On-line psycho-educational antenatal classes during COVID-19 pandemic in Italy: women’s opinion and satisfaction

The pandemic has changed the model of perinatal support, with a growing interest in e-health. This study aimed to evaluate the opinion and satisfaction of pregnant women who participated in small psycho-educational web classes to investigate participants' subjective benefits and to verify if antenatal psycho-educational care can also be satisfactorily provided on-line. This is a cross-sectional observational study involving 129 pregnant women who completed an ad-hoc on-line tool evaluating the opinion and satisfaction with the class, the GAD-2, and the Whooley Questions. Participants especially appreciated the dialogue, courtesy, helpfulness, and competence of the psychologist (mean 4.72; 0.53), and the usefulness of the course. They appreciated least the logistical aspects of the course. Many women reported as strength being in a group and sharing emotions and doubts. A history of MAR and/or previous psychological disorders were significantly associated with a greater appreciation of relaxation techniques. Small antenatal courses were welcomed by pregnant women and seemed to bring a subjective benefit, even and especially to those with specific characteristics of vulnerability. Knowing the opinion of pregnant women about on-line psychological antenatal care is essential to realize effective and more tailored interventions. The group dimension and techniques aimed at achieving mind-body wellbeing are crucial aspects even in a web setting. Attention should be given to the organizational aspects of the course, in order to increase the attendance and satisfaction of pregnant women.