Exploring midwives’ training needs and preferences for providing sexual health education for pregnant women: a mixed-methods study
Xiaolan Xie A B C # , Jie Li A B # , Xiaojiao Wang D # , Surui Liang E , Xiuming Zhong C and Wenzhi Cai A B *A
B
C
D
E
Handling Editor: Dan Wu
Abstract
Numerous studies highlight a common inadequacy among midwives in addressing sexuality and sexual health issues in pregnant women. These findings underscore the crucial need for sexual health education for midwives. Nevertheless, the specific training needs and preferences regarding sexual health education for pregnant women among midwives remain largely unexplored in existing literature. The aim of this study was to explore midwives’ training needs and preferences for providing sexual health education for pregnant women.
The research employed a mixed-methods, institution-based cross-sectional study design conducted from July to August 2021. Convenience sampling was applied for quantitative research, while purposive sampling was utilised for the qualitative component. Midwives from 19 hospitals in Guangdong Province were invited to participate in a questionnaire survey addressing training needs and preferences for sexual health education for pregnant women among midwives. Qualitative data analysis was performed using thematic analysis.
A total of 462 midwives participated in the quantitative study, while 12 skilled midwives were involved in the qualitative component. A significant majority (82.5%) of midwives expressed a strong desire to engage in sexual health education. Online education emerged as the preferred mode of training among participants. Key areas of interest included reproductive health, sexual psychology, sex sociology, and education methods, underscoring a consistent demand for comprehensive sexual health education within the midwifery community.
Our study emphasises the pressing need for enhanced sexual health education for midwives and explores their preferences for future training.
Keywords: midwife, mixed-methods study, online education, pregnant women, quantitative and qualitative research, reproductive health, sexual health education, training needs.
References
1 Mitchell KR, Lewis R, O’Sullivan LF, Fortenberry JD. What is sexual wellbeing and why does it matter for public health? Lancet Public Health 2021; 6(8): e608-e613.
| Crossref | Google Scholar | PubMed |
2 de Pierrepont C, Brassard A, Lessard I, Gingras A-S, Péloquin K. How to deal with sexual changes during and after pregnancy: results of a brief psycho-educational workshop with future and new parenting couples. J Perinat Educ 2022; 31(1): 38-48.
| Crossref | Google Scholar |
3 de Pierrepont C, Brassard A, Lessard I, Gingras A-S, Péloquin K. Testing an online training session on couples’ perinatal sexual changes among health care professionals and paraprofessionals. J Midwifery Womens Health 2021; 66(2): 218-226.
| Crossref | Google Scholar | PubMed |
4 de Pierrepont C, Polomeno V, Bouchard L, Reissing E. What do we know about perinatal sexuality? A scoping review on sexoperinatality – part 1. J Gynecol Obstet Biol Reprod (Paris) 2016; 45(8): 796-808.
| Crossref | Google Scholar | PubMed |
5 de Pierrepont C, Polomeno V, Bouchard L, Reissing E. What do we know about perinatal sexuality? A scoping review on sexoperinatality – Part 2. J Gynecol Obstet Biol Reprod 2016; 45(8): 809-820.
| Crossref | Google Scholar | PubMed |
6 McBride HL, Kwee JL. Sex after baby: women’s sexual function in the postpartum period. Curr Sex Health Rep 2017; 9(3): 142-149.
| Crossref | Google Scholar |
7 Vannier SA, Rosen NO. Sexual distress and sexual problems during pregnancy: associations with sexual and relationship satisfaction. J Sex Med 2017; 14(3): 387-395.
| Crossref | Google Scholar | PubMed |
8 Percat A, Elmerstig E. “We should be experts, but we’re not”: sexual counselling at the antenatal care clinic. Sex Reprod Healthc 2017; 14: 85-90.
| Crossref | Google Scholar | PubMed |
9 Byers-Heinlein A, McCallum A, Byers ES, Pukall C. Sexual health-related training of Canadian midwives and its association with practice outcome. Women Birth 2020; 33(2): e199-e207.
| Crossref | Google Scholar | PubMed |
10 Prize NBT, Kanat SS, Wruble ACKW. Gaps in sexual health content of healthcare professional curriculum: a systematic review of educational interventions. BMC Med Educ 2023; 23(1): 926.
| Crossref | Google Scholar | PubMed |
12 NVivo. Unlock insights with the leading qualitative data analysis software. Available at https://lumivero.com/products/nvivo/
13 Fereday J, Muir-Cochrane E. Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qual Meth 2006; 5(1): 80-92.
| Crossref | Google Scholar |
16 Malterud K. Qualitative research: standards, challenges, and guidelines. Lancet 2001; 358(9280): 483-488.
| Crossref | Google Scholar |
17 Dyachenko E. Interpersonal scripts and sexual communication: experiences and perspectives of young people in St. Petersburg, Russia. Cult Health Sex 2023; 25(3): 368-381.
| Crossref | Google Scholar | PubMed |
18 Wimsett J, Legget E, Roberts H, Oyston C, Sadler L. Factors associated with postpartum contraceptive planning in New Zealand. Contraception 2023; 118: 109898.
| Crossref | Google Scholar | PubMed |
19 Mohseni M, Riazi H, Karimian Z, Kariman N, Nasiri M. Factors affecting the providing of sexual health services by midwives: a qualitative research in Iran. Iran J Nurs Midwifery Res 2023; 28(1): 47-52.
| Crossref | Google Scholar | PubMed |