Indian migrant women’s experiences of motherhood and postnatal support in Australia: A qualitative study

Rao, Vibhuti; Dahlen, Hannah; Razee, Husna

doi:10.1016/j.wombi.2019.09.006

Cited by 13 publications

(17 citation statements)

References 33 publications

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“…Many previous studies have focussed on experiences of women from specific single ethnic or migrant groups, largely without significant medical or mental health co-morbidities. [26][27][28] Nevertheless, a common theme described in other studies is a need to feel listened to by healthcare providers who understand their particular cultural background and needs. 29 A national survey described the pleas of women from minoritised ethnic groups to "please believe me" and emphasises the explicit importance of feeling like an individual whose views are respected.…”

Section: Good Carementioning

confidence: 97%

A national cohort study and confidential enquiry to investigate ethnic disparities in maternal mortality

et al. 2022

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Summary Background Ethnic disparities in maternal mortality were first documented in the UK in the early 2000s but are known to be widening. This project aimed to describe the women who died in the UK during or up to a year after the end of pregnancy, to compare the quality of care received by women from different aggregated ethnic groups, and to identify any structural or cultural biases or discrimination affecting their care. Methods National surveillance data was used to identify all 1894 women who died during or up to a year after the end of pregnancy between 2009 and 18 in the UK. Their characteristics and causes of death were described. A Confidential Enquiry was undertaken to describe the quality of care women received. The care of a stratified random sample of 54 women who died during or up to a year after the end of pregnancy between 2009 and 18, (18 from the aggregated group of Black women, 19 from the Asian aggregated group and 17 from the White aggregated group) was re-examined specifically to describe any structural or cultural biases or discrimination identified. Findings There were no major differences causes of death between women from different aggregated ethnic groups, with cardiovascular disease the leading cause of death in all groups. Multiple areas of bias were identified in the care women received, including lack of nuanced care (notable amongst women from Black aggregated ethnic groups who died), microaggressions (most prominent in the care of women from Asian aggregated ethnic groups who died) and clinical, social and cultural complexity (evident across all ethnic groups). Interpretation This confidential enquiry suggests that multiple structural and other biases exist in UK maternity care. Further research on the role of microaggressions is warranted. Funding This research is funded by the (NIHR) Policy Research Programme, conducted through the Policy Research Unit in Maternal and Neonatal Health and Care, PR-PRU-1217–21,202. MK is an NIHR Senior Investigator. SK is part funded and FCS fully funded by the (NIHR) Applied Research Centre (ARC) West Midlands. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.

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Section: Good Carementioning

confidence: 97%

A national cohort study and confidential enquiry to investigate ethnic disparities in maternal mortality

et al. 2022

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“…In the absence of family, husbands became the major support person for the participants. Caregiving was a new role for the husbands as male family members are usually not involved with perinatal care in India (Rao et al, 2020). Asian Indian women also reported relying on friends or families of Indian origin, colleagues, and husband’s support networks (Cousik & Hickey, 2016; Rao et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Caregiving was a new role for the husbands as male family members are usually not involved with perinatal care in India (Rao et al, 2020). Asian Indian women also reported relying on friends or families of Indian origin, colleagues, and husband’s support networks (Cousik & Hickey, 2016; Rao et al, 2020). Support from non-family sources was limited in amount and frequency, but was a valuable source of informational and emotional support for immigrant Asian Indian women (Rao et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Immigrant Asian Indian Mothers’ Experiences With Pregnancy, Childbirth, and Infant Care in the United States

2022

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Introduction: The purpose of the study was to explore experiences of immigrant Asian Indian women with pregnancy, childbirth, and infant care in the United States. Methodology: This study employed a qualitative descriptive approach using semi-structured interviews and followed COREQ (COnsolidated criteria for REporting Qualitative research) guidelines for reporting qualitative research. Nine immigrant Asian Indian mothers residing in the mid-Atlantic region of the United States participated in the study. Results: Four themes emerged: experiencing cultural differences during the perinatal period in the United States, choosing the best perinatal practices for maternal and infant care, recognizing family as the main support system, and having positive experiences with health care providers. Discussion: Findings of this study shed light on the need for culturally appropriate care, including proper assessment of Asian Indian mothers’ sociocultural aspects and cultural preferences and provision of support and information needed during the perinatal period.

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“…However, some topics such as those related to sexual and reproductive health issues (Mengesha et al, 2017), mental health problems, domestic and family violence (Rollans et al, 2013a) and terminal illness and death (Hines-Martin et al, 2019) are potentially sensitive, as in some cultures discussing certain topics is taboo. For example, in Indian society, mental illness is rarely discussed openly (Leung et al, 2012; Rao et al, 2019; Schmied et al, 2017). Conditions such as postnatal depression may not be accepted as a clinical condition in some cultures, and women have reported experiencing stigma and judgement as a result of their condition (Jain & Levy, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…Traditionally, psychosocial assessment of pregnant women in New South Wales (NSW) Australia is conducted with a structured questionnaire in English and screening tools such as the Edinburgh Postnatal Depression Scale (EPDS) (Cox et al, 1987). Studies have shown that women who do not use English as their first language and who belong to different cultural groups may not disclose issues related to mental health (Rao et al, 2019; Rollans et al, 2013b). This suggests that more culturally relevant approaches to conducting psychosocial assessment for different cultural groups, such as the immigrant community, are needed.…”

Section: Introductionmentioning

confidence: 99%

‘We Do Not Talk About It’ – Exploring Visual Approaches to Initiate Deeper Conversations About Perinatal Mental Health With Indian Immigrants

Philip

Kemp

Taylor

et al. 2021

International Journal of Qualitative Methods

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Exploring constructions of mental health in the perinatal period among Indian immigrants can be challenging. This article describes the use of visual methods, photo elicitation, free listing and pile sorting, as an adjunct to face-to-face interviews to understand the constructions of perinatal mental health among Indian immigrants in Australia. The benefits and challenges of using these methods and modifications made during the research are explained. The modifications resulted in a broader understanding of terminology used by the Indian community. Incorporating visual methods as an adjunct to interviews when discussing perinatal mental health with Indian immigrants is effective and using multiple methods enhances the richness of data.

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Indian migrant women’s experiences of motherhood and postnatal support in Australia: A qualitative study

Cited by 13 publications

References 33 publications

A national cohort study and confidential enquiry to investigate ethnic disparities in maternal mortality

A national cohort study and confidential enquiry to investigate ethnic disparities in maternal mortality

Immigrant Asian Indian Mothers’ Experiences With Pregnancy, Childbirth, and Infant Care in the United States

‘We Do Not Talk About It’ – Exploring Visual Approaches to Initiate Deeper Conversations About Perinatal Mental Health With Indian Immigrants

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