, 2014

Taking antenatal group B Streptococcus seriously: women's experiences of screening and perceptions of risk. Birth 30(2): 116-123, 2003

Reduced Risk of Low Weight Births among Indigent Women Receiving Care from Nurse-Midwives. Journal of Epidemiology and Community Health (1979-) 54(3): 233-238, 2000

Reduced risk of low weight births among indigent women receiving care from nurse-midwives. Journal of Epidemiology and Community Health 54(3): 233-238, 2000

Midwives' perceptions of their role as facilitators of informed choice in antenatal screening. Midwifery 29(7): 745-750, 2013

Effect of a new antenatal care programme on the attitudes of pregnant women and midwives towards antenatal care in Harare. Central African Journal of Medicine 43(5): 131-135, 1997

Parenthood education in Swedish antenatal care: perceptions of midwives and obstetricians in charge. Journal of Perinatal Education 17(2): 21-27, 2008

The impact of caseload midwifery, compared with standard care, on women's perceptions of antenatal care quality: Survey results from the M@Ngo randomized controlled trial for women of any risk. Birth 46(3): 439-449, 2019

Evaluating a policy of reduced consultant antenatal clinic visits for low risk multiparous women. Quality in Health Care 2(3): 152-156, 1993

The costs of alternative types of routine antenatal care for low-risk women: shared care vs care by general practitioners and community midwives. Journal of Health Services Research and Policy 1(3): 135-140, 1996

Perineal injury in nulliparous women giving birth at a community hospital: reduced risk in births attended by certified nurse-midwives. Journal of Midwifery and Women's Health 55(3): 243-249, 2010

Midwives' journal. Women-centred antenatal care. Nursing Times 88(9): 62-63, 1992