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Background
Pregnancy planning and preconception care benefit women, their children, and future
generations. The London Measure of Unplanned Pregnancy (LMUP) is a tool that can be
used in antenatal care to identify women with unintended pregnancies, who require
improved access to such services. This tool has recently been implemented into routine
antenatal care in two Sydney Maternity centres.
Objective
To explore midwives’ attitudes to the LMUP and their understanding of its application
to their scope of practice following 12 months after it was introduced into the booking
visit.
Methods
A qualitative study using in-depth semi structured interviews with midwives from the
two maternity care centres in Sydney, New South Wales, Australia. All midwives performing
antenatal booking visits were eligible to take part. Interviews were transcribed,
analysed, and coded to define key themes. Recruitment ceased when thematic saturation
was reached.
Results
Ten midwives from the two maternity centres were interviewed. Midwives support the
inclusion of the LMUP into the booking visit and felt it was in their scope of practice
to be using the tool. Time constraints, the impact of COVID-19 and lack of structured
referral pathways were identified barriers to the implementation of the LMUP in routine
care.
Conclusions
Midwives support the inclusion of the LMUP into the antenatal booking visit and see
that it falls within their scope of practice. Service barriers were identified at
the individual, organisational and external context levels. These need to be addressed
to enhance the potential of this tool.
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Copyright
© 2022 Published by Elsevier Inc.
