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On-line version ISSN 2223-6279
Print version ISSN 0379-8577

Curationis vol.31 n.3 Pretoria  2008




The expectations of pregnant women regarding antenatal care



JM Mathibe-Neke

MA Cur; University of Witwatersrand





From a feminist perspective, research on childbirth and women's health is a means to a positive change that is conducted in partnership with women for their benefit. A patient-led National Health System (NHS) (Hillan, 1999) also calls for consultation with patients and the wider public for shaping the current and future health services. This study was aimed at exploring and describing the expectations that pregnant women have regarding antenatal care service by the midwife practitioner. In-depth interviews were conducted in an antenatal unit of an Academic Hospital in Gauteng Povince. Data saturation was reached with a sample of eighteen pregnant women who were conveniently selected. Data analysis ran concurrently with data collection. A manual content analysis as described by Tesch was used. Lincoln and Guba's method of ensuring trustworthiness was adopted (Lincoln & Guba, 1985:328).
Literature was undertaken to compare the findings of this study with those of other previous studies. Women displayed several common expectations that led to the saturation of data.
It also became apparent from the findings that each woman had varied expectations. There were also some commonalities within the women's expectations. Health care, as the major expectation and a basic human right, appeared to be basically fulfilled, with the exception of interactional characteristics such as the communication of information, guidance, involvement, the understanding and explanation of aspects, freedom of choice, punctuality, individualized care and continuity of care.
The conclusions that were reached let to recommendations for nursing practice, education, research and the formulation of guidelines for the midwife practitioner for the implementation of effective antenatal care, based on the identified expectations.

Keywords: women, pregnancy, antenatal care service, expectations



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AL-QUTOB, R; MAWAJDEH, S; & RA AD, FB 1996: The assessment of reproductive health services. A conceptual framework for prenatal care. Health Care for Women International. 17: 423-435.         [ Links ]

ANON 2000a: Prenatal care. American Midwifery Association. Health Insight: 1-3        [ Links ]

ANON 2000b: Assessing and managing risk in midwifery practice. Royal College of Midwives. 3 (7): 224-225.         [ Links ]

ANDERSON, T 1996: Informed choice initiative. Midwives. 109 (1296): 12-14.         [ Links ]

BATHO-PELE PRNCIPLES Accessed:        [ Links ]

BERG, M & DAHLBERG, K 1998: A phenomenological study of women's experience of complicated childbirth. Midwifery. 10(14):23-29.         [ Links ]

BOOTH, WC; COLOMB, GG & WILLIAMS, JM 1995: The craft of research. Chicago: University Press        [ Links ]

BURNS, N & GROVE, SK 2007: Understanding Nursing Research. Building an evidence-based practice. 4th Edition. Saunders: Elsevier        [ Links ]

BOTES, AC 1995: A research model for nursing. Auckland Park: Rand Afrikaans University        [ Links ]

CALLISTER, LC & HOBBINS-GARBETT, D 2000: Cochrane pregnancy and childbirth database: Resource for evidence-based practice. Journal of Obstetric. Gynaecologic and Neonatal Nursing. 29:123 -127)        [ Links ]

CIOFFI, J 1998: Education for clinical decision -making in midwifery practice. Midwifery. 120-127.         [ Links ]

CLEMENT, S; SIKORSKI, J; WILSON, J; DAS, S & SMEETON, N 1996: Women's satisfaction with traditional and reduced antenatal visit schedules. Midwifery. 14:18-22.         [ Links ]

DEMOCRATIC NURSING ASSOCIATION OF SOUTH AFRICA. 1996: Ethical considerations in nursing. Pretoria: DENOSA        [ Links ]

FARQUAR, M; CAMMILLERRI-FERRANTE, C & TODD, C 2000: Continuity of care in maternity services: Women's view of one team midwifery scheme. Midwifery. 35-47.         [ Links ]

GAUTENG DEPARTMENT OF HEALTH, 1999: Directorate mother and child health. Antenatal care policy document: South Africa.         [ Links ]

HAGGSTROM, T & HILDINGSON, I 1999: Midwive's lived experiences of being supportive to prospective mothers / parents during pregnancy. Midwifery. 15:82-92.         [ Links ]

HALL, J 1997: Midwive's skills. Changing them for the better. Midwives, 110(1308)        [ Links ]

HILDINGSSON, I; WALDENSTROM, U & RADESTAD, I 2002: Women's expectations on antenatal care as assessed in early pregnancy: number of visits, continuity of caregiver and general content.         [ Links ]

HILLAN, E 1999: Midwives delivering the new National Health System. Royal College of Midwives. 3 (10):309 - 331.         [ Links ]

KAUFFMAN, T 2000: Vision 2000: the RCM looks to the future. Midwives journal: Vol. 3 No. 6        [ Links ]

KIRKHAM, MJ & PERKINS, ER 1997: Reflections on midwifery. London: W. B. Saunders.         [ Links ]

LEACH, J; DOWSWELL, T; HEWISON, J; BASLINGTON, H & WARRILOW, J 1998: Women's perception of maternity carers. Midwifery. 14:48-53.         [ Links ]

LEDWARD, A 2000: A discussion of justice in relation to changing childbirth. Royal College of Midwives. 3:156-157        [ Links ]

LEININGER, MM 1984: Qualitative research methods in nursing. Philadelphia: B Saunders Company.         [ Links ]

LINCOLN, YS & GUBA, EG 1985: Naturalistic enquiry. Sage Publications, Inc.         [ Links ]

MALONI, JA; YUNG-CHENG C; LIEBL, CP & MAIER, JS 1996: Transforming prenatal care: Reflections on the past and present with implication for the future. Journal of Obstetric. Gvnaecologic and Neonatal Nursing. 25 (1): 17-22.         [ Links ]

MCCOURT, C & PEARCE, A 2000: Does continuity of care matter to women from minority groups? Midwifery. 16:145 -154.         [ Links ]

MLHANGA, RE 1996: At a time when there is extensive concern about the maternal mortality rate. African Journal of Nursing and Midwifery. Vol. 1:12        [ Links ]

MORGAN, M 1996: Prenatal care of African American women in selected USA urban and rural cultural contexts. Journal of Transcultural Nursing.7:2.3-9        [ Links ]


OLSSON, P; SANDMAN, P & JANSON, L 1996: Antenatal booking interviews at midwifery clinics in Sweden: A qualitative analysis of five video-recorded interviews. Midwifery. 12:62 -72.         [ Links ]

OUR BILL OF RIGHTS. 1994: Chapter two, section 27 & 31. GJTMC Human Rights Info Center. Government Printers, Pretoria: South Africa.         [ Links ]

RAND AFRIKAANS UNIVERSITY. 1999: Nursing philosophy. Johannesburg: Rand Afrikaans University. 16p.         [ Links ]

SOUTH AFRICAN NURSING COUNCIL. 1990: Regulations relating to the conditions under which registered midwives and enrolled midwives may carry on their profession. R no. 2488. Pretoria: South African Nursing Council        [ Links ]

THOMPSON, A 1999: Poor and pregnant in Africa: Safe motherhood and human rights. Midwifery. 15:146-153.         [ Links ]

WALDENSTROM, U 1998: Continuity of carer and satisfaction. Midwifery. 14: 207-213.         [ Links ]

WALKER, DS; McCULLYL & VEST, V 2001: Evidence based prenatal visits: When less is more. Journal of midwifery & Women's Health: 46 (3): 146        [ Links ]

WILLIAMSON, S & THOMPSON, AM 1996: Women's satisfaction with antenatal care in a changing maternity service. Midwifery. 12:198-204.         [ Links ]

WOODWARD, V 2000: Caring for women: The potential contribution of formal theory to midwifery practice. Midwifery.. 16:68-75.         [ Links ]

WORLD HEALTH ORGANIZATION, 1998: Safe motherhood: A Matter of Human Rights and Social Justice. World Health Day        [ Links ]



JM Mathibe-Neke
University of Witwatersrand
Faculty of Health Sciences
Department of Nursing Education
7 York Road
Tel :(011) 488-4272/75; Fax: (011) 488-4195
E-mail :

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