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Social Media and Nutritional Guidelines in Pregnancy 社交媒体与孕期营养指南。
IF 2.7 4区 医学 Q2 NURSING Pub Date : 2024-05-20 DOI: 10.1111/jmwh.13645
Nora Drummond CNM, DNP, FNP-BC, Alexa Miller FNP-BC, DNP, Melia Kramer CNM, MSN, Ruth Zielinski CNM, PhD

Introduction

Nutrition impacts health outcomes of pregnant people and their fetuses. Discussing nutrition with patients may be challenging for health care providers. In this vacuum, patients use social media for health information during pregnancy. Little is known about the type and quality of nutrition information that is available on social media. The aim of this study was to qualitatively explore the pregnancy nutrition messages contained in social media videos for content and evaluate the information's concordance with evidence-based guidelines.

Methods

A review of current social media video content for nutrition in pregnancy was conducted across 4 platforms: YouTube, Instagram, Facebook, and TikTok. Content analysis was used to descriptively and categorically analyze the social media video content.

Results

In the 62 social media videos reviewed, most were not consistent with established guidelines, were inaccurate, or presented a homogenous and unrealistic image of the pregnant person. Four categories of nutrition in pregnancy social media information emerged: what to eat, what not to eat, what I ate: aspirational, and what I ate: rebellion. Few videos were produced by health care organizations. Some were produced by anonymous organizations, with the majority made by pregnant or postpartum people. Many were testimonial or confessional in style. Despite regulations requiring identification of paid posts and advertisements, it was difficult to discern if videos were authentic sharing of patient experiences or advertisements.

Discussion

There is incorrect and incomplete information on social media surrounding nutrition in pregnancy. Professional guidelines for nutrition in pregnancy are available but are not as accessible to patients as social media videos. Social media use is associated with disordered eating and increased risk of anxiety and depression. However, targeted interventions by health care providers that use social media platforms have been successful in the distribution of credible health information. Midwives and other health care providers should share evidence-based nutrition recommendation with patients to facilitate meaningful conversations around nutrition in pregnancy during in person and online interactions.

引言营养影响孕妇及其胎儿的健康状况。对于医疗服务提供者来说,与患者讨论营养问题可能具有挑战性。在这种真空状态下,患者会使用社交媒体来获取孕期健康信息。人们对社交媒体上营养信息的类型和质量知之甚少。本研究旨在对社交媒体视频中包含的孕期营养信息内容进行定性探索,并评估这些信息与循证指南的一致性:方法:我们在 4 个平台上对当前社交媒体上的孕期营养视频内容进行了审查:方法:我们对当前社交媒体上有关孕期营养的视频内容进行了回顾,涉及 4 个平台:YouTube、Instagram、Facebook 和 TikTok。采用内容分析法对社交媒体视频内容进行描述性分析和分类分析:结果:在所审查的 62 个社交媒体视频中,大多数都不符合既定的指导原则、不准确或展示了单一且不切实际的孕妇形象。孕期营养社交媒体信息分为四类:该吃什么、不该吃什么、我吃了什么:理想、我吃了什么:叛逆。很少有视频是由医疗机构制作的。有些视频是由匿名组织制作的,大多数视频是由孕妇或产后妇女制作的。许多视频都是见证式或忏悔式的。尽管有规定要求识别付费帖子和广告,但很难辨别视频是真实的患者经验分享还是广告:讨论:社交媒体上关于孕期营养的信息不正确、不完整。虽然有孕期营养的专业指南,但患者并不像社交媒体视频那样容易获取。社交媒体的使用与饮食紊乱、焦虑和抑郁风险增加有关。不过,医疗服务提供者利用社交媒体平台进行有针对性的干预,在传播可信的健康信息方面取得了成功。助产士和其他医疗服务提供者应与患者分享循证营养建议,以促进在面对面和在线互动中围绕孕期营养进行有意义的对话。
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引用次数: 0
Research and Professional Literature to Inform Practice, May/June 2024 为实践提供信息的研究和专业文献》,2024 年 5 月/6 月。
IF 2.7 4区 医学 Q2 NURSING Pub Date : 2024-05-20 DOI: 10.1111/jmwh.13649
Rebecca R. S. Clark CNM, PhD, MSN, RN
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引用次数: 0
Systematic Reviews to Inform Practice, May/June, 2024 为实践提供依据的系统综述》,2024 年 5/6 月刊。
IF 2.7 4区 医学 Q2 NURSING Pub Date : 2024-05-20 DOI: 10.1111/jmwh.13648
Abby Howe-Heyman CNM, PhD
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引用次数: 0
The Incidence of Intrahepatic Cholestasis of Pregnancy and its Maternal, Fetal, and Neonatal Adverse Outcomes: A Systematic Review and Meta-Analysis 妊娠期肝内胆汁淤积症的发病率及其孕产妇、胎儿和新生儿不良结局:系统回顾与元分析》。
IF 2.7 4区 医学 Q2 NURSING Pub Date : 2024-05-15 DOI: 10.1111/jmwh.13640
Resmiye Kaya Odabaş PhD, Yasemin Sökmen PhD, Emre Dünder PhD, Ayten Taşpınar PhD

Introduction

Intrahepatic cholestasis of pregnancy (ICP) is a problem with an increasing incidence and negative maternal, fetal, and neonatal consequences. This problem is becoming increasingly important. This systematic review and meta-analysis aimed to determine the incidence of ICP and its adverse maternal, fetal, and neonatal adverse outcomes based on primary research studies.

Methods

This systematic review and meta-analysis used Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines and was conducted between June and September 2023 using the following keywords: obstetric cholestasis OR intrahepatic cholestasis AND pregnancy OR pregnant OR prenatal OR antenatal OR perinatal OR maternal OR fetal OR neonatal. Quality assessment of the studies was performed using the Critical Appraisal Checklists developed by the JBI Institute. Data were synthesized using meta-analysis methods.

Results

The analysis included 10 studies published between 2013 and 2023. The meta-analysis showed that the incidence of ICP was 1.7% (odds ratio [OR], 0.021; 95% CI, 0.012-0.027), whereas maternal, fetal, and neonatal adverse outcomes included cesarean birth (OR, 2.938; 95% CI, 1.467-5.881), preterm birth or preterm prelabor rupture of membranes (OR, 4.241; 95% CI, 1.996-9.009), hypertensive disorders of pregnancy (OR, 3.715; 95% CI, 1.545-8.929), maternal infection (OR, 3.301; 95% CI, 2.917-3.737), neonatal intensive care unit admission (OR, 2.715; 95% CI, 1.458-5.056), birth weight less than or equal to 2500 g (OR, 2.518; 95% CI, 1.296-4.892), and small for gestational age (OR, 1.915; 95% CI, 1.424-2.573).

Discussion

This systematic review and meta-analysis revealed that ICP has a high incidence and several maternal, fetal, and neonatal adverse outcomes. Therefore, midwives and other health professionals must be aware of these outcomes and provide appropriate care to pregnant individuals with ICP.

导言:妊娠期肝内胆汁淤积症(ICP)是一个发病率越来越高的问题,对孕产妇、胎儿和新生儿都有负面影响。这一问题正变得越来越重要。本系统综述和荟萃分析旨在根据主要研究确定 ICP 的发病率及其对孕产妇、胎儿和新生儿的不良后果:本系统综述和荟萃分析采用《系统综述和荟萃分析首选报告项目》(Preferred Reporting Items for Systematic Reviews and Meta-Analyses)报告指南,在 2023 年 6 月至 9 月期间进行,关键词如下:产科胆汁淤积症或肝内胆汁淤积症和妊娠或怀孕或产前或产前检查或围产期或产妇或胎儿或新生儿。研究质量评估采用 JBI 研究所开发的 "批判性评估检查表"(Critical Appraisal Checklists)。采用荟萃分析方法对数据进行了综合分析:结果:分析纳入了 2013 年至 2023 年间发表的 10 项研究。荟萃分析表明,ICP的发生率为1.7%(几率比[OR],0.021;95% CI,0.012-0.027),而孕产妇、胎儿和新生儿的不良结局包括剖宫产(OR,2.938;95% CI,1.467-5.881)、早产或早产胎膜早破(OR,4.241;95% CI,1.996-9.009)、高血压紊乱(OR,1.021;95% CI,0.012-0.027)、早产或早产胎膜早破(OR,0.021;95% CI,0.012-0.027)。009)、妊娠高血压疾病(OR,3.715;95% CI,1.545-8.929)、产妇感染(OR,3.301;95% CI,2.917-3.737)、入住新生儿重症监护室(OR,2.715;95% CI,1.458-5.056)、出生体重小于或等于 2500 克(OR,2.518;95% CI,1.296-4.892)和胎龄小(OR,1.915;95% CI,1.424-2.573):本系统综述和荟萃分析表明,ICP 的发病率很高,而且会对产妇、胎儿和新生儿造成多种不良后果。因此,助产士和其他医疗专业人员必须了解这些结果,并为患有 ICP 的孕妇提供适当的护理。
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引用次数: 0
Breastfeeding and Working 母乳喂养与工作
IF 2.7 4区 医学 Q2 NURSING Pub Date : 2024-05-13 DOI: 10.1111/jmwh.13647
<p>Congratulations on breastfeeding your baby! Your baby gets important health benefits from breastfeeding, and you can keep giving your baby breast milk when you go back to work. Continuing to breastfeed can keep your baby healthy so that you miss less work.</p><p>There are several things you might do just as you start back working to make breastfeeding easier. It might help to work part-time hours for a short time before going back to work full-time. It also can help if you can work from home for some of your work hours. Check to see if there are hours you can work that you could bring your baby to work. Start back to work on a Thursday or Friday so you and your baby have a few days to adjust before you start a full work week. If you can find child care close to your work, you can nurse your baby during your lunch break.</p><p>Get everything you need for pumping your breasts and storing breast milk together the night before you go to work. Pack your bag and the supplies you will need to pump as well as the baby's bag. You can also thaw the amount of breast milk you will need for the next day by putting it in the refrigerator the night before. Lay out clothes for both of you the night before so you have extra time in the morning to nurse your baby before going to work.</p><p>Start talking to your supervisor about your plan to breastfeed before you have your baby. Find out if your workplace has a program to help provide support for breastfeeding. If not, talk to them about creating such a program. Get tips from others in your company who have successfully breastfed while they returned to work. It might help to remind your supervisor that you may miss fewer days of work due to a sick child and have less health care costs if you keep breastfeeding. Ask if there is a place to pump and store breastmilk. Law requires most employers to provide break time and a private space to pump.</p><p>Your most important goal after the baby is born is to have enough breast milk. Feed your baby at least 8 to 12 times a day. After you have a good supply of breast milk for your baby, start pumping milk at least once a day at about the same time each day. This will help increase your milk supply and give you extra breast milk in the freezer for other times you want to give your baby a bottle. Pump after the feeding. Late at night and early in the morning usually provide the most milk. Don't worry if you get little or no milk at first. Your breasts will make more milk over time as you continue to pump. Start introducing a bottle to your baby at least a week or two before you return to work.</p><p>A high-quality double-sided electric breast pump is the best type of breast pump for those who work. You will be able to pump both breasts in 10 to 15 minutes. You can buy or rent your pump. The cost will be small compared to the cost of formula. Your local WIC office, health department, hospital, or health care provider can help you learn where to buy or rent your pump. Check
恭喜您用母乳喂养宝宝!母乳喂养对宝宝的健康大有益处,当您回去工作时,您可以继续给宝宝喂母乳。继续母乳喂养可以让宝宝保持健康,这样您就可以少耽误一些工作。在您开始重新工作时,有几件事可以让母乳喂养变得更容易。在恢复全职工作之前,短时间兼职工作可能会有帮助。如果您能在家工作一段时间,也会有所帮助。看看您是否有可以带宝宝上班的工作时间。在周四或周五开始复工,这样您和宝宝在开始一周的全职工作之前有几天的适应时间。如果您能在工作地点附近找到托儿所,您可以在午休时间给宝宝喂奶。在上班前一晚,将挤奶和储存母乳所需的一切准备就绪,收拾好自己的包和挤奶所需的用品,以及宝宝的包。您还可以在前一天晚上把第二天需要的母乳放入冰箱解冻。前一天晚上为你们俩准备好衣服,这样早上上班前就有多余的时间给宝宝喂奶。了解您的工作场所是否有为母乳喂养提供支持的计划。如果没有,请与他们商讨制定这样的计划。向您公司中已经成功母乳喂养并重返工作岗位的其他人寻求建议。提醒您的上司,如果坚持母乳喂养,您可能会减少因孩子生病而缺勤的天数,并减少医疗费用,这可能会对您有所帮助。询问是否有挤奶和储存母乳的地方。法律要求大多数雇主提供休息时间和挤奶的私人空间。宝宝出生后,您最重要的目标就是要有足够的母乳。每天至少喂宝宝 8 到 12 次。在您为宝宝准备好充足的母乳后,开始每天至少一次在差不多相同的时间挤奶。这将有助于增加您的母乳供应量,并让您的冰箱里有更多的母乳,以备您想给宝宝喂奶时使用。喂奶后挤奶。深夜和清晨通常能提供最多的母乳。如果一开始奶水很少或没有,不要担心。随着时间的推移,您的乳房会随着您不断挤奶而产生更多的奶水。至少在您重返工作岗位前一两周,就可以开始用奶瓶给宝宝喂奶了。高质量的双面电动吸奶器是最适合上班族的吸奶器。您可以在 10 到 15 分钟内吸完两个乳房。您可以购买或租用吸奶器。与配方奶粉的费用相比,成本很低。当地的 WIC 办事处、卫生部门、医院或医疗保健提供商可以帮助您了解在哪里购买或租用吸奶器。请咨询您的医疗保险,因为如果您有医疗服务提供者开具的处方,大多数保险都会支付吸奶器的费用。这通常是每 2 到 3 个小时一次。理想情况下,一天 8 小时内您可以吸奶 3 次左右。这样多次挤奶可以让您储存足够的母乳,以补充您不在时宝宝喝下的母乳。如果您的休息时间不足以每 3 小时挤一次奶,您也可以在午休时间挤奶,这样也能保证充足的奶量。在这种情况下,宝宝的护理人员可能不得不在白天给宝宝喂一些配方奶粉。冰箱或小型冷藏箱都可以。有些吸奶器配有一个容器和冷冻袋,可以在您下班回家的这段时间内将您吸出的奶保持低温。一定要在牛奶上贴上标签,注明您的姓名和收集日期,特别是如果您将牛奶存放在其他工人也在使用的冰箱中。您需要安全地储存母乳,以保证宝宝的安全。 2024 年 4 月批准。本手册可取代 2013 年 11 月/12 月出版的第 58 卷第 6 期《母乳喂养与工作》。任何其他复制行为均需获得《助产与amp; 妇女健康杂志》的批准。本页中的信息和建议在大多数情况下都是适当的,但不能代替医疗诊断。有关您个人医疗状况的具体信息,《助产及妇女健康杂志》建议您咨询您的医疗保健提供者。
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引用次数: 0
Vulvovaginal Candidiasis 外阴阴道念珠菌病。
IF 2.7 4区 医学 Q2 NURSING Pub Date : 2024-05-13 DOI: 10.1111/jmwh.13650
<p>Some yeast or fungus normally lives in a healthy vagina. When there is too much yeast, you can have vaginal burning and/or itching and sometimes a sticky or clumpy, white vaginal discharge. This is called a vulvovaginal candidiasis (VVC) infection or “yeast infection.”</p><p>Yeast can overgrow in the vagina for many reasons. Yeast grows best in dark, moist areas. Tight clothes, nylon underwear, and extra folds of skin make areas that are easy for yeast to grow. Yeast also grows when the normal bacteria in the vagina change. This can happen if you take antibiotics or when your hormones change. Hormones change when you take birth control pills or when you are pregnant. Yeast also likes sugar. If you eat too much sugar or have diabetes that is not controlled, yeast is more likely to overgrow. Yeast may overgrow if your immune system is weak like with HIV or medications like steroids.</p><p>Wear cotton underwear and change out of wet swimsuits or workout clothes quickly to keep moisture away from your vagina. Materials like nylon can keep the vagina moist. Avoiding the use of panty liners and tights or pantyhose may also prevent VVC. Do not douche. This removes good bacteria that protect your vagina from too much yeast. Do not insert any lotions or perfumes inside the vaginal, especially products that have heavy scents or chemicals. They may irritate your vagina.</p><p>Most yeast infections can be treated with over-the-counter medicine inserted into your vagina that comes as a cream, suppository, or tablet. The medicines listed here are used for 1 to 7 days. One-day treatments should only be used for mild infections. If you are having a lot of burning or itching, you will want to use the medicine for 3 or 7 days. If you are pregnant, you need to use a 7-day treatment. Use the medicine for the entire time, even if you feel better. Stopping the medicine too soon can cause the infection to come back. If the symptoms do not go away, contact your health care provider for further evaluation and treatment. There a few prescription creams and a pill that can also be used if needed.</p><p>Wash your hands before and after you use these medicines. Clean the outside of your vagina with warm water and dry well. Insert the medicine into your vagina while you are lying down at night before you go to sleep. This helps the medicine stay in your vagina for several hours.</p><p>Slight burning of the skin or vagina is normal with first contact. There usually are no other problems related to using these medicines. But, you should not use any medicine if you are allergic to it.</p><p>Many of these medicines are oil-based. If you put the medicine in your vagina and use a latex condom or diaphragm when you have sex, the medicine may cause breaks. In that case, either avoid sex while using the medicines or use another type of birth control.</p><p> </p><p>If you think this is your first VVC infection, you can try over-the-counter medication. If it
健康的阴道中通常会有一些酵母菌或真菌。如果酵母菌过多,就会出现阴道灼热和/或瘙痒,有时还会出现粘稠或结块的白色阴道分泌物。酵母菌在阴道内过度生长的原因有很多。酵母菌在阴暗潮湿的地方生长得最好。紧身衣、尼龙内裤和多余的皮肤褶皱都是酵母菌容易生长的地方。当阴道中的正常细菌发生变化时,酵母菌也会生长。如果服用抗生素或荷尔蒙发生变化,就会出现这种情况。服用避孕药或怀孕时荷尔蒙会发生变化。酵母菌也喜欢吃糖。如果您吃太多糖或糖尿病没有得到控制,酵母菌就更容易过度生长。如果你的免疫系统很弱,比如感染了艾滋病毒或服用了类固醇等药物,酵母菌也可能过度生长。尼龙等材料会使阴道保持潮湿。避免使用内裤衬里、紧身裤或连裤袜也可以预防 VVC。不要冲洗阴道。冲洗会清除保护阴道免受过多酵母菌感染的有益细菌。不要在阴道内涂抹任何洗液或香水,尤其是有浓烈气味或化学成分的产品。大多数酵母菌感染都可以通过在阴道内塞入药膏、栓剂或药片等非处方药物来治疗。这里列出的药物可使用 1 到 7 天。只有轻度感染才可使用一天的治疗。如果您有严重的灼热感或瘙痒感,您需要使用 3 或 7 天的药物。如果您是孕妇,则需要使用 7 天的疗程。即使感觉好些了,也要坚持用药。过早停药会导致感染复发。如果症状没有消失,请联系您的医疗服务提供者进行进一步的评估和治疗。如果需要,也可以使用一些处方药膏和药片。用温水清洗阴道外侧并擦干。晚上睡觉前,躺下时将药物放入阴道。第一次接触时,皮肤或阴道有轻微灼烧感是正常的。使用这些药物通常不会引起其他问题。但是,如果您对任何药物过敏,就不应该使用这些药物。如果您将药物放入阴道,并在性交时使用乳胶避孕套或隔膜,药物可能会导致破损。在这种情况下,要么在用药期间避免性生活,要么使用其他避孕方式。 如果您认为这是您第一次感染 VVC,您可以尝试使用非处方药物。如果非处方药不能改善你的症状,或者你认为这可能是性传播感染,或者你在第一次感染后的两个月内又感染了一次,你就需要确定这真的是 VVC。您的医疗服务提供者可以从您的阴道分泌物中取样,看看是否有太多的酵母菌。如果您怀孕了,感染没有消失,或者一直复发,请向您的医护人员寻求更多指导。任何其他复制行为均须获得 JMWH 的批准。本页所提供的信息和建议在大多数情况下是适当的,但不能代替医疗诊断。有关您个人医疗状况的具体信息,JMWH 建议您咨询您的医疗保健提供者。
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引用次数: 0
Social Safety for Black Women in Perinatal Health Care: A Concept Analysis 黑人妇女在围产期医疗保健中的社会安全:概念分析。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-05-09 DOI: 10.1111/jmwh.13642
Kadeeja S. Murrell MS, Julie Fleury PhD

Introduction

Non-Hispanic Black women and their infants experience the worst pregnancy-related outcomes in the United States. Social safety is a health-relevant resource found in environments communicating safety, connectedness, inclusion, and protection. Approaches promoting social safety may be particularly relevant to preventing adverse perinatal health outcomes among Black women. However, there remains a lack of conceptual clarity. The purpose of this concept analysis was to provide a theoretical clarification of the concept social safety for Black women within perinatal health care.

Methods

PubMed, PsycINFO, and CINAHL were searched using Boolean search strategy. Retrieved articles were managed in Zotero. Duplicates were removed, and each article was assessed and categorized by both investigators. Articles reporting Black women's perinatal health care experiences were included. Thematic analysis guided by Rodgers’ evolutionary method identified defining attributes, antecedents, and consequences of social safety in perinatal care for Black women.

Results

Social safety for Black women is defined as the process of feeling understood, respected, cared for, and in control in perinatal health care settings that make space, care for, and recognize strengths, thereby cultivating safety and empowerment.

Discussion

Social safety offers actionable insights for practice and research that have the potential to drive positive change in perinatal care delivery for Black women. Developing interventions and measurements that are valid, reliable, and reflect social safety are essential to promote positive experiences and equity in health care practices and policies.

导言:在美国,非西班牙裔黑人妇女及其婴儿经历的与怀孕相关的结果最糟糕。社会安全是一种与健康相关的资源,存在于传递安全、联系、包容和保护的环境中。促进社会安全的方法可能与预防黑人妇女围产期不良健康结果特别相关。然而,目前仍缺乏清晰的概念。本概念分析旨在从理论上澄清黑人妇女围产期保健中的社会安全概念:采用布尔检索策略对 PubMed、PsycINFO 和 CINAHL 进行了检索。检索到的文章在 Zotero 中进行管理。删除重复文章,由两位研究者对每篇文章进行评估和分类。报告黑人妇女围产期医疗保健经历的文章被纳入其中。在罗杰斯进化法的指导下,进行了专题分析,确定了黑人妇女围产期保健中社会安全的定义属性、前因和后果:黑人妇女的社会安全被定义为在围产期医疗保健环境中感受到被理解、尊重、关怀和控制的过程,这些环境为黑人妇女提供了空间、关怀并认可了她们的优势,从而培养了她们的安全感和能力:讨论:社会安全为实践和研究提供了可行的见解,有可能推动黑人妇女围产期保健服务的积极变革。制定有效、可靠并能反映社会安全的干预措施和测量方法,对于促进医疗保健实践和政策中的积极体验和公平至关重要。
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引用次数: 0
Peer Reviewer Acknowledgment 2023 感谢同行评审员
IF 2.7 4区 医学 Q2 NURSING Pub Date : 2024-04-30 DOI: 10.1111/jmwh.13639
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引用次数: 0
Peer Reviewer Award 2023 年杰出同行评审员奖
IF 2.7 4区 医学 Q2 NURSING Pub Date : 2024-04-30 DOI: 10.1111/jmwh.13638
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引用次数: 0
Listening to Black Women's Perspectives of Birth Centers and Midwifery Care: Advocacy, Protection, and Empowerment 倾听黑人妇女对分娩中心和助产护理的看法:宣传、保护和赋权
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-04-30 DOI: 10.1111/jmwh.13635
Shalom Anyiam RN, Jennifer Woo CNM, PhD, WHNP, Becky Spencer PhD, APRN, PMHNP-BC, IBCLC, PMH-C

Introduction

Black women in Texas experience high rates of adverse maternal outcomes that have been linked to health inequities and structural racism in the maternal care system. Birth centers and midwifery care are highlighted in the literature as contributing to improved perinatal care experiences and decreased adverse outcomes for Black women. However, compared with White women, Black women underuse birth centers and midwifery care. Black women's perceptions in Texas of birth center and midwifery care are underrepresented in research. Thus, this study aimed to highlight the views of Black women residing in Texas on birth centers and midwifery care to identify their needs and explore ways to increasing access to perinatal care.

Methods

Semistructured interviews were conducted with 10 pregnant and postpartum Black women residing in Texas. Questions focused on the women's access, knowledge, and use of birth centers and midwifery care in the context of their lived maternal care experiences. Interview transcripts were reviewed and analyzed using inductive, qualitative content analysis.

Results

The Black women interviewed all shared experiences of discrimination and bias while receiving obstetric care that affected their interest in and overall perceptions of birth center and midwifery care. Participants also discussed financial and institutional barriers that impacted their ease of access to birth center and midwifery care services. Additionally, participants highlighted the need for culturally sensitive and respectful perinatal health care.

Discussion

The Black women interviewed in this study emphasized the prevalence of racism and discrimination in perinatal health care encounters, a reflection consistent with current literature. Black women also expressed a desire to use birth centers and midwifery care but identified the barriers in Texas that impede access. Study findings highlight the need to address barriers to promote equitable perinatal health care access for Black women.

导言:得克萨斯州的黑人妇女经历了很高的不良孕产后果发生率,这与孕产妇护理系统中的健康不平等和结构性种族主义有关。文献强调,分娩中心和助产护理有助于改善黑人妇女的围产期护理体验并减少不良后果。然而,与白人妇女相比,黑人妇女对分娩中心和助产护理的使用不足。德克萨斯州黑人妇女对分娩中心和助产护理的看法在研究中代表性不足。因此,本研究旨在强调居住在德克萨斯州的黑人妇女对接生中心和助产护理的看法,以确定她们的需求,并探索增加围产期护理机会的方法。方法对居住在德克萨斯州的 10 名怀孕和产后的黑人妇女进行了结构化访谈。访谈的问题主要集中在妇女对分娩中心和助产护理的访问、了解和使用情况,以及她们的孕产妇护理经历。结果受访的黑人妇女都分享了在接受产科护理时遭受歧视和偏见的经历,这些经历影响了她们对助产中心和助产护理的兴趣和总体看法。受访者还讨论了影响她们获得助产中心和助产护理服务的经济和制度障碍。本研究中受访的黑人妇女强调了在围产期医疗保健中普遍存在的种族主义和歧视,这与当前的文献一致。黑人妇女还表达了使用分娩中心和助产护理的愿望,但也指出了德克萨斯州阻碍她们使用分娩中心和助产护理的障碍。研究结果凸显了解决障碍的必要性,以促进黑人妇女公平地获得围产期保健服务。
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引用次数: 0
期刊
Journal of midwifery & women's health
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