Design and process of the EMA Cohort Study: the value of antenatal education in childbirth and breastfeeding.

BMC Nursing
Carmen Paz-PascualMagdalena Ureta de Pedro

Abstract

Antenatal education (AE) started more than 30 years ago with the purpose of decreasing pain during childbirth. Epidural anaesthesia has achieved this objective, and the value of AE is therefore currently questioned. This article describes the protocol and process of a study designed to assess AE results today. A prospective study was designed in which a cohort of 616 nulliparous pregnant women attending midwife offices of the Basque Health Service were followed for 13 months. Three exposure groups were considered based on the number of AE sessions attended: (a) women attending no session, (b) women attending 1 to 4, and (c) women attending 5 or more sessions. Sociodemographic, personality, and outcome variables related to childbirth and breastfeeding were measured.It was expected 40% of pregnant women not to have participated in any AE session. However, 93% had attended at least one session. This low exposure variability decreased statistical power of the study as compared to the initially planned power. Despite this, there was a greater than 80% power for detecting as significant differences between exposure groups of, for instance, 10% in continuation of breastfeeding at one and a half months and in visits for false labour. W...Continue Reading

References

May 5, 2000·The Cochrane Database of Systematic Reviews·L Lauzon, E Hodnett
Mar 27, 2001·Birth·M EnkinG J Hofmeyr
Nov 27, 2002·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Deborah McLeodTimothy Cookson
Apr 22, 2005·Acta Obstetricia Et Gynecologica Scandinavica·Helena M FabianUlla Waldenström
Jul 20, 2007·The Cochrane Database of Systematic Reviews·A J Gagnon, J Sandall

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Citations

Oct 16, 2012·Women and Birth : Journal of the Australian College of Midwives·Sally FergusonJenny Browne
May 25, 2010·Women and Birth : Journal of the Australian College of Midwives·Heather J Craig, Elaine Dietsch
Sep 28, 2012·Journal of Advanced Nursing·Isabel Artieta-PinedoImanol Montoya
Apr 5, 2016·Atencion primaria·Carmen Paz PascualJanire Payo Gordon
Jan 8, 2015·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Adrienne PittsRebecca Spencer
Jun 21, 2016·Midwifery·Helga GottfredsdottirHildur Kristjánsdóttir

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