First-time mothers’ experiences of antenatal education during the COVID-19 pandemic

Abstract

This study aimed to explore the mothers’ lived experiences of antenatal education during the COVID-19 pandemic. The objectives of the study were: to explore the experience of antenatal education in relation to the pregnancy; to explore the influence of antenatal education on the childbirth experience, and to explore the experience of antenatal education in relation to the postpartum period. The qualitative paradigm was used to investigate this phenomenon and a purposive sample of nine primiparous mothers was selected from the breastfeeding clinic at the main state hospital via an intermediary. Participation was voluntary and all those mothers who were approached consented to take part, yielding a 100% response rate. A semi-structured interview schedule was specifically designed for the purpose of the study. The interviews were held virtually and were audio-recorded with the participant's consent. Pseudonyms were used for ethical purposes. Data were then transcribed verbatim and analysed using thematic analysis. Results showed that antenatal classes were considered an essential source of information, especially during the COVID-19 pandemic. Although most women attended virtual antenatal classes their overall learning experience was described to be satisfactory and most reported appreciation in this regard. Despite this, participants highlighted how antenatal education did not fully prepare them for the realities of their labour, birth and parenthood experiences. It transpired that the COVID-19 pandemic created a heightened sense of anxiety, fear and stress amongst most participants. Despite this, participants praised their antenatal educators for their constant relaying of information regarding COVID-19 related measures being put in place. Moreover, participants gave their suggestions on how local antenatal education classes could be redesigned to encourage discussion and increase attention. This study put forward several recommendations to improve practice, education and for further research. The findings of this study suggest that antenatal education should start earlier on during pregnancy to offer gestation specific advice. It is being suggested that education should continue in the postnatal period as well. A regular course evaluation will also help to improve women’s learning experiences. Furthermore, further research on the effectiveness of antenatal education during the COVID-19 pandemic from the perspectives of all service users including women and men together with the experiences of antenatal educators is warranted.