The importance of language in maternity services

Marsh, Anna

doi:10.12968/bjom.2019.27.5.320

Cited by 6 publications

(4 citation statements)

References 25 publications

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“…The information provided should be given in both written and oral form, and then in an understandable language 22,24,26 . That health information should be given verbally by health personnel is confirmed by other studies [32][33][34] . Another study shows one should avoid medical professional language when talking to these women 41 .…”

Section: Intercultural Caringsupporting

confidence: 58%

“…Wikberg 13 makes it clear in her theory that a professional interpreting service is often needed in order to establish a satisfactory relationship between the midwife and the expectant mother. The importance of a well-functioning interpreting service in maternity care is also emphasized in several other studies 10,32,33,35,36,[42][43][44][45] . As we have shown in the results, there is variation in whether the women feel the need for an interpreter.…”

Section: Suffering Related To Carementioning

confidence: 94%

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A meta-ethnography of language challenges in midwifery care

Sellevold¹,

Hamre²,

Bondas³

2022

Eur J Midwifery

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INTRODUCTIONThe aim was to synthesize qualitative studies that shed light on immigrant women's own experiences regarding language challenges during pregnancy, birth and the postpartum period in a new country. Wikberg's theory of intercultural caring was chosen as the theoretical perspective. METHODS This meta-ethnography was conducted in accordance with Noblit and Hare, an interpretative qualitative review approach in seven phases, based on inclusion and exclusion criteria, and a systematic and manual search yielding a total of 1253 articles. Seven articles were included after a quality appraisal using the CASP instrument, and the process is shown in a PRISMA chart. The 142 women from the studies represented 42 different nationalities and were residents in 6 different host countries. RESULTS A synthesis model illuminates the immigrant women's experiences of language challenges. 'To comprehend and to be understood as a unique person' emerged as the overarching theme, based on the three analogous themes: 'a desire to be met with respectful understanding', 'ethical and accurate interpreting', and 'caring midwives and new relationships'. The fourth opposite theme, 'violations and feelings of inferiority' describes the immigrant women's experiences when the language challenges remained. CONCLUSIONS Midwives should be aware of language challenges in pregnancy, birth and postpartum care to minimize the risk of violations and unnecessary suffering related to care. The synthesis model can serve as a guide for respectful understanding, ethical and accurate interpreting, and caring, in accordance with Wikberg's dimensions of intercultural caring: universality, context, culture, and the needs and wishes of the immigrant women.

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Section: Intercultural Caringsupporting

confidence: 58%

Section: Suffering Related To Carementioning

confidence: 94%

A meta-ethnography of language challenges in midwifery care

Sellevold¹,

Hamre²,

Bondas³

2022

Eur J Midwifery

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“…The COVID-19 pandemic has furthered the barriers to care for those with limited English proficiency, as reported by our participants 27. Professional interpretation services must be used where required to facilitate equitable care and patient safety 10 28…”

Section: Discussionmentioning

confidence: 75%

Midwives’ and maternity support workers’ perceptions of the impact of the first year of the COVID-19 pandemic on respectful maternity care in a diverse region of the UK: a qualitative study

2022

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ObjectivesTo explore midwives’ and maternity support workers’ perceptions of the impact of the COVID-19 pandemic on maternity services and understand factors influencing respectful maternity care.DesignA qualitative study. Eleven semistructured interviews were conducted (on Zoom) and thematically analysed. Inductive themes were developed and compared with components of respectful maternity care.SettingMaternity services in a diverse region of the United Kingdom.ParticipantsMidwives and maternity support workers who worked during the first year of the COVID-19 pandemic.ResultsThe findings offer insights into the experiences and challenges faced by midwives and maternity support workers during the first year of the COVID-19 pandemic in the UK (March 2020–2021). Three core themes were interpreted that impacted respectful maternity care: (1) communication of care, (2) clinical care and (3) support for families. 1. Midwives and maternity support workers felt changing guidance impaired communication of accurate information. However, women attending appointments alone encouraged safeguarding disclosures. 2. Maternity staffing pressures worsened and delayed care provision. The health service’s COVID-19 response was thought to have discouraged women’s engagement with maternity care. 3. Social support for women was reduced and overstretched staff struggled to fill this role. The continuity of carer model of midwifery facilitated supportive care. COVID-19 restrictions separated families and were considered detrimental to parents’ mental health and newborn bonding. Overall, comparison of interview quotes to components of respectful maternity care showed challenges during the early COVID-19 pandemic in upholding each of the 10 rights afforded to women and newborns.ConclusionsRespectful maternity care was impacted through changes in communication, delivery of clinical care and restrictions on social support for women and their infants in the first year of the COVID-19 pandemic. Future guidance for pandemic scenarios must make careful consideration of women’s and newborns’ rights to respectful maternity care.

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“…The findings of this systematic review indicate that improving the quality of care requires a service model supported by the principles of collaborative practice, inclusion, and participation, combined with an understanding of cultural factors, leadership, and evaluation, backed by the concept of collective learning as a crucial element [48]. Furthermore, the importance of communication, compassion, and patient autonomy are key components of maternity care [49]. Healthcare professionals also need to address the cultural and spiritual needs of mothers to enhance satisfaction with the care provided.…”

Section: Discussionmentioning

confidence: 98%

Cultural diversity in maternity care in improving the quality of care services: a systematic review

Iswanti,

Erwansyah,

Saifudin

et al. 2024

IJPHS

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This study aimed to elucidate the significance of cultural diversity in maternity care in the context of enhancing the quality of care services. To undertake this systematic review, we conducted searches across multiple databases, including CINAHL, SAGE, ScienceDirect, ProQuest, Scopus, and Springer. The process of article selection was executed through Science Direct and Sage, with adherence to specific inclusion criteria, such as articles published within the last five years, written in English, and focusing on maternity care. This study excluded articles with unclear literature reviews and those written in languages other than English. To analyze the risk of bias and the caliber of the included articles, we used the JBI assessment checklist and the PRISMA flow chart. A total of 20 relevant articles were selected for review. In order to enhance the quality of maternity care services, it is imperative to consider a range of facets, including showing respect and tolerance for cultural diversity, fostering effective communication, and honing relevant skills. Maternity care providers must cultivate an attitude of respect and tolerance towards the cultural diversity of their patients and their families.

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The importance of language in maternity services

Cited by 6 publications

References 25 publications

A meta-ethnography of language challenges in midwifery care

A meta-ethnography of language challenges in midwifery care

Midwives’ and maternity support workers’ perceptions of the impact of the first year of the COVID-19 pandemic on respectful maternity care in a diverse region of the UK: a qualitative study

Cultural diversity in maternity care in improving the quality of care services: a systematic review

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