The MAMAACT feasibility study - Lessons learned from midwives in Danish antenatal care

Helle Johnsen, Mette Juhl, Ulla Christensen, Sarah Fredsted Villadsen

Publikation: Konferencebidrag uden forlag/tidsskriftAbstraktForskningpeer review


Recently, the influx of non-western migrants to Denmark has increased significantly. Communication barriers, lack of
or delayed response to pregnancy complications among maternity care providers and migrant women, have shown
to lead to suboptimal care and add to the probability of maternal and perinatal death.
Little is known about how to improve these inequities in reproductive health. The MAMAACT intervention, which
included a training course for midwives, a folder and app plus additional visit time, aimed to increase response to
pregnancy symptoms among midwives and non-Western migrant women.
The objective of this study was to a) explore the feasibility and acceptability of the MAMAACT intervention among
midwives, b) examine midwives’ compliance with the intervention and c) identify factors affecting midwives’ delivery
of the intervention.
DataEight mini-group interviews with midwives (n=18) at two antenatal care centers were carried out.
AnalysisData were analyzed using systematic text condensation.
Three main categories, each with two sub-categories, were identified. Main categories were ‘Attitudes towards and
use of the leaflet and app’, ‘Challenges of working with Non-Western migrant women’, and ‘Organizational factors
affecting the use of the MAMAACT intervention’.
The MAMAACT intervention was found to be feasible and acceptable among midwives. Midwives’ compliance with
the intervention was high during the first visit, but low at the subsequent visits. The expression of diffuse body
symptoms by non-Western migrant women affected midwives’ perceptions of them. The training course contributed
to midwives’ reflections about their care provision. Factors such as time constraints, lack of professional interpreter
assistance, women arriving late for their midwifery visits and turning to relatives for pregnancy-related advice,
impacted midwives’ delivery of the intervention.
The feasibility study has led to several modifications of the intervention prior to a national realist trial. This trial is
currently ongoing.
StatusUdgivet - 2019
BegivenhedThe 21st Congress of the Nordic Federation of Midwives 2-4 May 2019 -
Varighed: 2 maj 2019 → …


KonferenceThe 21st Congress of the Nordic Federation of Midwives 2-4 May 2019
Periode02/05/19 → …


  • Sygdom, sundhedsvidenskab og sygepleje


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