Your Dignity is Hung Up at the Door: Pakistani and White Women’s Experiences of Childbirth

Bowes, Alison; Domokos, Teresa M.

doi:10.1057/9780230522930_6

Cited by 6 publications

(10 citation statements)

References 6 publications

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“…The perceptions of equity reflected in the interviews are a departure from previous research findings that have suggested that direct as well as subtle racism is experienced by women from ethnic minority groups (6,7,9,14,16,17). The women perceived their UK-born status and their language competence as influential in being treated equally.…”

Section: Perceptions Of Equity and Woman-focused Carecontrasting

confidence: 61%

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‘You need that loving tender care’: maternity care experiences and expectations of ethnic minority women born in the United Kingdom

Puthussery

Twamley

Macfarlane

et al. 2010

J Health Serv Res Policy

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Section: Perceptions Of Equity and Woman-focused Carecontrasting

confidence: 61%

“…Most research on the care of ethnic minority women has focused on the needs of foreign-born women. Mothers born in the UK account for a substantial proportion of some ethnic groups (17), but little is known about their experiences of care.…”

Section: Introductionmentioning

confidence: 99%

‘You need that loving tender care’: maternity care experiences and expectations of ethnic minority women born in the United Kingdom

Puthussery

Twamley

Macfarlane

et al. 2010

J Health Serv Res Policy

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“…47 Language did not significantly contribute to our models, and a previous study has also found that the addition of 'language difficulties' to regression models did not change the odds of operative birth by ethnicity. 19 This finding is surprising considering that language is frequently reported as a barrier in the relationship between midwives and women 46,[48][49][50][51] ; however, it does not exclude the importance of communication problems in maternity care, as adjustment for migration and ethnicity may have captured communication difficulties.…”

Section: Discussionmentioning

confidence: 95%

Which women are at an increased risk of a caesarean section or an instrumental vaginal birth in the UK: an exploration within the Millennium Cohort Study

Essex

Green

Baston

et al. 2013

BJOG

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Objective To explore the maternal demographic factors associated with operative births (instrumental vaginal births or caesarean section), after adjustment for health, interpersonal, pregnancy, labour and infant covariates. Design Nationally representative cohort study. Setting Women giving birth in the UK, during the period 2000–2002. Sample A total of 18 239 mother–infant pairs. Methods Multinomial logistic regression models were estimated to explore the relationship between demographic characteristics and mode of birth, stratified by parity. Main outcome measures Self‐reported mode of birth, defined as unassisted vaginal birth, instrumental vaginal birth, emergency caesarean section and planned caesarean section. Results For primiparous women, operative births rose steeply with increasing maternal age. Women from lower occupational status households were at an increased risk of planned caesarean section. Mode of birth differed significantly by ethnicity. For multiparous women, a younger age at first birth was protective of a later caesarean section or instrumental vaginal birth at the cohort birth. Women with qualifications normally taken at the age 18 years were at an increased risk of planned caesarean section compared with women with degree‐level qualifications. Mode of birth differed significantly by ethnicity, and non‐UK born women were at an increased risk of emergency caesarean section. Conclusions The sociodemographic characteristics of UK women independently predict mode of birth. Further research is needed to establish to what extent sociodemographic differences in mode of birth are a reflection of the attitudes and behaviours of women, or health professionals, and are therefore amenable to change.

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“…In the UK, minority ethnic and migrant women consistently report lower maternity care satisfaction and less choice in their maternity care than their White British counterparts. In addition to poor experiences of maternity care in the UK, a wealth of research details poor pregnancy outcomes for these women, including an increased risk of complications during pregnancy, unplanned caesarean section and having their baby cared for in a neonatal unit .…”

Section: Introductionmentioning

confidence: 97%

The midwife–woman relationship in a South Wales community: Experiences of midwives and migrant Pakistani women in early pregnancy

Goodwin

Hunter

Jones

2017

Health Expectations

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BackgroundIn 2015, 27.5% of births in England and Wales were to mothers born outside of the UK. Compared to their White British peers, minority ethnic and migrant women are at a significantly higher risk of maternal and perinatal mortality, along with lower maternity care satisfaction. Existing literature highlights the importance of midwife–woman relationships in care satisfaction and pregnancy outcomes; however, little research has explored midwife–woman relationships for migrant and minority ethnic women in the UK.MethodsA focused ethnography was conducted in South Wales, UK, including semi‐structured interviews with 9 migrant Pakistani participants and 11 practising midwives, fieldwork in the local migrant Pakistani community and local maternity services, observations of antenatal appointments, and reviews of relevant media. Thematic data analysis was undertaken concurrently with data collection.FindingsThe midwife–woman relationship was important for participants' experiences of care. Numerous social and ecological factors influenced this relationship, including family relationships, culture and religion, differing health‐care systems, authoritative knowledge and communication of information. Marked differences were seen between midwives and women in the perceived importance of these factors.ConclusionsFindings provide new theoretical insights into the complex factors contributing to the health‐care expectations of pregnant migrant Pakistani women in the UK. These findings may be used to create meaningful dialogue between women and midwives, encourage women's involvement in decisions about their health care and facilitate future midwifery education and research. Conclusions are relevant to a broad international audience, as achieving better outcomes for migrant and ethnic minority communities is of global concern.

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Your Dignity is Hung Up at the Door: Pakistani and White Women’s Experiences of Childbirth

Cited by 6 publications

References 6 publications

‘You need that loving tender care’: maternity care experiences and expectations of ethnic minority women born in the United Kingdom

‘You need that loving tender care’: maternity care experiences and expectations of ethnic minority women born in the United Kingdom

Which women are at an increased risk of a caesarean section or an instrumental vaginal birth in the UK: an exploration within the Millennium Cohort Study

The midwife–woman relationship in a South Wales community: Experiences of midwives and migrant Pakistani women in early pregnancy

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