Examining Effective Patient-Provider Communication in Antenatal Settings across England: An In-Depth Analysis of Woman’s Experiences

Abstract

AbstractPregnancy requires appropriate guidance and support from healthcare professionals. Understanding women’s experiences of effective patient-provider communication through antenatal care is critical, as evidence suggests, inadequate communication could pose various risks to maternal and neonatal well-being. Despite efforts to modernise maternity services, recent assessments reveal persistent challenges, with nearly half of maternity services inspections categorised as ‘inadequate’ or ‘requires improvement’. This qualitative systematic review investigated effective patient-provider communication in antenatal care settings across England, contributing essential insights into women’s experiences and feelings from various backgrounds.MethodsThis study utilised the PICo framework to formulate the research question, focusing on effective patient-provider communication in antenatal care settings across England. A comprehensive search involving various study types was conducted across electronic databases from 2010 onwards. Inclusion and exclusion criteria were predefined, and relevant studies underwent thorough screening. Data synthesis involved a qualitative descriptive approach, employing thematic analysis to capture diverse experiences. Findings were summarised through coded extracts, supporting quotes, and a narrative addressing women’s experiences.ResultsThe search identified 46 records, with six studies meeting the inclusion criteria. Results were synthesised utilising thematic analysis approach. Subsequently, five themes were distinguished:Responsive and engaging communication; Individualised treatment; Clear presentation of service information and informed choice;Continuityof care; and ‘Additional ways of communication’.The study identified key suggestions to improve patient-provider communication in antenatal care, including tailored training programmes aimed at HCPs focusing on empathy, active listening, building emotional connections, establishing trust, and providing continuity of care. Recommendations also emphasise transparent information and empowering women through communication. Likewise, suggestions extend to the incorporation of cultural safety training initiatives and addressing structural issues within the system. The study, however featured experiences of minority ethnic women, which may potentially impact results, limiting the findings generalisability. In addition, measuring women’s views amid the emotional intensity associated with pregnancy presents inherent challenges, hypothetically affecting the depth of understanding of the experiences.ConclusionFew key conclusions derived from women experiences highlight the need to re-address barriers to communication. Proposed strategies offer practical steps, but further research is urged to address emerging challenges by advocating for improved communication strategies in order to enhance prenatal care nationally.