Group antenatal care compared with standard antenatal care for Somali-Swedish women: a historically controlled evaluation of the Hooyo Project

Malin Ahrne; Ulrika Byrskog; Birgitta Essén; Ewa Andersson; Rhonda Small; Erica Schytt

doi:10.1136/bmjopen-2022-066000

Group antenatal care compared with standard antenatal care for Somali-Swedish women: a historically controlled evaluation of the Hooyo Project

BMJ Open. 2023 Jan 25;13(1):e066000. doi: 10.1136/bmjopen-2022-066000.

Authors

Malin Ahrne¹, Ulrika Byrskog², Birgitta Essén³, Ewa Andersson⁴, Rhonda Small^{4

5}, Erica Schytt^{6

7}

Affiliations

¹ Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden malin.ahrne@ki.se.
² School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
³ Women's and Children's Health, Uppsala University, Uppsala, Sweden.
⁴ Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
⁵ School of Nursing and Midwifery, Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia.
⁶ Center for Clinical Research Dalarna, Uppsala University, Falun, Sweden.
⁷ Department of Health and Caring sciences, Western Norway University of Applied Sciences, Bergen, Norway.

Abstract

Objectives: Comparing language-supported group antenatal care (gANC) and standard antenatal care (sANC) for Somali-born women in Sweden, measuring overall ratings of care and emotional well-being, and testing the feasibility of the outcome measures.

Design: A quasi-experimental trial with one intervention and one historical control group, nested in an intervention development and feasibility study.

Setting: Midwifery-led antenatal care clinic in a mid-sized Swedish town.

Participants: Pregnant Somali-born women (<25 gestational weeks); 64 women in gANC and 81 in sANC.

Intervention: Language-supported gANC (2017-2019). Participants were offered seven 60-minute group sessions with other Somali-born women led by one to two midwives, in addition to 15-30 min individual appointments with their designated midwife.

Outcomes: Primary outcomes were women's overall ratings of antenatal care and emotional well-being (Edinburgh Postnatal Depression Scale (EPDS)) in gestational week ≥35 and 2 months post partum. Secondary outcomes were specific care experiences, information received, social support, knowledge of pregnancy danger signs and obstetric outcomes.

Results: Recruitment and retention of participants were challenging. Of eligible women, 39.3% (n=106) declined to participate. No relevant differences regarding overall ratings of antenatal care between the groups were detected (late pregnancy OR 1.42, 95% CI 0.50 to 4.16 and 6-8 weeks post partum OR 2.71, 95% CI 0.88 to 9.41). The reduction in mean EPDS score was greater in the intervention group when adjusting for differences at baseline (mean difference -1.89; 95% CI -3.73 to -0.07). Women in gANC were happier with received pregnancy and birth information, for example, caesarean section where 94.9% (n=37) believed the information was sufficient compared with 17.5% (n=7) in standard care (p<0.001) in late pregnancy.

Conclusions: This evaluation suggests potential for language-supported gANC to improve knowledge acquisition among pregnant Somali-born women with residence in Sweden ˂10 years. An adequately powered randomised trial is needed to evaluate the effectiveness of the intervention.

Trial registration number: ClinicalTrials.gov Registry (NCT03879200).

Keywords: Antenatal; Maternal medicine; Prenatal diagnosis; Reproductive medicine; SOCIAL MEDICINE.

Publication types

Controlled Clinical Trial
Research Support, Non-U.S. Gov't

MeSH terms

Cesarean Section*
Female
Humans
Language
Parturition
Pregnancy
Prenatal Care*
Somalia
Sweden

Associated data

ClinicalTrials.gov/NCT03879200