Does CenteringPregnancy Group Prenatal Care Affect the Birth Experience of Underserved Women? A Mixed Methods Analysis

Autor: Maria T. Chao, Larissa G. Duncan, Ariana Jostad-Laswell, Rhianon Liu
Rok vydání: 2016
Předmět:
Health Knowledge
Attitudes
Practice
Epidemiology
Immigration
0302 clinical medicine
Pregnancy
Group prenatal care
Adaptation
Psychological
Ethnicity
Childbirth
030212 general & internal medicine
media_common
Language
Practice
030219 obstetrics & reproductive medicine
CenteringPregnancy
Continental Population Groups
Health Knowledge
Prenatal Care
Patient Satisfaction
Scale (social sciences)
Public Health and Health Services
Female
Public Health
Delivery
Adult
medicine.medical_specialty
media_common.quotation_subject
Ethnic Groups
Prenatal care
Affect (psychology)
Article
03 medical and health sciences
Nursing
Intervention (counseling)
medicine
Humans
Adaptation
Poverty
Labor Pain
business.industry
Medicaid
Public health
Racial Groups
Public Health
Environmental and Occupational Health
Obstetric
Delivery
Obstetric
Birth experience
United States
Socioeconomic Factors
Family medicine
Attitudes
Birth attendant
Psychological
business
Zdroj: Journal of immigrant and minority health, vol 19, iss 2
ISSN: 1557-1920
Popis: We examined the birth experience of immigrant and minority women and how CenteringPregnancy (Centering), a model of group prenatal care and childbirth education, influenced that experience. In-depth interviews and surveys were conducted with a sample of racially diverse Centering participants about their birth experiences. Interview transcripts were analyzed thematically. Study participants (n = 34) were primarily low-income, Spanish-speaking immigrants with an average age of 29.7. On a scale from 1 (not satisfied) to 10 (very satisfied), women reported high satisfaction with birth (9.0) and care (9.3). In interviews, they expressed appreciation for the choice to labor with minimal medical intervention. Difficulties with communication arose from fragmented labor and delivery care by multiple providers. Centering provided women with pain coping skills, a familiar birth attendant, and knowledge to advocate for themselves. High reported satisfaction may obscure challenges to providing high quality childbirth care for marginalized women. Further study should examine the potential of Centering to positively impact underserved women's birth experiences.
Databáze: OpenAIRE
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