Tags

Type your tag names separated by a space and hit enter

Midwives' work and attitudes towards contraceptive counselling and contraception among women with intellectual disability: focus group interviews in Sweden.
Eur J Contracept Reprod Health Care. 2019 Feb; 24(1):39-44.EJ

Abstract

OBJECTIVES

Family planning counselling is an essential part of sexual and reproductive health care; however, health care professionals often fail to offer sexual and reproductive health services to women with intellectual disability (ID), based on a misconception of inactive sexuality. The aims of this study were to gain a deeper understanding of midwives' perceptions of sexual health and contraceptive use of women with ID, and of midwives' practices in providing contraceptive counselling to women with ID.

METHODS

Five focus group interviews were conducted with 19 midwives at five antenatal/family planning clinics in central Sweden between December 2016 and February 2017.

RESULTS

The findings are presented in a paradigm model comprising the following components: context, causal conditions for women with ID needing contraception, intervening conditions, action and interaction strategies based on the midwives' approach and performance during the consultation, and finally consequences. Midwives strived to enhance informed choice, whenever possible, and tried to maintain a neutral attitude during counselling. They wanted to provide the most suitable contraceptive method balanced against any risk of long-term use and possible side effects. Midwives raised the need for teamwork and inter-professional support to improve health care, security and access to other related services for women with ID.

CONCLUSIONS

Few women with ID request contraceptive counselling, which limits midwives' knowledge, experience and competence. Midwives, therefore, plan consultations carefully and strive to enable women with ID to make informed contraceptive choices. Increased teamwork could be a way to strengthen the role of midwives and thereby improve counselling.

Authors+Show Affiliations

a Department of Women's and Children's Health , Uppsala University , Uppsala , Sweden.a Department of Women's and Children's Health , Uppsala University , Uppsala , Sweden.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30633574

Citation

Höglund, Berit, and Margareta Larsson. "Midwives' Work and Attitudes Towards Contraceptive Counselling and Contraception Among Women With Intellectual Disability: Focus Group Interviews in Sweden." The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception, vol. 24, no. 1, 2019, pp. 39-44.
Höglund B, Larsson M. Midwives' work and attitudes towards contraceptive counselling and contraception among women with intellectual disability: focus group interviews in Sweden. Eur J Contracept Reprod Health Care. 2019;24(1):39-44.
Höglund, B., & Larsson, M. (2019). Midwives' work and attitudes towards contraceptive counselling and contraception among women with intellectual disability: focus group interviews in Sweden. The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception, 24(1), 39-44. https://doi.org/10.1080/13625187.2018.1555640
Höglund B, Larsson M. Midwives' Work and Attitudes Towards Contraceptive Counselling and Contraception Among Women With Intellectual Disability: Focus Group Interviews in Sweden. Eur J Contracept Reprod Health Care. 2019;24(1):39-44. PubMed PMID: 30633574.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Midwives' work and attitudes towards contraceptive counselling and contraception among women with intellectual disability: focus group interviews in Sweden. AU - Höglund,Berit, AU - Larsson,Margareta, Y1 - 2019/01/11/ PY - 2019/1/12/pubmed PY - 2019/7/26/medline PY - 2019/1/12/entrez KW - Contraceptive counselling KW - Sweden KW - informed choice KW - intellectual disability KW - midwife SP - 39 EP - 44 JF - The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception JO - Eur J Contracept Reprod Health Care VL - 24 IS - 1 N2 - OBJECTIVES: Family planning counselling is an essential part of sexual and reproductive health care; however, health care professionals often fail to offer sexual and reproductive health services to women with intellectual disability (ID), based on a misconception of inactive sexuality. The aims of this study were to gain a deeper understanding of midwives' perceptions of sexual health and contraceptive use of women with ID, and of midwives' practices in providing contraceptive counselling to women with ID. METHODS: Five focus group interviews were conducted with 19 midwives at five antenatal/family planning clinics in central Sweden between December 2016 and February 2017. RESULTS: The findings are presented in a paradigm model comprising the following components: context, causal conditions for women with ID needing contraception, intervening conditions, action and interaction strategies based on the midwives' approach and performance during the consultation, and finally consequences. Midwives strived to enhance informed choice, whenever possible, and tried to maintain a neutral attitude during counselling. They wanted to provide the most suitable contraceptive method balanced against any risk of long-term use and possible side effects. Midwives raised the need for teamwork and inter-professional support to improve health care, security and access to other related services for women with ID. CONCLUSIONS: Few women with ID request contraceptive counselling, which limits midwives' knowledge, experience and competence. Midwives, therefore, plan consultations carefully and strive to enable women with ID to make informed contraceptive choices. Increased teamwork could be a way to strengthen the role of midwives and thereby improve counselling. SN - 1473-0782 UR - https://www.unboundmedicine.com/medline/citation/30633574/Midwives'_work_and_attitudes_towards_contraceptive_counselling_and_contraception_among_women_with_intellectual_disability:_focus_group_interviews_in_Sweden_ L2 - https://www.tandfonline.com/doi/full/10.1080/13625187.2018.1555640 DB - PRIME DP - Unbound Medicine ER -