Midwife-led integrated pre-birth training and its impact on the fear of childbirth. A qualitative interview study

Onchonga, David, Várnagy, Ákos, Keraka, Margaret and Wainaina, Pius (2020) Midwife-led integrated pre-birth training and its impact on the fear of childbirth. A qualitative interview study. Sexual & Reproductive Healthcare, 25. ISSN 1877-5756

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Abstract

Background: Although most expectant women with severe fear of childbirth take pre-birth training sessions, the available literature does not provide substantial emphirical data on its impacts, especially in developing countries like Kenya. Aim: The study aimed at exploring women’s experience from midwife-led integrated pre-birth training and its impact on the fear of childbirth. Method: A qualitative interview was conducted using a thematic analysis. Thirty-three women who had experienced high and severe fear of childbirth, and had completed midwife-led integrated pre-birth training were interviewed one month after giving birth. The interviews were conducted in a maternal and child health clinic in Samburu, Kenya from December 2019 to January 2020. Collected data was analysed based on thematic analysis. Results: The general theme ‘midwife-led integrated pre-birth training promoted constructive disposition and enhanced trust in the process of giving birth’ was validated by the interviewed participants. Their contributions covered three themes: ‘the significance of midwife-led pre-birth training’, ‘the role of efficient communication during pregnancy,’ and ‘adaptation to procedures for improved childbirth experience’. Conclusions: In this study 85% (n = 29) of the participants revealed that midwife-led integrated pre-birth training enhanced their expectations for birth processes. They demonstrated readiness and preparedness for this process, which would lead to improved childbirth outcomes.

Item Type:	Article
Faculty \ School:
Depositing User:	LivePure Connector
Date Deposited:	29 Sep 2025 12:30
Last Modified:	07 Oct 2025 15:32
URI:	https://ueaeprints.uea.ac.uk/id/eprint/100509
DOI:	10.1016/j.srhc.2020.100512

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