Experiences and needs of vulnerable women with regard to receiving additional interventions in maternity care; a qualitative study

OnderzoeksoutputAcademic

Samenvatting

Background: Vulnerable pregnant women are at risk of developing adverse pregnancy
outcomes. In the north of the Netherlands, many vulnerable women of Dutch origin live in rural
areas and are more likely to have unfavourable lifestyle characteristics than women in other
parts of the country.
Tailoring an intervention to the needs and wishes of vulnerable pregnant women can reduce
the risk of adverse outcomes and empower vulnerable women. Besides standard prenatal care,
many additional interventions have been developed for vulnerable pregnant women. We do not
know to what extent these additional interventions suit the needs of vulnerable women in the
Northern Netherlands.
Aim: To gain insight into the experiences and needs of vulnerable women who receive additional
maternity care interventions in the Northern Netherlands.
Methods: Qualitative research by means of semi-structured interviews between October 2019
and December 2020 with 17 vulnerable pregnant women living in the Northern Netherlands.
Results: We found three themes that reflect the experiences and needs of vulnerable pregnant
women in relation to the intervention they received. These themes relate to the care provided
by health professionals, to the impact of being offered an intervention, and to practical issues
related to receiving an additional intervention. We found that related to practical issues the
needs of vulnerable pregnant women varied. Common needs were the wish to receive tailormade information, and the wish for the intervention to be specifically tailored to their problems.
Women wish to be taken seriously and treated without prejudice with respect and dignity.
Conclusions: Being vulnerable and being offered additional care evoked diverse reactions and
emotions from pregnant women. We recommend that health professionals ensure open and
clear communication with women, that they ensure continuity of care and relationship-centered
care, and that they become aware of the process of stigmatization of vulnerable women.
Originele taal-2English
StatusPublished - 6-mei-2023

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