Title: Women’s
experience of their first antenatal visit. A qualitative descriptive study
Background: The philosophy of maternity care has changed since Methven’s study
in 1989, with emphasis on the provision of women centred care. There is also
considerable information in relation to health promotion and education,
expected to be imparted at the first antenatal visit.
Aim of the study: To explore first time mothers experience of their first visit
at antenatal clinic.
Method: A qualitative descriptive design was used. Ethical approval received.
Written consent was obtained from 10 participants who had booked at an
antenatal clinic in a maternity unit in Ireland. Data was collected using
semi structured interviews which were tape recorded. Data was analysed using
Burnard’s 2006 framework.
Findings: Ten primigravidas were interviewed within one month of their initial
booking visit in a venue of their choice. Gestations varied from 13 to 19 weeks
pregnancy. Ages ranged from 19 to 34 years.
Participants had a number of expectations of the visit, including having an
ultrasound, perceived by many as a positive experience. Many of the women were
not given an indication of the length of and an outline of the visit. Some new
knowledge received from the visit included information on diet, exercise and
rest. Information overload was not considered problematic. The significance of
the interpersonal skills of the health professionals on the experiences of the
women was highlighted
Conclusion and implications: The purpose of the first antenatal visit needs to
be considered as does the impact first impressions of a service can have on
consumers continued up take of care. A larger study is appropriate to further
determine women’s views. In the interim, operational issues can be addressed
e.g. provision of a written outline of the first visit.