■在美国,黑人母亲的产妇发病率和死亡率明显不成比例,种族主义经常被认为是通过几种途径表现出来的根本原因。这项研究检查了黑人母亲感知的提供者沟通,支持需求,以及新生儿重症监护病房(NICU)的总体经验。
■这项研究使用了嵌入在布莱克女性主义理论(BFT)框架中的扎根理论,以产生以数据为基础的新思想。数据是通过使用视频会议的半结构化访谈收集的,与母亲的整体NICU经历相关的问题,NICU内的沟通,和感知的支持需求。采用专题分析法对数据进行分析。
■12位母亲参加了这项研究;大多数已婚(n=10),剖腹产,先前有妊娠并发症(例如,糖尿病,高血压),已获得研究生学位或以上(n=9),家庭年收入在75,000美元或以上,年龄在35-44岁之间(n=7)。确定了具有几个伴随主题和子主题的三个广泛领域,说明母亲在NICU的经历。具体来说,影响母亲NICU住院的因素包括产妇护理/护理经验,NICU中的互动,以及感知到的支持需求,可能会削弱负面的护理和分娩经历。.
这项研究增加了越来越多的文献,支持黑人孕产妇健康公平和多层次质量改进战略,以促进公平的孕产妇健康。我们的研究加强了种族一致的干预措施和政策改革的必要性,以保护黑人出生的人,无论社会经济因素和社会阶层如何使用生命历程,整体方法,和交叉性思维。重要的是,使用BFT,这项研究要求对文化敏感的研究,以捕捉与黑人经历多样性相关的细微差别。
UNASSIGNED: Black mothers experience markedly disproportionate maternal morbidity and mortality in the United States, with racism often cited as the root cause manifesting through several pathways. The
study examined Black mothers\' perceived provider communication, support needs, and overall experiences in the neonatal intensive care unit (NICU).
UNASSIGNED: This
study used grounded theory embedded in the Black feminist theoretical (BFT) framework to generate new ideas grounded in the data. Data was collected through semi-structured interviews using videoconferencing, with questions related to the mother\'s overall NICU experiences, communication within the NICU, and perceived support needs. Data were analyzed using thematic analysis.
UNASSIGNED: Twelve mothers participated in the study; most were married (n = 10), had a cesarean birth, had a previous pregnancy complication (e.g., diabetes, hypertension), had attained a graduate degree or more (n = 9), earned an annual household income of $75,000 or more, and were between 35-44 years of age (n = 7). Three broad domains with several accompanying themes and sub-themes were identified, explicating the mother\'s experiences in the NICU. Specifically, factors influencing NICU hospitalization for mothers included maternal care/nursing experiences, interactions in the NICU, and the perceived support need that might attenuate negative care and birthing experiences. .
UNASSIGNED: The
study adds to the growing literature championing Black maternal health equity and multilevel quality improvement strategies to foster equitable maternal health. Our
study reinforces the need for racially congruent interventions and policy reformations to protect Black birthing people regardless of socioeconomic factors and social class using life course, holistic approaches, and intersectionality mindset. Importantly, using the BFT, this
study calls for culturally sensitive research to capture the nuances associated with the multiplicity of experiences of Black people.