“Get the ball rolling”: Results of a qualitative study to explore the current situation and develop elements essential for optimal preconception care in Indonesian primary care

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-02-14 DOI:10.1016/j.midw.2025.104339

Fitriana Murriya Ekawati , Cika Golda Putri Ame , Dhiana Ayu Novitasari , Siti Marlina , I Nyoman Tritia Widiantara , Phyllis Lau

{"title":"“Get the ball rolling”: Results of a qualitative study to explore the current situation and develop elements essential for optimal preconception care in Indonesian primary care","authors":"Fitriana Murriya Ekawati , Cika Golda Putri Ame , Dhiana Ayu Novitasari , Siti Marlina , I Nyoman Tritia Widiantara , Phyllis Lau","doi":"10.1016/j.midw.2025.104339","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Despite its essential benefits to prevent pregnancy-related morbidity and mortality, comprehensive preconception counselling care in Indonesia is yet to exist. Before further developing the appropriate care for women, this study aimed to understand the current situation and propose essential elements necessary for further developing the optimal preconception care in Indonesian primary care.</div></div><div><h3>Study design</h3><div>Focus group (FG) discussions guided by grounded theory approach were conducted with Indonesian general practitioners, nurses, midwives, and obstetricians from Bantul Regency, Yogyakarta Province, between July and September 2023. The data were thematically analysed.</div></div><div><h3>Results</h3><div>Seven FGs involving 59 participants were conducted. Three themes emerged: “the Way”, “the Dream Ball’ and “the Bumps”. The Way depicts the providers’ conscious misconception regarding preconception care about being simple rather than comprehensive health examination and their intention to support women's readiness to conceive. The Way also covers the providers’ perceived limited training in primary care to perform preconception care. The Dream Ball describes providers’ ideas of an optimal preconception care and their future expectations for the service in practice. The Bumps are the potential challenges of preconception care in primary care practice. Framework elements are developed to visualise expected preconception service in Indonesian primary care from patient, clinical and policy levels.</div></div><div><h3>Discussion</h3><div>Our findings add to the literature on Indonesia's healthcare providers’ perceptions of preconception care and its potential implementation in practice. The proposed framework will guide providers, researchers, and policymakers in developing an appropriate preconception care model for Indonesian primary care.</div></div><div><h3>Conclusion</h3><div>Health providers’ perceptions of and proposed critical elements necessary for optimal preconception care in Indonesian primary care have been explored. Further study is desired to develop the model and strategic services of preconception care in Indonesian primary care practice.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"144 ","pages":"Article 104339"},"PeriodicalIF":2.6000,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Midwifery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0266613825000580","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Despite its essential benefits to prevent pregnancy-related morbidity and mortality, comprehensive preconception counselling care in Indonesia is yet to exist. Before further developing the appropriate care for women, this study aimed to understand the current situation and propose essential elements necessary for further developing the optimal preconception care in Indonesian primary care.

Study design

Focus group (FG) discussions guided by grounded theory approach were conducted with Indonesian general practitioners, nurses, midwives, and obstetricians from Bantul Regency, Yogyakarta Province, between July and September 2023. The data were thematically analysed.

Results

Seven FGs involving 59 participants were conducted. Three themes emerged: “the Way”, “the Dream Ball’ and “the Bumps”. The Way depicts the providers’ conscious misconception regarding preconception care about being simple rather than comprehensive health examination and their intention to support women's readiness to conceive. The Way also covers the providers’ perceived limited training in primary care to perform preconception care. The Dream Ball describes providers’ ideas of an optimal preconception care and their future expectations for the service in practice. The Bumps are the potential challenges of preconception care in primary care practice. Framework elements are developed to visualise expected preconception service in Indonesian primary care from patient, clinical and policy levels.

Discussion

Our findings add to the literature on Indonesia's healthcare providers’ perceptions of preconception care and its potential implementation in practice. The proposed framework will guide providers, researchers, and policymakers in developing an appropriate preconception care model for Indonesian primary care.

Conclusion

Health providers’ perceptions of and proposed critical elements necessary for optimal preconception care in Indonesian primary care have been explored. Further study is desired to develop the model and strategic services of preconception care in Indonesian primary care practice.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.