Vigilance in Parents' Experiences of Fetal and Infant Loss

Nowak, Emily; Stevens, Patricia E.

doi:10.1111/j.1552-6909.2010.01207.x

Cited by 5 publications

(7 citation statements)

References 25 publications

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“…Nine articles discussed clinicians being supportive by empowering patients to engage in self-care and self-education during pregnancy. 24 , 26 , 28 , 30 , 32 , 35–38 Patients wanted to engage actively and participate in their care and appreciated clinicians who gave them ownership over their care. Many articles described patients expressing that they felt they would get the most benefit out of a patient-provider interaction if the provider empowered them and gave them autonomy by presenting a complete and holistic picture of their current health status.…”

Section: Categories With Recurring Themesmentioning

confidence: 99%

“…Many articles described patients expressing that they felt they would get the most benefit out of a patient-provider interaction if the provider empowered them and gave them autonomy by presenting a complete and holistic picture of their current health status. 26 , 28 , 35 Eight articles discussed clinicians showing support by reassuring patients, including notifying the patients about the status of their baby's health. 28 , 30–34 , 37 , 41 …”

Section: Categories With Recurring Themesmentioning

confidence: 99%

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Racial and Ethnic Minority Pregnant Patients with Low-Income Experiences of Perinatal Care: A Scoping Review

et al. 2021

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Purpose: The maternal mortality ratio for the United States (US) has consistently risen over recent decades. This mortality is especially pronounced within minority populations who experience a maternal mortality and morbidity rate that are much higher than their non-Hispanic white counterparts. Qualitative data are critical in gaining true insight from minority pregnant and postpartum persons. Such data should serve as the basis for building interventions and programs that seek to eradicate perinatal inequities. This review examines the qualitative literature on racial and ethnic minority pregnant patients with low income and their experiences during perinatal care (PNC) to identify recurrent themes that can be addressed through targeted interventions. Methods: PubMed, CINAHL, and Web of Science databases were searched for qualitative studies on racial and ethnic minority pregnant patients with low income and their experiences during PNC. Twenty-two articles were included for analysis. Thematic synthesis was performed to identify categories and recurring themes in each article. Results: Five major categories were identified as consistent experiences of pregnant patients with PNC clinicians: support, education, connection, communication, and trust. Of these, clinician support was the most consistently coded category. Eighteen of the 23 articles discussed tangible support patients had received from their clinicians, such as care coordination and referrals to support services. The second most coded category was education, which was represented in 16 articles. Education was mostly represented negatively as lack of adequate perinatal care education given during the perinatal period. Finally, the categories of connection, communication, and trust were represented by 18, 17, and 17 articles, respectively. Conclusions: These qualitative studies provided specific examples of what racial and ethnic minority pregnant patients with low income deemed positive and negative during the perinatal period and outline ways that these experiences can be improved. Future studies can take the experiences reported in this review to help inform interventions to improve patient experiences and health outcomes that minority persons face in the perinatal period.

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Section: Categories With Recurring Themesmentioning

confidence: 99%

Section: Categories With Recurring Themesmentioning

confidence: 99%

Racial and Ethnic Minority Pregnant Patients with Low-Income Experiences of Perinatal Care: A Scoping Review

et al. 2021

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“…For example, African American mothers tend to use softer bedding and may have misperception that soft bedding will be safer for their infant, protecting them from injury and/or falls (Ajao, Oden, Joyner, & Moon, 2011). In one study, African American women stated that sleep position or location was not important as long as the mother or father remained vigilant, staying next to or closely watching their infant (Nowak & Stevens, 2011). Indian mothers saw co-sleeping as highly valued in facilitating bonding with their infant and breast-feeding and ensuring that the child felt secure (Aslam, Kemp, Harris, & Gilbert, 2009).…”

Section: Discussionmentioning

confidence: 99%

When Baby Stops Breathing

et al. 2015

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Sudden unexplained infant death is responsible for 14% of Indiana's infant mortality. The purpose of this qualitative research study was to describe mothers' experiences when death of an infant occurred suddenly and unexpectedly. Field deputies or social workers interviewed mothers from central Indiana during the child-death team investigations. The Thematic Analysis Program from the Joanna Briggs Institute was used to analyze interview data. Sixteen de-identified interview cases were extracted, and a meta-aggregate method was conducted. The three synthesized themes were Extreme Emotional Shock, We Feel Like We're to Blame, and Working Toward Moving On. Understanding these phenomena from mothers' experience may assist in eliminating risks associated with infant deaths and inform nursing practice and policy.

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“…Nowak and Stevens discussed vigilance in parents who experienced a fetal or infant loss. These researchers found that the lack of health insurance delayed entry into prenatal care and when at prenatal care “judgment[s] made by the perinatalogist” negatively affected their care (Nowak & Stevens, 2010). In 2005, American College of Obstetrics and Gynecology (ACOG) issued a committee opinion stating significant racial and ethnic disparities exist in women’s health.…”

Section: Discussionmentioning

confidence: 99%

Response to Homeless Childbearing Women’s Health Care Learning Needs

et al. 2011

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The study findings showed that homeless childbearing women are at greatest risk for cancer, violence, poor nutrition, sexually transmitted infections, unplanned pregnancy, and adverse pregnancy outcomes. Collaborating with personnel at a women's shelter, the authors studied homeless childbearing women's knowledge, attitudes, and beliefs about general health promotion, healthy pregnancy promotion, and preterm labor prevention. Guided by the Integrative Model of Behavioral Prediction and Change, 45 homeless women participated in focus groups. They were 28.7 years old (range 18-44 years), and approximately 87% of these women had custody of their children. Three themes identified included things you do to stay healthy during pregnancy, where you learned about staying healthy, and women's knowledge about preterm labor and general health promotion. These findings informed an 8-week educational session (1 hr/week). During the past year, four 8-week sessions were conducted with attendance between 8 and 14 participants. Each week a different health topic was discussed incorporating the associated unique challenges of homelessness.

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Vigilance in Parents' Experiences of Fetal and Infant Loss

Cited by 5 publications

References 25 publications

Racial and Ethnic Minority Pregnant Patients with Low-Income Experiences of Perinatal Care: A Scoping Review

Racial and Ethnic Minority Pregnant Patients with Low-Income Experiences of Perinatal Care: A Scoping Review

When Baby Stops Breathing

Response to Homeless Childbearing Women’s Health Care Learning Needs

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