'I know my place'; a meta-ethnographic synthesis of disadvantaged and vulnerable women's negative experiences of maternity care in high-income countries.

Published on Dec 1, 2021in Midwifery2.372
· DOI :10.1016/J.MIDW.2021.103123
stephanie heys (UCLan: University of Central Lancashire), Soo Downe29
Estimated H-index: 29
(UCLan: University of Central Lancashire),
Gill Thomson18
Estimated H-index: 18
(UCLan: University of Central Lancashire)
Source
Abstract
Objective: During pregnancy and childbirth, vulnerable and disadvantaged women have poorer outcomes, have less opportunities and face barriers in accessing care, and are at a greater risk of experiencing a traumatic birth. A recent synthesis of women’s negative experiences of maternity care gathered data from predominantly low-income countries. However, these studies did not focus on vulnerable groups, and are not easily transferable into high-income settings due to differences in maternity care provision. The aim of this study was to synthesise existing qualitative literature focused on disadvantaged and vulnerable women’s experience of maternity care in high-income countries. Methods: A systematic literature search and meta-ethnographic methods were used. Search methods included searches on four databases, author run, and backward and forward chaining. null Searches were conducted in March 2016 and updated in May 2020. Findings: A total of 13,330 articles were identified and following checks against inclusion / exclusion criteria and quality appraisal 20 studies were included. Meta-ethnographic translation analytical methods were used to identify reciprocal and refutational findings, and to undertake a line of argument synthesis. Three third order reciprocal constructs were identified, ‘Prejudiced and deindividualized care’, ‘Interpersonal relationships and interactions’ and ‘Creating and enhancing insecurities.’ A line of argument synthesis entitled ‘I know my place’ encapsulates the experiences of disadvantaged and vulnerable women across the studies, acknowledging differential care practices, stigma and judgmental attitudes. A refutational translation was conceptualised as ‘Being seen, being heard’ acknowledging positive aspects of maternity reported by women. Conclusion: Insights highlight how women’s vulnerability was compounded by complex life factors, judgmental and stigmatizing attitudes by health professionals, and differential care provision. Further research is needed to identify suitable care pathways for disadvantaged and vulnerable women and the development of suitable training to highlight negative attuites towards these women in maternity care settings.
References74
Newest
#1Kaveri Mayra (University of Southampton)H-Index: 2
#2Zoe Matthews (University of Southampton)H-Index: 38
Last. Sabu S. Padmadas (University of Southampton)H-Index: 22
view all 3 authors...
Abstract Background Disrespect and abuse during childbirth can result in fear of childbirth. Consequently, women may be discouraged to seek care, increasing the likelihood for women to choose elective cesarean section in order to avoid humiliation, postnatal depression and even maternal mortality. This study investigates the causes underlying mistreatment of women during childbirth by health care providers in India, where evidence of disrespect and abuse has been reported. Methods Qualitative re...
Source
#1Zemenu Yohannes Kassa (HU: Hawassa University)H-Index: 8
#2Berhan Tsegaye (HU: Hawassa University)H-Index: 3
Last. Abebaw Abeje (HU: Hawassa University)H-Index: 2
view all 3 authors...
Disrespectful and abusive treatment of women by health care providers during the process of childbirth at health facility is an international problem. There is a lack of data on disrespect and abuse of women during the process of childbirth at health facilities in Sub-Saharan Africa. The purpose of this study was to determine the prevalence of disrespect and abuse of women during the process of childbirth at health facilities in sub-Saharan Africa. The PRISMA guideline protocol was followed to w...
Source
#1Khadije Hajizadeh (Tabriz University of Medical Sciences)H-Index: 2
#2Maryam Vaezi (Tabriz University of Medical Sciences)H-Index: 5
Last. Mojgan Mirghafourvand (Tabriz University of Medical Sciences)H-Index: 18
view all 5 authors...
Disrespectful maternity care is a key impediment to achieving a good quality care. Identifying predicting factors can be used in mitigating any potential risk in for disrespect and abuse in maternity care. The present study was conducted to determine prevalence and predictors of perceived disrespectful maternity care among Iranian women. A cross-sectional study was conducted in three public and three private hospitals in the city of Tabriz involving 334 postpartum women. Tools included socio-dem...
Source
Black and ethnic minority women are paying with their lives for the lack of action on racial bias, reports Lilian Anekwe
Source
BACKGROUND: Disparities have been documented in maternal mortality rates between women from different ethnic, age and socio-economic groups in the UK. It is unclear whether there are differential changes in these rates amongst women from different groups over time. The objectives of this analysis were to describe UK maternal mortality rates in different age, ethnic and socio-economic groups between 2009 and 2017, and to identify whether there were changes in the observed inequalities, or differe...
Source
#1Dovile Vilda (Tulane University)H-Index: 3
#2Maeve Wallace (Tulane University)H-Index: 17
Last. Katherine P. Theall (Tulane University)H-Index: 36
view all 5 authors...
Abstract In this ecological study, we examined the associations between state-level income inequality and pregnancy-related mortality among non-Hispanic (NH) black and NH white populations across the US. We estimated total population and race-specific 5-year pregnancy-related mortality ratios in each state based on national death and live birth records from 2011 to 2015. We obtained data on Gini coefficients for income inequality and population-level characteristics from the US Census American C...
Source
#1Shaima Hassan (University of Liverpool)H-Index: 3
#2Conan Leavey (LJMU: Liverpool John Moores University)H-Index: 7
Last. Jane S. Rooney (LJMU: Liverpool John Moores University)H-Index: 2
view all 3 authors...
Muslim women of child-bearing age make up a fair part of the UK society, however, literature addressing their health needs or experiences of health services have not been extensively researched. The term ‘Muslim’ is often combined with ethnic group identity, rather than used to refer to people distinguished by beliefs or affiliations. Muslim women commonly observe certain religious and cultural practices during their maternity journey. The little research there is in this area suggests that more...
Source
#1Jenny McLeish (University of Oxford)H-Index: 10
#2Maggie Redshaw (University of Oxford)H-Index: 27
Abstract Background Disadvantaged mothers and their babies are at increased risk of poor perinatal outcomes and have less positive experiences of maternity care. Aim To explore the maternity care experiences of mothers with multiple disadvantages. Methods A qualitative descriptive study based on semi-structured interviews with 40 mothers with multiple disadvantages, using thematic analysis. Findings Four themes emerged: ‘A confusing and frightening time’, ‘Longing to be respected as an individua...
Source
#1Irene Yang (Emory University)H-Index: 9
#2Lynne A. Hall (University of Louisville)H-Index: 29
Socioeconomically disadvantaged pregnant women are especially at risk for smoking. To understand better this health behavior disparity, this systematic, integrative, comprehensive review aimed to identify factors related to prenatal smoking among socioeconomically disadvantaged women in the United States. A comprehensive literature search yielded 67 articles published between 2008 and 2016. Associated factors included any study variable related to persistent prenatal smoking. The Social Ecologic...
Source
#2Maggie Cunningham (University of Stirling)H-Index: 6
#3Nicola Ring (Edinburgh Napier University)H-Index: 7
Last. Jane Noyes (Bangor University)H-Index: 60
view all 21 authors...
The aim of this study was to provide guidance to improve the completeness and clarity of meta‐ethnography reporting. Evidence‐based policy and practice require robust evidence syntheses which can further understanding of people's experiences and associated social processes. Meta‐ethnography is a rigorous seven‐phase qualitative evidence synthesis methodology, developed by Noblit and Hare. Meta‐ethnography is used widely in health research, but reporting is often poor quality and this discourages...
Source
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