"I felt like it would've been perfect, if they hadn't been rushing": Black women's childbirth experiences with medical providers when accompanied by perinatal support professionals.

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Abstrakt

Tytuł:: "I felt like it would've been perfect, if they hadn't been rushing": Black women's childbirth experiences with medical providers when accompanied by perinatal support professionals.
Autorzy:: Collins CC; School of Social Work, Cleveland State University, Cleveland, OH, USA.
Rice H; School of Nursing, Cleveland State University, Cleveland, OH, USA.
Bai R; Jack, Joseph, and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH, USA.
Brown PL; Creating Conscious Cultures, LLC, Cleveland, OH, USA.
Bronson C; School of Public Health, Kent State University, Kent, OH, USA.
Farmer C; Birthing Beautiful Communities, Cleveland, OH, USA.
Źródło:: Journal of advanced nursing [J Adv Nurs] 2021 Oct; Vol. 77 (10), pp. 4131-4141. Date of Electronic Publication: 2021 Jun 16.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Oxford : Blackwell Scientific Publications
Original Publication: Oxford, Blackwell.
MeSH Terms:: Doulas*
Parturition*
Delivery, Obstetric ; Emotions ; Female ; Humans ; Ohio ; Pregnancy ; Qualitative Research
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Grant Information:: Cleveland State University Faculty Scholarship Initiative; Greater University Circle Community Health Initiative
Contributed Indexing:: Keywords: African American; childbirth; doulas; health disparities; nurses; nursing; phenomenology; qualitative
Entry Date(s):: Date Created: 20210617 Date Completed: 20210921 Latest Revision: 20210921
Update Code:: 20240104
DOI:: 10.1111/jan.14941
PMID:: 34137066
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Aims: This study examined the nature and characteristics of Black women's interactions with medical providers during childbirth when accompanied by a perinatal support professional (PSP; similar to a doula).
Design: The design was qualitative, and a phenomenological approach was employed to examine the meaning of women's experiences.
Methods: We conducted in-depth interviews with 25 Black women enrolled in a perinatal support program in Cleveland, Ohio, in late 2017 and early 2018, exploring their interactions with medical providers, the meaning of their experiences, and the roles their PSPs played.
Results: Clients broadly categorized experiences as positive or negative. When medical providers respected them, their birth plans and/or collaborated with PSPs, women reported more positive experiences. They associated negative experiences with providers having their own timelines and agendas, and women perceiving their needs were unheard and/or disrespected.
Conclusion: The findings emphasize the need for medical providers to be patient-centred, set aside assumptions, treat their patients as experts, value women's knowledge and voice, and treat patients and their supports as part of the team.
Impact: Findings support the importance of having a knowledgeable but non-medical support person present during birth. We discuss implications for how empowerment may be a tool to achieving better birth outcomes.
(© 2021 John Wiley & Sons Ltd.)

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