Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2002 Mar;5(1):63-83.
doi: 10.1046/j.1369-6513.2002.00159.x.

Improving communication between health professionals and women in maternity care: a structured review

Rachel E Rowe  1 , Jo Garcia, Alison J Macfarlane, Leslie L Davidson
Affiliations
Review

Improving communication between health professionals and women in maternity care: a structured review

Rachel E Rowe et al. Health Expect. 2002 Mar.

Abstract

Objective: To review trials of the effectiveness of interventions aimed at improving communication between health professionals and women in maternity care.

Search strategy: The electronic databases Medline, PsycLit, The Cochrane Library, BIDS Science and Social Science Indexes, Cinahl and Embase were searched. Final searches were carried out in April 2000.

Inclusion criteria: Controlled trials of interventions explicitly aimed at improving communication between health professionals and women in maternity care were included. Other trials were included where two reviewers agreed that this was at least part of the aim.

Data extraction and synthesis: 95 potentially eligible papers were identified, read by one reviewer and checked against the inclusion criteria. The 11 included trials were read, assessed for quality and summarized in a structured tabular form.

Results: The included trials evaluated interventions to improve the presentation of information about antenatal testing, to promote informed choice in maternity care, woman-held maternity records and computer-based history taking. Four trials in which women were provided with extra information about antenatal testing in a variety of formats suggested that this was valued by women and may reduce anxiety. Communication skills training for midwives and doctors improved their information giving about antenatal tests. The three trials of woman-held maternity records suggested that these increase women's involvement in and control over their care.

Conclusions: The trials identified by this review addressed limited aspects of communication and focused solely on antenatal care. Further research is required in several areas, including trials of communication skills training for health professionals in maternity care and other interventions to improve communication during labour and in the postnatal period.

PubMed Disclaimer

References

    1. Royal College of Obstetricians and Gynaecologists Royal College of Midwives. Communication Standards – Obstetrics. Report of the Audit Committee's Working Group London: RCOG, 1995.
    1. Royal College of Physicians of London. Improving Communication Between Doctors and Patients. A report of a working party London: Royal College of Physicians, 1997.
    1. General Medical Council. Tomorrow's doctors: recommendations on undergraduate medical education London: General Medical Council, 1993.
    1. Hargie O, Dickson D, Boohan M, Hughes K. A survey of communication skills training in UK schools of medicine: present practices and prospective proposals. Medical Education, 1998; 32 : 25–34. - PubMed
    1. Department of Health. The NHS Plan, a Plan for Investment, a Plan for Reform. Cm 4818–4811 London: TSO, 2000.

Publication types