title: [Perceived needs of women regarding maternity. Qualitative study to redesign maternal education].
abstract: OBJECTIVE
  To assess women's perceptions of their needs during the process of becoming a mother and identify what they want from maternal education.
  
  
  METHODS
  Qualitative study with focus groups.
  
  
  METHODS
  Bizkaia health region, Basque Health Service (Osakidetza), Spain.
  
  
  METHODS
  Thirty one women were recruited consecutively by midwives at six Osakidetza health centres.
  
  
  METHODS
  Four sessions were held from September to November 2010 in Bizkaia (Spain), the four groups being stratified by socioeconomic status and stage of the process (pregnancy vs. postnatal period). To collate the information related to the various topics discussed, we used manifest content analysis that was facilitated by use of ATLAS.ti software.
  
  
  RESULTS
  The focus of the women worries changes over time. In early pregnancy, women's main concern was for "everything to go well". As the pregnancy progressed, they needed more emotional support and wanted to feel confident and be self-reliant to face their fears of the birth and care for their child. They needed greater accompaniment in the puerperium and less pressure concerning breastfeeding. They also wanted an extended programme of perinatal rather than just antenatal education, which was more participatory and flexible and greater participation of their partner.
  
  
  CONCLUSIONS
  Women have the same social and family networks needs, regardless of cultural differences between Anglo-Saxon and Southern European countries. We recommend an perinatal education to empower women to manage their own health and that of their family and link the health system with other networks of personal and social support for women.
authors.affiliation: Servicio Vasco de Salud/Osakidetza, Unidad Docente de Matronas del País Vasco, Centro de Salud de Markonzaga , OSI Barakaldo Sestao , Bizkaia, España. Electronic address: mariacarmen.pazpascual@osakidetza.eus.
authors.forename: Carmen
authors.initials: C
authors.lastname: Paz Pascual
authors.affiliation: Servicio Vasco de Salud/Osakidetza, Escuela Universitaria de Enfermería de la EHU-UPV, Centro de Salud de Zuazo , OSI Barakaldo Sestao , Bizkaia, España.
authors.forename: Isabel
authors.initials: I
authors.lastname: Artieta Pinedo
authors.affiliation: Medicina Familiar y Comunitaria, Medicina Preventiva y Salud Pública, Unidad de Investigación de Atención Primaria, Servicio Vasco de Salud/Osakidetza, Bilbao, Bizkaia, España.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Grandes
authors.affiliation: Unidad de Investigación de Atención Primaria, Servicio Vasco de Salud/Osakidetza, Bilbao, Bizkaia, España.
authors.forename: Maite
authors.initials: M
authors.lastname: Espinosa Cifuentes
authors.affiliation: Unidad de Evaluación, Servicio de Investigación, Innovación y Formación Sanitaria, Departamento de Salud, Gobierno de Navarra, Pamplona, Navarra, España.
authors.forename: Idoia
authors.initials: I
authors.lastname: Gaminde Inda
authors.affiliation: Unidad de Investigación de Atención Primaria, Servicio Vasco de Salud/Osakidetza, Bilbao, Bizkaia, España.
authors.forename: Janire
authors.initials: J
authors.lastname: Payo Gordon
mesh_terms: D001290:Attitude; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D009035:Mothers / Q000193:education* / Q000523:psychology; D011295:Prenatal Care; D036301:Qualitative Research; D013030:Spain
keywords: Antenatal care; Antenatal education; Cuidados prenatales; Cuidados salud de la mujer; Educación maternal; Necesidades durante el embarazo; Needs in pregnancy; Women's health care