More Than a “Number”: Perspectives of Prenatal Care Quality from Mothers of Color and Providers

Coley, Sheryl L.; Zapata, Jasmine Y; Schwei, Rebecca J.; Mihalovic, Glen Ellen; Matabele, Maya N.; Jacobs, Elizabeth A.; Anderson, Cynthie K.

doi:10.1016/j.whi.2017.10.014

Cited by 38 publications

(54 citation statements)

References 30 publications

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“…Previous studies indicate that health information is more easily understood through plain language and audio and visual aids . In the prenatal setting, woman‐centered care that facilitates 2‐way communication between the health care provider and woman is especially important, providing opportunities for women to ask questions when they do not understand information . Findings from this study highlight the need for health care providers to welcome and not discount women's questions in order to facilitate communications and overall satisfaction with the visit.…”

Section: Discussionmentioning

confidence: 83%

“…Participants also reflected on elements that made health information during pregnancy easy or difficult to understand, such as people speak, not doctor speak. Previous studies indicate that health information is more easily understood through plain language and audio and visual aids . In the prenatal setting, woman‐centered care that facilitates 2‐way communication between the health care provider and woman is especially important, providing opportunities for women to ask questions when they do not understand information .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Exploring Women's Experiences in Accessing, Understanding, Appraising, and Applying Health Information During Pregnancy

Vamos

Merrell

Detman

et al. 2019

J Midwife Womens Health

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Introduction: This study explored pregnant women's experiences in accessing, understanding, evaluating, communicating, and using health information and services during pregnancy.Methods: Pregnant participants (aged 18-45 years) were recruited from an obstetrics and gynecology department of a large urban training hospital. Focus groups were facilitated by a moderator's guide developed from health literacy domains (access, understand, evaluate, and communicate and use), audio recorded, transcribed, and uploaded into ATLAS.ti. Constant comparative and thematic analysis were employed.Results: Participants (N = 17) were predominantly Hispanic (53%), married (67%), college educated (87%), employed (80%), insured (100%), and nulliparous (59%). Health care providers and online and digital sources were preferred sources of information. Participants' understanding was facilitated by plain language, pictures and other visuals, numbers and statistics, and tailored information. Participants evaluated information credibility by source (health care provider, advertisement, multiple sources) and personal circumstances (eg, health history, gestational age). In addition, these women used the information to communicate with health care providers, family, and partners and to change health-related behaviors.Discussion: Participants described rich, contextual health literacy experiences. Future interventions that maximize access to health care providers and online and digital sources, while ensuring materials are easy to understand, convenient, and patient centered, could facilitate informed decision making during this critical period. Future prenatal education and counseling interventions could be developed and evaluated using established health literacy principles to ensure that information is accessible, understandable, and actionable.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Exploring Women's Experiences in Accessing, Understanding, Appraising, and Applying Health Information During Pregnancy

Vamos

Merrell

Detman

et al. 2019

J Midwife Womens Health

View full text Add to dashboard Cite

show abstract

“…The current health care system for pregnancy and birth care is made up of multiple layers of service provision, with transitions in location and personnel from prenatal care to labor and birth, and then to postpartum care. Prenatal care has historically emphasized frequent in-person visits, which became a de facto source of social and emotional support for the pregnant person ( Coley et al, 2018 ; Gregory et al, 2020 ; Nicoloro-SantaBarbara et al, 2017 ). In addition, the labor and birth experience in the hospital setting often serves as the apex, magnifying the impact of nursing care on a person’s understanding of and satisfaction with their entire pregnancy experience ( Lyndon et al, 2018 ; Simon et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Where the System Failed: The COVID-19 Pandemic’s Impact on Pregnancy and Birth Care

Altman

Gavin

Eagen-Torkko

et al. 2021

Global Qualitative Nursing Research

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The COVID-19 pandemic created a massive shift in health care systems, including within pregnancy and birth care. To explore how experiences of pregnancy and birth were impacted, 15 patient participants and 14 nurse participants were interviewed and transcripts analyzed using critical thematic analysis. Patients highlighted how adaptations to care were inadequate to meet their needs, a desire for support in response to stress, and the impact of COVID on patients’ experiences. Nurses identified how inconsistencies in policies impacted nurses’ ability to care for patients, the impact on nurses from hospital actions, and the impact on patients from hospital actions. Both groups discussed how system changes had disparate impacts on marginalized communities, leading to racially-biased care. This pandemic will continue to have lasting impact on pregnant and birthing families, and the nurses who care for them, and it is imperative that hospitals examine their role and any potential impacts.

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“…40 Finally, strengthening patient-provider interactions and communication during prenatal visits may facilitate continuity of care, particularly for racial/ethnic minorities. 41 Several innovations that may improve access to prenatal care services among high-risk populations have been tested but are not yet widely adopted. The introduction of group prenatal care visits, more commonly known as Centering-Pregnancy, is the most widely adopted prenatal care innovation in the past 50 years.…”

Section: Implications For Practice And/or Policymentioning

confidence: 99%

The Association between Travel Time and Prenatal Care Attendance

Maldonado¹,

Fryer

Tucker³

et al. 2019

Am J Perinatol

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Objective To evaluate the association between a patient's travel time to clinic and her prenatal care attendance. Study Design We conducted a retrospective cohort study of women (≥18 years) who received prenatal care and delivered at North Carolina Women's Hospital between July 1, 2014, and June 30, 2016 (n = 2,808 women, 24,021 appointments). We queried demographic data from the electronic medical record and calculated travel time with ArcGIS. Multinomial logistic regression models estimated the association between travel time and attendance, adjusted for sociodemographic covariates. Results For every 10 minutes of additional travel time, women were 1.05 (95% confidence interval [CI]: 1.02–1.08, p < 0.001) times as likely to arrive late and 1.03 (95% CI: 1.01–1.04, p < 0.001) times as likely to cancel appointments than arrive on time. Travel time did not significantly affect a patient's likelihood of not showing for appointments. Non-Hispanic black patients were 71% more likely to arrive late and 51% more likely to not show for appointments than non-Hispanic white patients (p < 0.05). Publicly insured women were 28% more likely to arrive late to appointments and 82% more likely to not show for appointments than privately insured women (p < 0.05). Conclusion Changes to transportation availability alone may only modestly affect outcomes compared with strategically improving access for sociodemographically marginalized women.

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More Than a “Number”: Perspectives of Prenatal Care Quality from Mothers of Color and Providers

Cited by 38 publications

References 30 publications

Exploring Women's Experiences in Accessing, Understanding, Appraising, and Applying Health Information During Pregnancy

Exploring Women's Experiences in Accessing, Understanding, Appraising, and Applying Health Information During Pregnancy

Where the System Failed: The COVID-19 Pandemic’s Impact on Pregnancy and Birth Care

The Association between Travel Time and Prenatal Care Attendance

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