Learning from women: Improving experiences of respectful maternity care during unplanned caesarean birth for women with diverse ethnicity and racial backgrounds

Chinkam, Somphit; Ibrahim, Bridget Basile; Diaz, Brittany; Steer-Massaro, Courtney; Kennedy, Holly Powell; Shorten, Allison

doi:10.1016/j.wombi.2022.05.004

Cited by 4 publications

(3 citation statements)

References 25 publications

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“…Although almost every participant had an unplanned primary cesarean, the racialized women in our sample more commonly described overt mistreatment and disrespectful care and traumatic birth experiences than their White counterparts. This is similar to other studies of experiences of maternity care of women from marginalized communities in the U.S. ( Altman et al, 2019 ; Basile Ibrahim, Kennedy, & Combellick, 2021 ; Chinkam et al, 2023 ; McLemore et al, 2018 ; Nguyen et al, 2022 ; Vedam et al, 2019 ). It has been noted that experiences that seem harmless or mundane to healthcare providers are sometimes traumatic to birthing women ( Beck, 2004 ).…”

Section: Discussionsupporting

confidence: 89%

“I was able to take it back”: Seeking VBAC after experiencing dehumanizing maternity care in a primary cesarean

Basile Ibrahim,

Cheyney,

Vedam

et al. 2023

SSM - Qualitative Research in Health

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Section: Discussionsupporting

confidence: 89%

“I was able to take it back”: Seeking VBAC after experiencing dehumanizing maternity care in a primary cesarean

Basile Ibrahim,

Cheyney,

Vedam

et al. 2023

SSM - Qualitative Research in Health

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“…It is possible that these symptoms may lead to a desire for a shorter birth, or a perception of inadequacy for the birthing process. Previous studies have shown that unexpected medical interventions during birth can result in a poorer perception of respect, adequate care, and overall satisfaction [15,16]. These negative birth experiences may increase the likelihood of postpartum depression, opting not to breastfeed, and limited mother-infant bonding [16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Impact of Peripartum Depression and Anxiety Symptoms on Unplanned Cesarean or Operative Vaginal Births: A Prospective Observational Study

Rol,

Cuerva,

Palomares

et al. 2024

Clin. Exp. Obstet. Gynecol.

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Background: Depression and anxiety symptoms can impact childbirth. The aim of this study was to examine the association between peripartum depression and anxiety symptoms with unplanned cesarean or operative vaginal births. Methods: This single-center observational study categorized women into two groups based on the presence (or absence) of depression symptoms in the last 7 days. We collected birth records, demographic data, clinical characteristics, Hospital Anxiety and Depression Scale (HADS) scores, and visual analog scale (VAS) score for pain. Results: A total of 201 women participated in the study, with 37 (18.4%) experiencing depression symptoms, and 164 (81.6%) without such symptoms. Women with peripartum depression symptoms were more likely to require an unplanned medical intervention (unplanned cesarean or operative vaginal birth) compared to those without such symptoms (54.1% vs. 28.0%; p = 0.002). Similarly, women with peripartum anxiety symptoms were also more likely to require an unplanned medical intervention (43.0% vs. 25.2%; p = 0.008). Binary logistic regression analysis demonstrated that experiencing peripartum depression symptoms independently increased the probability of undergoing an unplanned cesarean or operative birth. Conclusions: Women experiencing symptoms of peripartum depression near the time of birth are at a higher risk of having an unplanned cesarean or operative vaginal birth.

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“…Clinical practice changes that improve the experience of the clinician-service user interaction may directly influence the iatrogenic influences on PMADS. By further emphasizing techniques that are well-evidenced in the literature, such as providing respectful, person-centered care to all patients, improving provider-patient communication, increasing their use of shared decision making practices, and supporting patients' use of doulas or birth companions, providers may alleviate stress associated with interactions with the maternity healthcare team or service users' perceptions of mistreatment [141,[158][159][160]. Providing additional supports for persons experiencing socioeconomic stressors by increasing tailored referrals to supportive services (i.e., food and housing supports, diaper banks, social services providing infant-care supplies, social work services, and low-or no-cost doula services) may reduce socioeconomic stressors in the perinatal period that have been found to be associated with increased rates of PMADs in this review.…”

Section: Discussionmentioning

confidence: 99%

The Social Context of Pregnancy, Respectful Maternity Care, Biomarkers of Weathering, and Postpartum Mental Health Inequities: A Scoping Review

Basile-Ibrahim,

Combellick,

Mead

et al. 2024

IJERPH

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Background: Mental health disorders are the number one cause of maternal mortality and a significant maternal morbidity. This scoping review sought to understand the associations between social context and experiences during pregnancy and birth, biological indicators of stress and weathering, and perinatal mood and anxiety disorders (PMADs). Methods: A scoping review was performed using PRISMA-ScR guidance and JBI scoping review methodology. The search was conducted in OVID Medline and Embase. Results: This review identified 74 eligible English-language peer-reviewed original research articles. A majority of studies reported significant associations between social context, negative and stressful experiences in the prenatal period, and a higher incidence of diagnosis and symptoms of PMADs. Included studies reported significant associations between postpartum depression and prenatal stressors (n = 17), socioeconomic disadvantage (n = 14), negative birth experiences (n = 9), obstetric violence (n = 3), and mistreatment by maternity care providers (n = 3). Birth-related post-traumatic stress disorder (PTSD) was positively associated with negative birth experiences (n = 11), obstetric violence (n = 1), mistreatment by the maternity care team (n = 1), socioeconomic disadvantage (n = 2), and prenatal stress (n = 1); and inverse association with supportiveness of the maternity care team (n = 5) and presence of a birth companion or doula (n = 4). Postpartum anxiety was significantly associated with negative birth experiences (n = 2) and prenatal stress (n = 3). Findings related to associations between biomarkers of stress and weathering, perinatal exposures, and PMADs (n = 14) had mixed significance. Conclusions: Postpartum mental health outcomes are linked with the prenatal social context and interactions with the maternity care team during pregnancy and birth. Respectful maternity care has the potential to reduce adverse postpartum mental health outcomes, especially for persons affected by systemic oppression.

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Learning from women: Improving experiences of respectful maternity care during unplanned caesarean birth for women with diverse ethnicity and racial backgrounds

Cited by 4 publications

References 25 publications

“I was able to take it back”: Seeking VBAC after experiencing dehumanizing maternity care in a primary cesarean

“I was able to take it back”: Seeking VBAC after experiencing dehumanizing maternity care in a primary cesarean

Impact of Peripartum Depression and Anxiety Symptoms on Unplanned Cesarean or Operative Vaginal Births: A Prospective Observational Study

The Social Context of Pregnancy, Respectful Maternity Care, Biomarkers of Weathering, and Postpartum Mental Health Inequities: A Scoping Review

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