{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T07:16:15Z","timestamp":1794035775664,"version":"4.8.0"},"reference-count":49,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T00:00:00Z","timestamp":1723248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T00:00:00Z","timestamp":1723248000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Congenital cytomegalovirus (CMV) infection is a leading cause of sensorineural hearing loss and neuro-disability in childhood. In the absence of a licensed vaccine, adoption of hygiene-based measures may reduce the risk of CMV infection in pregnancy, however these measures are not routinely discussed with pregnant women as part of National Health Service (NHS) antenatal care in the United Kingdom (UK).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An exploratory qualitative study was conducted, underpinned by Normalization Process Theory (NPT), to investigate how an educational intervention comprising of a short film about CMV may best be implemented, sustained, and enhanced in real-world routine antenatal care settings. Video, semi-structured interviews were conducted with participants who were recruited using a purposive sample that comprised of midwives providing antenatal care from three NHS hospitals (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915) and participants from professional colleges and from organisations or charities providing, or with an interest in, antenatal education or health information in the UK (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Midwives were reluctant to include CMV as part of early pregnancy discussions about reducing the risk of other infections due to lack of time, knowledge and absence of guidance or policies relating to CMV in antenatal education. However, the educational intervention was perceived to be a useful tool to encourage conversations and empower women to manage risk by all stakeholders, which would overcome some identified barriers. Macro-level challenges such as screening policies and lack of official guidelines to legitimise dissemination were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Successful implementation of education about CMV as part of routine NHS care in the UK will require an increase in awareness and knowledge about CMV amongst midwives. NPT revealed that \u2018coherence\u2019 and \u2018cognitive participation\u2019 between service members are vital to imbed CMV education in routine practice. \u2018Collective action\u2019 and \u2018reflexive monitoring\u2019 is required to sustain service changes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12884-024-06715-5","type":"journal-article","created":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T10:02:18Z","timestamp":1723284138000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Exploring the implementation of an educational film within antenatal care to reduce the risk of cytomegalovirus infection in pregnancy: A qualitative study"],"prefix":"10.1186","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1140-8445","authenticated-orcid":false,"given":"Tushna","family":"Vandrevala","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0017-4724","authenticated-orcid":false,"given":"Amy","family":"Montague","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1420-8473","authenticated-orcid":false,"given":"Richard","family":"Boulton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5480-597X","authenticated-orcid":false,"given":"Kirstie","family":"Coxon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1523-2368","authenticated-orcid":false,"given":"Christine E.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,8,10]]},"reference":[{"issue":"2","key":"6715_CR1","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1111\/j.1471-0528.1991.tb13358.x","volume":"98","author":"PD Grifths","year":"1991","unstructured":"Grifths PD, Baboonian C, Rutter D, Peckham C. Congenital and maternal cytomegalovirus infections in a London population. Br J Obstet Gynaecol. 1991;98(2):135\u201340. 2.","journal-title":"Br J Obstet Gynaecol"},{"key":"6715_CR2","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1002\/rmv.544","volume":"17","author":"SC Dollard","year":"2007","unstructured":"Dollard SC, Grosse SD, Ross DS. New estimates of the prevalence of neurological and sensory sequelae and mortality associated with congenital cytomegalovirus infection. Rev Med Virol. 2007;17:355\u201363. https:\/\/doi.org\/10.1002\/rmv.544.","journal-title":"Rev Med Virol"},{"issue":"4","key":"6715_CR3","doi-asserted-by":"publisher","first-page":"522","DOI":"10.1086\/600882","volume":"49","author":"MM Mussi-Pinhata","year":"2009","unstructured":"Mussi-Pinhata MM, Yamamoto AY, Moura Brito RM, de Lima Isaac M, de Carvalho e Oliveira PF, Boppana S, et al. Birth prevalence and natural history of congenital cytomegalovirus infection in a highly seroimmune population. Clin Infect Dis. 2009;49(4):522\u20138.","journal-title":"Clin Infect Dis"},{"key":"6715_CR4","doi-asserted-by":"publisher","first-page":"1261","DOI":"10.1111\/dmcn.13556","volume":"59","author":"MJ Korndewal","year":"2017","unstructured":"Korndewal MJ, Oudesluys-Murphy AM, Kroes ACM, et al. Long-term impairment attributable to congenital cytomegalovirus infection: a retrospective cohort study. Dev Med Child Neurol. 2017;59:1261\u20138. https:\/\/doi.org\/10.1111\/dmcn.13556.","journal-title":"Dev Med Child Neurol"},{"issue":"5","key":"6715_CR5","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1002\/rmv.1790","volume":"24","author":"MJ Cannon","year":"2014","unstructured":"Cannon MJ, Griffiths PD, Aston V, Rawlinson WD. Universal newborn screening for congenital CMV infection: what is the evidence of potential benefit? Rev Med Virol. 2014;24(5):291\u2013307.","journal-title":"Rev Med Virol"},{"issue":"2","key":"6715_CR6","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1016\/j.jcv.2005.09.015","volume":"35","author":"RF Pass","year":"2006","unstructured":"Pass RF, Fowler KB, Boppana SB, Britt WJ, Stagno S. Congenital cytomegalovirus infection following first trimester maternal infection: symptoms at birth and outcome. J Clin Virol. 2006;35(2):216\u201320.","journal-title":"J Clin Virol"},{"issue":"9","key":"6715_CR7","doi-asserted-by":"publisher","first-page":"1143","DOI":"10.1086\/508173","volume":"43","author":"SAS Staras","year":"2006","unstructured":"Staras SAS, Dollard SC, Radford KW, Flanders KW, Pass RF, Cannon MJ. Seroprevalence of cytomegalovirus Infection in the United States, 1988\u20131994. Clin Infect Dis. 2006;43(9):1143\u201351.","journal-title":"Clin Infect Dis"},{"issue":"10","key":"6715_CR8","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1097\/INF.0000000000002763","volume":"39","author":"V Barber","year":"2020","unstructured":"Barber V, Calvert A, Vandrevala T, Star C, Khalil A, Griffiths P, Heath PT, Jones CE. Prevention of acquisition of cytomegalovirus infection in pregnancy through hygiene-based behavioral interventions: a systematic review and gap analysis. Pediatr Infect Dis J. 2020;39(10):949\u201354.","journal-title":"Pediatr Infect Dis J"},{"key":"6715_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12879-020-05139-8","volume":"20","author":"A Billette de Villemeur","year":"2020","unstructured":"Billette de Villemeur A, Tattevin P, Salmi LR. Hygiene promotion might be better than serological screening to deal with cytomegalovirus infection during pregnancy: a methodological appraisal and decision analysis. BMC Infect Dis. 2020;20:1\u20135.","journal-title":"BMC Infect Dis"},{"issue":"1","key":"6715_CR10","doi-asserted-by":"publisher","first-page":"e000844","DOI":"10.1136\/bmjpo-2020-000844","volume":"4","author":"T Vandrevala","year":"2020","unstructured":"Vandrevala T, Barber V, Mbire-Chigumba E, Calvert A, Star C, Khalil A, et al. Parenting a child with congenital cytomegalovirus infection: a qualitative study. BMJ Paediatr Open. 2020;4(1):e000844.","journal-title":"BMJ Paediatr Open"},{"issue":"9","key":"6715_CR11","doi-asserted-by":"publisher","first-page":"944","DOI":"10.1097\/INF.0000000000002384","volume":"38","author":"CR Wilcox","year":"2019","unstructured":"Wilcox CR, Calvert A, Metz J, Kilich E, MacLeod R, Beadon K, Heath PT, Khalil A, Finn A, Snape MD, Vandrevala T. Attitudes of pregnant women and healthcare professionals toward clinical trials and routine implementation of antenatal vaccination against respiratory syncytial virus: a multicenter questionnaire study. Pediatr Infect Dis J. 2019;38(9):944\u201351.","journal-title":"Pediatr Infect Dis J"},{"issue":"8","key":"6715_CR12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0221725","volume":"14","author":"KJ Tastad","year":"2019","unstructured":"Tastad KJ, Schleiss MR, Lammert SM, Basta NE. Awareness of congenital cytomegalovirus and acceptance of maternal and newborn screening. PLoS One. 2019;14(8): e0221725. https:\/\/doi.org\/10.1371\/journal.pone.0221725.","journal-title":"PLoS One"},{"key":"6715_CR13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110594","volume":"142","author":"R Beswick","year":"2021","unstructured":"Beswick R, McHugh L, Clark JE. Integrating congenital cytomegalovirus screening within a newborn hearing screening program: is it worthwhile? Int J Pediatr Otorhinolaryngol. 2021;142: 110594.","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"6715_CR14","doi-asserted-by":"publisher","first-page":"80383","DOI":"10.1155\/IDOG\/2006\/80383","volume":"2006","author":"J Jeon","year":"2006","unstructured":"Jeon J, Victor M, Adler SP, Arwady A, Demmler G, Fowler K, et al. Knowledge and awareness of congenital cytomegalovirus among women. Infect Dis Obstet Gynecol. 2006;2006:80383.","journal-title":"Infect Dis Obstet Gynecol"},{"key":"6715_CR15","doi-asserted-by":"publisher","first-page":"103249","DOI":"10.1016\/j.midw.2022.103249","volume":"106","author":"A Montague","year":"2022","unstructured":"Montague A, Vandrevala T, Calvert A, Yeh IL, Star C, Khalil A, et al. Experiences of pregnant women and healthcare professionals of participating in a digital antenatal CMV education intervention. Midwifery. 2022;106:103249.","journal-title":"Midwifery"},{"issue":"10","key":"6715_CR16","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2020.00130","volume":"31","author":"E Forte","year":"2020","unstructured":"Forte E, Zhang Z, Thorp EB, Hummel M. Cytomegalovirus latency and reactivation: an intricate interplay with the host immune response. Front Cell Infect Microbiol. 2020;31(10): 130. https:\/\/doi.org\/10.3389\/fcimb.2020.00130.","journal-title":"Front Cell Infect Microbiol"},{"issue":"12","key":"6715_CR17","doi-asserted-by":"publisher","first-page":"1196","DOI":"10.1016\/j.midw.2014.04.007","volume":"30","author":"MT Pereboom","year":"2014","unstructured":"Pereboom MT, Manni\u00ebn J, Spelten ER, Hutton EK, Schellevis FG. Maternal cytomegalovirus infection prevention: the role of Dutch primary care midwives. Midwifery. 2014;30(12):1196\u2013201.","journal-title":"Midwifery"},{"issue":"9","key":"6715_CR18","doi-asserted-by":"publisher","first-page":"1205","DOI":"10.1016\/j.ebiom.2015.08.003","volume":"2","author":"MG Revello","year":"2015","unstructured":"Revello MG, Tibaldi C, Masuelli G, Frisina V, Sacchi A, Furione M, Arossa A, Spinillo A, Klersy C, Ceccarelli M, Gerna G. Prevention of primary cytomegalovirus infection in pregnancy. EBioMedicine. 2015;2(9):1205\u201310.","journal-title":"EBioMedicine"},{"key":"6715_CR19","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00013","volume":"8","author":"T Lazzarotto","year":"2020","unstructured":"Lazzarotto T, Bl\u00e1zquez-Gamero D, Delforge ML, Foulon I, Luck S, Modrow S, Leruez-Ville M. Congenital cytomegalovirus infection: a narrative review of the issues in screening and management from a panel of European experts. Front Pediatrics. 2020;8: 13.","journal-title":"Front Pediatrics"},{"issue":"19","key":"6715_CR20","doi-asserted-by":"publisher","first-page":"2515","DOI":"10.1080\/14767058.2017.1344968","volume":"31","author":"AW Shand","year":"2018","unstructured":"Shand AW, Luk W, Nassar N, Hui L, Dyer K, Rawlinson W. Cytomegalovirus (CMV) infection and pregnancy-potential for improvements in Australasian maternity health providers\u2019 knowledge. J Matern Fetal Neonatal Med. 2018;31(19):2515\u201320.","journal-title":"J Matern Fetal Neonatal Med"},{"key":"6715_CR21","doi-asserted-by":"publisher","first-page":"S11","DOI":"10.1016\/j.jcv.2009.09.006","volume":"46","author":"AMH Korver","year":"2009","unstructured":"Korver AMH, De Vries JJC, De Jong JW, Dekker FW, Vossen ACTM, Oudesluys-Murphy AM. Awareness of congenital cytomegalovirus among doctors in the Netherlands. J Clin Virol. 2009;46:S11\u20135.","journal-title":"J Clin Virol"},{"issue":"2","key":"6715_CR22","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1016\/j.jcv.2012.06.022","volume":"55","author":"AG Cordier","year":"2012","unstructured":"Cordier AG, Guitton S, Vauloup-Fellous C, Grangeot-Keros L, Benachi A, Picone O. Awareness and knowledge of congenital cytomegalovirus infection among health care providers in France. J Clin Virol. 2012;55(2):158\u201363.","journal-title":"J Clin Virol"},{"key":"6715_CR23","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2020.104335","volume":"129","author":"T Fellah","year":"2020","unstructured":"Fellah T, Sibiude J, Vauloup-Fellous C, Cordier AG, Guitton S, Grangeot-Keros L, Picone O. Evolution of awareness and knowledge of congenital cytomegalovirus infection among health care providers in France between 2011 and 2018. J Clin Virol. 2020;129: 104335.","journal-title":"J Clin Virol"},{"key":"6715_CR24","doi-asserted-by":"publisher","unstructured":"Smithers\u2010Sheedy H, Swinburn K, Waight E, King R, Hui L, Jones CA, et al. eLearning significantly improves maternity professionals\u2019 knowledge of the congenital cytomegalovirus prevention guidelines. Aust N Z J Obstet Gynaecol. 2022:1\u20138. https:\/\/doi.org\/10.1111\/ajo.13500.","DOI":"10.1111\/ajo.13500"},{"issue":"7","key":"6715_CR25","doi-asserted-by":"publisher","DOI":"10.2196\/18255","volume":"8","author":"A Rhodes","year":"2020","unstructured":"Rhodes A, Smith AD, Chadwick P, Croker H, Llewellyn CH. Exclusively digital health interventions targeting diet, physical activity, and weight gain in pregnant women: systematic review and meta-analysis. JMIR Mhealth Uhealth. 2020;8(7): e18255.","journal-title":"JMIR Mhealth Uhealth"},{"issue":"4","key":"6715_CR26","doi-asserted-by":"publisher","DOI":"10.2196\/35554","volume":"24","author":"SS Oh","year":"2022","unstructured":"Oh SS, Moon JY, Chon D, Mita C, Lawrence JA, Park EC, Kawachi I. Effectiveness of digital interventions for preventing alcohol consumption in pregnancy: systematic review and meta-analysis. J Med Internet Res. 2022;24(4): e35554.","journal-title":"J Med Internet Res"},{"issue":"4","key":"6715_CR27","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1080\/17437199.2018.1488602","volume":"12","author":"SE Griffiths","year":"2018","unstructured":"Griffiths SE, Parsons J, Naughton F, Fulton EA, Tombor I, Brown KE. Are digital interventions for smoking cessation in pregnancy effective? A systematic review and meta-analysis. Health Psychol Rev. 2018;12(4):333\u201356.","journal-title":"Health Psychol Rev"},{"key":"6715_CR28","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1186\/s12884-021-03979-z","volume":"21","author":"A Calvert","year":"2021","unstructured":"Calvert A, Vandrevala T, Parsons R, et al. Changing knowledge, attitudes and behaviours towards cytomegalovirus in pregnancy through film-based antenatal education: a feasibility randomised controlled trial of a digital educational intervention. BMC Pregnancy Childbirth. 2021;21:565.","journal-title":"BMC Pregnancy Childbirth"},{"key":"6715_CR29","volume-title":"A framework for development and evaluation of complex interventions to improve health: updated guidance","author":"Medical Research Council","year":"2019","unstructured":"Medical Research Council. A framework for development and evaluation of complex interventions to improve health: updated guidance. London: Medical Research Council; 2019."},{"key":"6715_CR30","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n2061","author":"K Skivington","year":"2021","unstructured":"Skivington K, Matthews L, Simpson SA, Craig P, Baird J, Blazeby JM, Boyd KA, Craig N, French DP, McIntosh E, Petticrew M. A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. BMJ. 2021. https:\/\/doi.org\/10.1136\/bmj.n2061. bmj, 374.","journal-title":"BMJ"},{"key":"6715_CR31","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1201\/9781315375687-7","volume":"19","author":"M Eccles","year":"2018","unstructured":"Eccles M, Grimshaw J, Foy R. Disseminating and implementing evidence-based practice. Clinical governance in primary care. 2018;19:75\u201387.","journal-title":"Clinical governance in primary care"},{"key":"6715_CR32","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1186\/s13012-019-0957-4","volume":"14","author":"R Kislov","year":"2019","unstructured":"Kislov R, Pope C, Martin GP, Wilson PM. Harnessing the power of theorising in implementation science. Implementation Sci. 2019;14:103. https:\/\/doi.org\/10.1186\/s13012-019-0957-4.","journal-title":"Implementation Sci"},{"key":"6715_CR33","unstructured":"Hunter D, McCallum J, Howes D. Defining exploratory-descriptive qualitative (EDQ) research and considering its application to healthcare. J Nurs Health Care. 2019;4(1)."},{"issue":"1","key":"6715_CR34","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1472-6963-11-245","volume":"11","author":"CR May","year":"2011","unstructured":"May CR, Finch T, Ballini L, MacFarlane A, Mair F, Murray E, Rapley T. Evaluating complex interventions and health technologies using normalization process theory: development of a simplified approach and web-enabled toolkit. BMC Health Serv Res. 2011;11(1):1\u201311.","journal-title":"BMC Health Serv Res"},{"issue":"2","key":"6715_CR35","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77\u2013101.","journal-title":"Qual Res Psychol"},{"key":"6715_CR36","unstructured":"Braun V, Clarke V. Thematic Analysis. In: Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, Sher KJ, editors. APA Handbook of Research Methods in Psychology, Vol. 2: Research Designs: Quantitative, Qualitative, Neuropsychological, and Biological. Washington DC: American Psychological Association; 2012. p. 57\u201371."},{"key":"6715_CR37","volume-title":"Qualitative research methods","author":"P Liamputtong","year":"2005","unstructured":"Liamputtong P, Ezzy D. Qualitative research methods. 2nd ed. Melbourne: Oxford University Press; 2005.","edition":"2"},{"key":"6715_CR38","doi-asserted-by":"crossref","unstructured":"W\u00e6raas A. Thematic analysis: making values emerge from texts. In: Espedal G, Jelstad L\u00f8vaas B, Sirris S, W\u00e6raas A, editors. Researching values. Cham: Palgrave Macmillan; 2022.","DOI":"10.1007\/978-3-030-90769-3_9"},{"issue":"1","key":"6715_CR39","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1177\/1094428112452151","volume":"16","author":"DA Gioia","year":"2012","unstructured":"Gioia DA, Corley KG, Hamilton AL. Seeking qualitative rigor in inductive research: notes on the Gioia methodology. Organ Res Methods. 2012;16(1):15\u201331.","journal-title":"Organ Res Methods"},{"issue":"5","key":"6715_CR40","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1016\/j.nepr.2012.11.003","volume":"13","author":"A von Gartzen","year":"2013","unstructured":"von Gartzen A, Martin CJH. An email survey of midwives knowledge about CytoMegaloVirus (CMV) in Hannover and a skeletal framework for a proposed teaching program. Nurse Educ Pract. 2013;13(5):481\u20136.","journal-title":"Nurse Educ Pract"},{"issue":"3","key":"6715_CR41","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1080\/09581596.2012.657612","volume":"22","author":"D Lupton","year":"2012","unstructured":"Lupton D. \u2018Precious cargo\u2019: foetal subjects, risk and reproductive citizenship. Critical Public Health. 2012;22(3):329\u201340. https:\/\/doi.org\/10.1080\/09581596.2012.657612.","journal-title":"Critical Public Health"},{"key":"6715_CR42","doi-asserted-by":"publisher","unstructured":"Lupton D. Configuring maternal, preborn and infant embodiment. In: Sydney Health and Society Group Working Paper No. 2. 2012. https:\/\/doi.org\/10.2139\/ssrn.2273416.","DOI":"10.2139\/ssrn.2273416"},{"issue":"2","key":"6715_CR43","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1177\/0008417419892712","volume":"87","author":"RM Aldrich","year":"2020","unstructured":"Aldrich RM, Rudman DL. Occupational therapists as street-level bureaucrats: leveraging the political nature of everyday practice. Can J Occup Ther. 2020;87(2):137\u201343. https:\/\/doi.org\/10.1177\/0008417419892712.","journal-title":"Can J Occup Ther"},{"issue":"8","key":"6715_CR44","doi-asserted-by":"publisher","first-page":"1363","DOI":"10.1007\/s10995-012-1160-2","volume":"17","author":"J Huberty","year":"2013","unstructured":"Huberty J, Dinkel D, Beets MW, Coleman J. Describing the use of the internet for health, physical activity, and nutrition information in pregnant women. Matern Child Health J. 2013;17(8):1363\u201372. https:\/\/doi.org\/10.1007\/s10995-012-1160-2.","journal-title":"Matern Child Health J"},{"key":"6715_CR45","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1186\/s12884-016-0856-5","volume":"16","author":"P Sayakhot","year":"2016","unstructured":"Sayakhot P, Carolan-Olah M. Internet use by pregnant women seeking pregnancy-related information: a systematic review. BMC Pregnancy Childbirth. 2016;16:65. https:\/\/doi.org\/10.1186\/s12884-016-0856-5.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"6715_CR46","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.pec.2014.04.001","volume":"96","author":"MT Pereboom","year":"2014","unstructured":"Pereboom MT, Manni\u00ebn J, van Almkerk KD, Spelten ER, Gitsels JT, Martin L, Schellevis FG. What information do Dutch midwives give clients about toxoplasmosis, listeriosis and cytomegalovirus prevention? An exploratory study of videotaped consultations. Patient Educ Couns. 2014;96(1):29\u201335.","journal-title":"Patient Educ Couns"},{"issue":"1","key":"6715_CR47","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12911-019-0952-3","volume":"19","author":"C McCrorie","year":"2019","unstructured":"McCrorie C, Benn J, Johnson OA, Scantlebury A. Staff expectations for the implementation of an electronic health record system: a qualitative study using normalisation process theory. BMC Med Inform Decis Mak. 2019;19(1):1\u201314.","journal-title":"BMC Med Inform Decis Mak"},{"issue":"1","key":"6715_CR48","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1186\/s13012-018-0758-1","volume":"13","author":"CR May","year":"2018","unstructured":"May CR, Cummings A, Girling M, Bracher M, Mair FS, May CM, et al. Using normalization process theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review. Implement Science. 2018;13(1):80.","journal-title":"Implement Science"},{"issue":"1","key":"6715_CR49","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s43058-020-00001-z","volume":"1","author":"GM Curran","year":"2020","unstructured":"Curran GM. Implementation science made too simple: a teaching tool. Implementation Science Communications. 2020;1(1):1\u20133.","journal-title":"Implementation Science Communications"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-024-06715-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12884-024-06715-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-024-06715-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T02:02:43Z","timestamp":1723428163000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-024-06715-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,10]]},"references-count":49,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["6715"],"URL":"https:\/\/doi.org\/10.1186\/s12884-024-06715-5","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3269605\/v1","asserted-by":"object"}]},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,10]]},"assertion":[{"value":"16 August 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 August 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval to carry out the project was granted by the Kingston University Research Ethics Committee (Ref #2795). Informed consent was obtained from all subjects.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"524"}}