Table 1. Research topics and sub-topics emerging from Task 2.
Topics
(presented in alphabetical order) |
Sub-topics |
---|---|
Alternative therapies | Professional guidance on what is safe and effective, holistic approaches to care |
Care pathways | Personalised care planning, core support worker, ‘prudent’ healthcare, tailored support packages, accessibility
of services, ‘one stop shop’ approach |
Co-production | Research led by women’s experiences |
Information provision | Need to provide information early on, mode of delivery (written, leaflets, use of visual materials, videos, Skype
and apps, demonstrations), pre-conception counselling, high quality, locally relevant information on support/ resources/links, ensuring relevant information is provided with prescriptions for medications, provision of practical advice (tips, products/aids available) |
Clinical guidelines | Best practice, care pathways, applicable to all health professionals who work with families (e.g. midwives and
health visitors) |
Equipment | Hiring/loaning equipment to support women with pregnancy/early parenting, need for adaptation of tools/aid
and innovation to meet the needs of parents |
Multi-disciplinary care | Community level care, counsellors, primary and secondary care physicians, occupational therapy, appropriate
referrals |
Pain management | Alternatives to medical approaches, e.g. input from physiotherapists |
Peer-support | Access to experiences of others & information, healthcare professional facilitation, support for peer-supporters,
online peer-support, accessing peer-support, evidence underpinning peer-support approaches |
Psychological
interventions |
Timely access, urgency, accessibility, use of apps/helplines, cost issues, Cognitive Behaviour Therapy,
counselling/talking therapies |
Safety of medication | Need to build the evidence base and provide accurate information through the whole journey from pre-
conception to parenting |
Shared decision-making | Mode of delivery (who, where, when, how?), patient activation, building skills and knowledge, shared decision-
making as a long-term process not a one-off event, use of decisions aids/decision support tools |
Social inequalities in
health |
Socioeconomic status, access to healthcare, gender, ethnic diversity, cultural differences |
Support networks | Support from relatives, involving partners in decision making, ‘safe spaces’ for partners to explore issues,
signposting to support groups, interventions that advocate partners’ involvement |
Support/training for
health professionals |
‘Spotting the signs’ that women need additional support, knowledge of appropriate services |