“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

Collins, Cyleste; Rice, Heather A.; Bai, Rong; Brown, Portia L.; Bronson, Cassaundra; Farmer, Christin

doi:10.1111/jan.14941

Cited by 13 publications

(8 citation statements)

References 40 publications

(54 reference statements)

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“…Furthermore, parents who are not White, middle- or upper-class socioeconomic status potentially would have different experiences with their newborn’s hearing screening and HL diagnosis than what is presented in the present study because they face other systemic challenges to healthcare (Andersen et al 2002; Hall et al 2015; Weinick & Krauss 2000). For example, the stories of Black mothers centered on newborn hearing screenings could be especially fraught with challenges given what is already known about the morbid risks associated with their labor, birth, and post-natal experiences (Altman et al 2019; Collins et al 2021).…”

Section: Discussionmentioning

confidence: 99%

Exploring the Stories of Parents’ Experiences With Infant Hearing-Loss Screening and Diagnosis in the United States

2022

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Objectives. For the past 20 years, birthing hospitals in the United States have required newborns to undergo a hearing loss screening prior to leaving the hospital. Since the initial newborn hearing screening mandates, there has been much outcome research documenting the successes and barriers of the program. However, we know little about the experiences of their parents during the time between screening and diagnosis. We propose that elucidating the parents' experiences with newborn hearing loss screening and diagnosis-via their own stories-is a first step toward understanding their varied experiences and has the potential to ultimately improve hearing healthcare for both children and their families. Thus, to better understand the early hearing screening and detection experience from hearing parents' perspectives, we asked the following research question: what are parents' experiences with the early hearing loss screening and diagnosis of their infants in the US?Design. The current study employed a prospective, cross-sectional qualitative design. Specifically, we gathered stories from 13 hearing parents who each have a child born in the United States and diagnosed with hearing loss no later than 14 months of age between the years of 2016 to 2020. We used thematic analysis to uncover common themes across parent narratives.Saturation was reached at Interview #4; thus no further sampling was needed.Findings. Two major themes emerged from the data: (1) hearing healthcare experiences and (2) parents' early experiences during the period between their child's newborn hearing loss screening and diagnosis. Subthemes were also uncovered. Three emergent subthemes related to healthcare experiences included: (1) downplayed newborn hearing screening referrals, (2) clinician-centered care, and (3) medical expenses and health coverage. The three subthemes of the second theme were: (1) parent-to-parent support, (2) "mom guilt", and (3) a new reality.

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Section: Discussionmentioning

confidence: 99%

Exploring the Stories of Parents’ Experiences With Infant Hearing-Loss Screening and Diagnosis in the United States

2022

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“…14-Foi utilizado para evidenciar a importância de sua construção, uso e implementação, diante das experiências positivas e negativas vivenciadas por mulheres afrodescendentes com prestadores de serviços médicos durante o trabalho de parto (18) .…”

Section: -Foi Utilizado Para Verificar O Conhecimento Dos Discentes D...unclassified

“…Enfatizam especialmente a importância de atender ao desejo das mulheres em ter um profissional experiente, além do médico, uma pessoa de apoio, a exemplo de doulas, presentes durante o parto, orientando-as a costruir o plano de parto e descerever sua preferência quanto ao profissional (18) .…”

Section: -Foi Utilizado Para Verificar O Conhecimento Dos Discentes D...unclassified

O Uso Do Plano De Parto Por Mulheres Durante O Pré-Natal: Scoping Review

Duarte

Temóteo²

2023

Rev. Enferm. Atual In Derme

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Objetivo: analisar as repercussões da utilização do plano de parto no processo de parturição pormulheres durante o pré-natal, por meio da literatura. Método: trata-se de revisão de escopoconstruída com base na estratégia PCC, sendo "P" a população (gestantes), "C" o conceito (plano departo) e "C" o contexto (pré-natal). A busca foi realizada nas bases de dados PubMed, Scopus eEMBASE (Elsevier). Foram incluídos estudos na íntegra em inglês, espanhol ou português, queenvolvessem a temática do plano de parto e tenham sido publicados até março de 2022. Os dadosforam coletados de janeiro a março de 2022. Os textos selecionados foram lidos na íntegra eextraídos dados de caracterização da produção, principais resultados e foi destacado o uso do planode parto. Resultados: a amostra final foi de 16 artigos elegíveis, os quais foram organizadosconforme o fluxograma conforme o guia internacional PRISMA. Em sua maioria os artigos forampublicados em 2020 e 2021 (n=4) e com origem nos Espanha (n=4), seguido pelo Brasil e África(n=2). O principal tema encontrado foi sobre o uso e construção do plano de parto, seus benefícios emelhoria da experiência das gestantes. Conclusão: o plano de parto é um instrumento flexível eadaptável, o envolvimento e participação dos familiares junto aos profissionais são indispensáveisna produção e realização desse planejamento, embora apresente muitos benefícios, ainda existemlacunas a serem preenchidas relacionadas a construção e uso do plano de parto.

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“…[3][4][5][6][7] Adolescents and those who identify as Black or African American frequently experience or anticipate experiencing care from health care providers that is racist, disrespectful, or misaligned with their needs. [8][9][10][11][12][13][14][15] To better meet the needs of marginalized individuals, community-based doula models were developed. [16][17][18][19][20][21][22] Doulas are specially trained support persons who provide guidance, encouragement, and labor comfort measures to pregnant individuals during labor, birth, and postpartum.…”

Section: Introductionmentioning

confidence: 99%

Community‐Based Doulas' Roles Within the Birth Support System: Young Black Mothers’ Perspectives

Herriott,

Etling,

Hans

2023

J Midwife Womens Health

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IntroductionDoulas have been found to be beneficial to pregnant adolescents during childbirth, but little is known about their role within the larger system of people providing birth support, including family and health care providers. The purpose of this study was to examine, from the perspectives of young mothers, the role of the doula within their broader birth support system.MethodsOne hundred pregnant Black adolescents and young women (aged 13 to 21) who were provided perinatal community‐based and racially concordant doula services at no cost to them were interviewed after the birth of their newborn, prior to hospital discharge. Interviews generated birth story narratives and responses to focused questions about their experiences of birth support. Thematic analysis was conducted to examine the role of the doula within the context of the broader system of birth support.ResultsDoulas functioned in 2 primary ways within the birth support system by (1) providing tandem support alongside family and health care providers and (2) filling gaps in health care not provided by family and providers. Laboring adolescents sometimes described their family members and doulas working in tandem to provide multiple types of support such as comfort measures, coaching, and help with pushing. They also identified gaps in their care or support filled by the doula, in particular gaps due to family members’ physical or emotional unavailability or health care providers’ many responsibilities.DiscussionThe findings highlight the ways in which doulas support pregnant adolescents during childbirth through their deft navigation of the existing support system. Well‐being was enhanced by the inclusion of the doula in the birth support system. The findings align with existing research that underscores the valuable role doulas play in supporting individuals during childbirth, particularly for those most affected by processes of marginalization.

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“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

Cited by 13 publications

References 40 publications

Exploring the Stories of Parents’ Experiences With Infant Hearing-Loss Screening and Diagnosis in the United States

Exploring the Stories of Parents’ Experiences With Infant Hearing-Loss Screening and Diagnosis in the United States

O Uso Do Plano De Parto Por Mulheres Durante O Pré-Natal: Scoping Review

Community‐Based Doulas' Roles Within the Birth Support System: Young Black Mothers’ Perspectives

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