Exploring ethnic minority women’s experiences of maternity care during the SARS-CoV-2 pandemic: a qualitative study

John, Jeeva; Curry, Gwenetta; Cunningham‐Burley, Sarah

doi:10.1136/bmjopen-2021-050666

Cited by 20 publications

(71 citation statements)

References 23 publications

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“…Our study extended the intersectionality framework and trauma-informed perspective to understand the impact of systemic inequality on the experiences of perinatal BIPOC women. Similar to John et al’s (2021) findings, we found consistent sentiments that healthcare professionals’ communication was lacking in information, patience, and empathy when participants tried to navigate pregnancy during a public health crisis [ 34 ]. Existing institutional issues worsened, such that appointments were fast or nonexistent, insurance or public aid accessibility was limited to specific services and providers, and communication was disjointed between different providers, even within the same hospital.…”

Section: Discussionsupporting

confidence: 87%

“…Our findings replicated what John et al (2021) found in their sample of perinatal Women of Color from an urban Scottish health board area. One example of the interaction of systemic inequalities comprised gender inequality, reproductive justice, and vaccine bias [ 34 ]. Amidst inconsistent information about COVID-19 vaccines, our results showed the frequent shaming of pregnant people about whether they would get the vaccine, which was not equally distributed nor well-explained in terms of empirical data.…”

Section: Discussionmentioning

confidence: 99%

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Navigating Pregnancy and the Healthcare System during COVID-19: A Qualitative Study with Perinatal Women of Color

Hoang

Hsieh

Lee

et al. 2022

IJERPH

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Objective: To address health disparities in the perinatal period (i.e., during pregnancy and through one year after birth) by exploring the intersectional experiences of perinatal Black, Indigenous, and other People of Color (BIPOC) women during the COVID-19 pandemic. In this study, participants were asked if and how COVID-19 had impacted their experiences of receiving healthcare, whether they had faced any challenges during this time, how they had navigated these challenges, and what recommendations they had for improving perinatal healthcare. Methods: Between November 2021 and March 2022 our team conducted eight virtual focus groups comprising perinatal BIPOC women. A semi-structured interview protocol was used, and interviews were voice recorded and transcribed verbatim. The data were analyzed using reflexive thematic analysis. Results: Three major themes common in BIPOC perinatal healthcare experiences during COVID-19 were generated through engaging in reflexive thematic analysis: (1) an overwhelming lack of support from providers, (2) experiences of blame and shame, and (3) difficulties navigating institutional policies that were unclear or ever-changing during the COVID-19 pandemic. Recommendations from participants included greater empathic communication from providers in the face of uncertainty during COVID-19, greater access to information and guidance for caring for themselves and their babies, and an overall request for greater compassion while navigating an exciting and busy time. Relevance: These findings have implications for trauma-informed and inclusive perinatal care that can reduce the impacts of systemic inequalities for perinatal BIPOC women. This study offers a discussion of implications for future training for maternal health providers and implications for community-based programs.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Navigating Pregnancy and the Healthcare System during COVID-19: A Qualitative Study with Perinatal Women of Color

Hoang

Hsieh

Lee

et al. 2022

IJERPH

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“…One of the most commonly reported covid-related changes to all forms of service provision in maternity care has been an increase in the use of remote/virtual consultations using telephone or video 4 7 10–18. For example, one recent survey of all 194 obstetric units in England (42% response rate) found that 89% reported using digitally delivered consultation methods in antenatal care and 56.8% for postnatal care 7.…”

Section: Introductionmentioning

confidence: 99%

“…Although remote consultations may now be widespread, the ways in which they can optimally be used in future along maternity care pathways remains unclear. In particular, it is imperative that service innovations do not further exacerbate (and, ideally, should tackle) existing inequalities in service access and clinical outcomes 9 14 23 24. Hence, there is a need for a comprehensive review of the evidence base to inform future service developments and future research 6…”

Section: Introductionmentioning

confidence: 99%

Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol

Evans

Timmons

et al. 2022

BMJ Open

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IntroductionOne of the most commonly reported COVID-19-related changes to all maternity services has been an increase in the use of digital clinical consultations such as telephone or video calling; however, the ways in which they can be optimally used along maternity care pathways remain unclear. It is imperative that digital service innovations do not further exacerbate (and, ideally, should tackle) existing inequalities in service access and clinical outcomes. Using a realist approach, this project aims to synthesise the evidence around implementation of digital clinical consultations, seeking to illuminate how they can work to support safe, personalised and appropriate maternity care and to clarify when they might be most appropriately used, for whom, when, and in what contexts?Methods and analysisThe review will be conducted in four iterative phases, with embedded stakeholder involvement: (1) refining the review focus and generating initial programme theories, (2) exploring and developing the programme theories in light of evidence, (3) testing/refining the programme theories and (4) constructing actionable recommendations. The review will draw on four sources of evidence: (1) published literature (searching nine bibliographic databases), (2) unpublished (grey) literature, including research, audit, evaluation and policy documents (derived from Google Scholar, website searches and e-thesis databases), (3) expertise contributed by service user and health professional stakeholder groups (n=20–35) and (4) key informant interviews (n=12). Included papers will consist of any study design, in English and from 2010 onwards. The review will follow the Realist and Meta-narrative Evidence Synthesis Evolving Standards quality procedures and reporting guidance.Ethics and disseminationEthical approval has been obtained from the University of Nottingham, Faculty of Medicine and Health Sciences Ethics Committee (FMHS 426–1221). Informed consent will be obtained for all key informant interviews. Findings will be disseminated in a range of formats relevant to different audiences.PROSPERO registration numberCRD42021288702.

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“…The “digital divide” (and implications of overcrowded accommodation) became even more significant in a world where work and study were conducted almost entirely online ( Baker et al, 2020 ). These negative experiences will, in turn, exacerbate persistent ethnic inequalities in health ( Bambra et al, 2020 ; John et al, 2021 ; Maddock et al, 2021 ). For example, in the United Kingdom, people in Black, Asian (and “other white”) groups reported poorer mental health and an increased sense of worry following the first pandemic lockdown 1 ( Barnes and Hamilton, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Staying “One Step Ahead of a Racist”: Expanding Understandings of the Experiences of the Covid-19 Pandemic Among People From Minoritized Ethnic Groups Living in Britain

Karlsen

Nelson

2021

Front. Sociol.

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Covid-19 has had a disproportionate impact on those in minoritized ethnic groups. Considerable attention has been given to evidence of ethnic inequalities in rates of infection, hospitalisation, and death. But other ways in which the pandemic experience has been affected by ethnicity have received less consideration. This paper explores the lived experiences of people in different minoritized ethnic groups living in South West England, during the United Kingdom’s first pandemic lockdown, using qualitative data collected from interviews and comments provided on a survey. Perceived positive opportunities for growth were offset by anxiety and stress, which were themselves compounded by an awareness of the additional risks they experienced as members of racialised groups, and a sense that this was being ignored—or intentionally exacerbated—by the British authorities. Frustration with an incompetent and corrupt national Government was intensified by concerns regarding their racist motives. Racism in wider society undermined confidence in key public institutions, such as the NHS and the police, while also producing barriers to informal local-community pandemic responses. Only through recognition of the particular ways in which the pandemic affected those in minoritized ethnic groups, including the multiple and compounding effects of current and historical racism, will it be possible to identify avenues for transformative systemic policy change and opportunities to rebuild trust and a better post-pandemic society for all.

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Exploring ethnic minority women’s experiences of maternity care during the SARS-CoV-2 pandemic: a qualitative study

Cited by 20 publications

References 23 publications

Navigating Pregnancy and the Healthcare System during COVID-19: A Qualitative Study with Perinatal Women of Color

Navigating Pregnancy and the Healthcare System during COVID-19: A Qualitative Study with Perinatal Women of Color

Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol

Staying “One Step Ahead of a Racist”: Expanding Understandings of the Experiences of the Covid-19 Pandemic Among People From Minoritized Ethnic Groups Living in Britain

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