eprintid: 10062589 rev_number: 22 eprint_status: archive userid: 608 dir: disk0/10/06/25/89 datestamp: 2018-11-28 15:05:39 lastmod: 2021-10-09 22:54:05 status_changed: 2018-11-28 15:05:39 type: article metadata_visibility: show creators_name: Hunter, LJ creators_name: Da Motta, G creators_name: McCourt, C creators_name: Wiseman, O creators_name: Rayment, JL creators_name: Haora, P creators_name: Wiggins, M creators_name: Harden, A title: Better together: A qualitative exploration of women's perceptions and experiences of group antenatal care ispublished: pub divisions: UCL divisions: B16 divisions: B14 divisions: J81 keywords: Antenatal care, Group care, Models of care, Pregnancy, Women’s experiences note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. abstract: PROBLEM: Childbearing women from socio-economically disadvantaged communities and minority ethnic groups are less likely to access antenatal care and experience more adverse pregnancy outcomes. BACKGROUND: Group antenatal care aims to facilitate information sharing and social support. It is associated with higher rates of attendance and improved health outcomes. AIMS: To assess the acceptability of a bespoke model of group antenatal care (Pregnancy Circles) in an inner city community in England, understand how the model affects women's experiences of pregnancy and antenatal care, and inform further development and testing of the model. METHODS: A two-stage qualitative study comprising focus groups with twenty six local women, followed by the implementation of four Pregnancy Circles attended by twenty four women, which were evaluated using observations, focus groups and semi-structured interviews with participants. Data were analysed thematically. FINDINGS: Pregnancy Circles offered an appealing alternative to standard antenatal care and functioned as an instrument of empowerment, mediated through increased learning and knowledge sharing, active participation in care and peer and professional relationship building. Multiparous women and women from diverse cultures sharing their experiences during Circle sessions was particularly valued. Participants had mixed views about including partners in the sessions. CONCLUSIONS: Group antenatal care, in the form of Pregnancy Circles, is acceptable to women and appears to enhance their experiences of pregnancy. Further work needs to be done both to test the findings in larger, quantitative studies and to find a model of care that is acceptable to women and their partners. date: 2018 date_type: published official_url: https://doi.org/10.1016/j.wombi.2018.09.001 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green article_type_text: Journal Article verified: verified_manual elements_id: 1588603 doi: 10.1016/j.wombi.2018.09.001 pii: S1871-5192(18)30119-7 lyricists_name: Wiggins, Margaret lyricists_id: MLWIG10 actors_name: Novi, Maya actors_id: MNOVI52 actors_role: owner full_text_status: public publication: Women and Birth event_location: Netherlands issn: 1878-1799 citation: Hunter, LJ; Da Motta, G; McCourt, C; Wiseman, O; Rayment, JL; Haora, P; Wiggins, M; Hunter, LJ; Da Motta, G; McCourt, C; Wiseman, O; Rayment, JL; Haora, P; Wiggins, M; Harden, A; - view fewer <#> (2018) Better together: A qualitative exploration of women's perceptions and experiences of group antenatal care. Women and Birth 10.1016/j.wombi.2018.09.001 <https://doi.org/10.1016/j.wombi.2018.09.001>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10062589/3/Hunter_WB%20manuscript%20Better%20together%20%281%29.pdf