Young Mums & Antenatal education How do we engage them in a culturally safe way?
Cultural Safety Quality Care From different ethnicities Within cultural norms & values of the patient Concept developed in New Zealand
“An individuals cultural background will impact how one best learns and integrates new information” (Berman, 2006)
Reasons for non attendance Feeling judged, by older mums & Health Professionals Feeling bored Feeling ‘labelled’ Sounded just like ‘school’ The word ‘ante’ sounded negative Transport difficulties Not given same service as older mums
Often they describe Health Professionals “do stuff to them” They are not given informed choice They feel they get a substandard service They have mums at home, yet they feel they are being ‘parented’ through the maternity system. Could this influence their choice as to whether they attend antenatal classes?
Being Culturally safe Carefully worded advertising to avoid classes sounding authoritarian or like school What words can we use?
“Being part of a ‘Young Mums’ club matters to young pregnant women emphasising the importance of peer group support” (Howie & Carlisle, 2005)
Drop in sessions They often problem share They often work together for solutions Oral sharing of information within safe environment Enjoy the informal format They are in control of the sessions
Learning needs “Prenatal education programs are often designed and infused with content from the viewpoint of the health professional. Yet providers and receivers are vastly different in their views” (Berman, 2006)
Empowerment Opportunity Allow them to decide on the subjects they want to cover
“Classes are of limited reach” (Renkert & Nutbeam, 2001) So alternate channels for delivery should be explored and tested
Change of facilitation Develop ‘young mums’ clubs Develop sessions from early pregnancy Provide ‘drop in sessions’ Tie in antenatal appointments with ‘young mums’ club Look at text messaging Facebook YouTube Blogging & Email
Final Fact "Studies show that teen pregnancy drops off significantly after the age of 25“ Ref: Colorado Springs local newspaper (1999)