The Urgency of Universal Paid Maternity Leave and Family Support Policies: The Role of Midwives as Agents of Change

Eaves, Tanika; Schindler‐Ruwisch, Jennifer

doi:10.1111/jmwh.13317

Cited by 1 publication

(2 citation statements)

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“…25 , 26 , 27 , 28 However, respondents, unlike much recent literature, did not emphasize the importance of postpartum processes, ideally integrated into prenatal counseling and facilitated by extended postpartum insurance coverage and paid family leave. 29 , 30 Postpartum coverage is particularly important for perinatal mental health conditions. 31 , 32 The research literature, similar to the respondents, also identifies other access barriers: challenges of getting to clinics, receiving reasonably prompt attention in clinics, and adhering to prenatal visits and best practices while coping with everyday life stresses and lack of access to health care providers of choice.…”

Section: Discussionmentioning

confidence: 99%

“…Research has shown that expansion of general Medicaid, Medicaid pregnancy coverage, or coverage generally could improve some chronic conditions and maternal health 25–28 . However, respondents, unlike much recent literature, did not emphasize the importance of postpartum processes, ideally integrated into prenatal counseling and facilitated by extended postpartum insurance coverage and paid family leave 29,30 . Postpartum coverage is particularly important for perinatal mental health conditions 31,32 .…”

Section: Discussionmentioning

confidence: 99%

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Midwives’ and Other Perinatal Health Workers’ Perceptions of the Black Maternal Mortality Crisis in the United States

Craft‐Blacksheare

Kahn

2022

J Midwife Womens Health

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Introduction This study aimed to identify how perinatal health workers, especially midwives, explained US Black maternal mortality and morbidity and what ameliorative measures they suggested across categories of primary social determinants, health care access, and provider practices. Methods Using a mixed closed‐ended and open‐ended researcher‐designed exploratory survey, 227 perinatal health workers responded to a series of questions probing views of causation and strategies for improvement. The closed‐ended responses were summarized. Open‐ended responses were analyzed using basic categorical and thematic coding. Results Perinatal health workers’ responses prominently identified racism as a cause of Black maternal morbidity and mortality, and their recommendations ranged across levels of social determination of health. Discussion Results suggest that the views of perinatal health workers, the majority of whom were midwives, are complex and correspond to the problems and solutions identified in the research literature. Midwives and other perinatal health workers are well positioned to help center health equity in perinatal care, through both clinical practice and policy advocacy.

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