The social pregnancy interaction model: conceptualizing cognitive, social and cultural barriers to prenatal care

Campbell, James D.; Stanford, Joseph B.; Ewigman, Bernard

doi:10.1016/s1068-8595(96)80018-3

Cited by 5 publications

(5 citation statements)

References 32 publications

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“…Community sensitisation is a process where information is conveyed to the general population and which routinely precedes health interventions. However, the information provided is not always clear 2–23 . In Nigeria, unclear information on the inclusion criteria for preventive chemotherapy for onchocerciasis resulted in 47% of 264 nursing mothers unnecessarily excluding themselves from treatment 24 .…”

Section: Discussionmentioning

confidence: 99%

“…Health workers are often sceptical of women’s ability to recognise an early pregnancy, understand health messages or make reasoned decisions about their health, especially when the women are illiterate or if they live in rural areas 9,10 . Yet, all cultures assign special status to the pregnant woman, and women make health‐related decisions based on their own experiences, expectations and fears concerning pregnancy, as well as a sense of how their circumstances fit with social norms 11 . A woman’s pregnancy is a common topic for gossip, which is not idle, but is purposeful talk that maintains moral values and circumscribes female behaviour 12–14 .…”

Section: Introductionmentioning

confidence: 99%

“…9,10 Yet, all cultures assign special status to the pregnant woman, and women make health-related decisions based on their own experiences, expectations and fears concerning pregnancy, as well as a sense of how their circumstances fit with social norms. 11 A woman's pregnancy is a common topic for gossip, which is not idle, but is purposeful talk that maintains moral values and circumscribes female behaviour. [12][13][14] Women who feel threatened by a suspected or unwanted pregnancy may ignore pregnancy signs or delay seeking information or pregnancy confirmation.…”

Section: Introductionmentioning

confidence: 99%

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The right to remain silent: a qualitative study of the medical and social ramifications of pregnancy disclosure for Gambian women

Stokes

Dumbaya

Owens

et al. 2008

BJOG

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Objectives Control of infectious diseases in developing countries often requires using drugs that are contraindicated during pregnancy. Avoiding inadvertent exposure to drugs involves women (a) recognising pregnancy early, (b) disclosing the pregnancy to health workers and (c) using medicines in an informed manner. We explored these factors to inform and improve the process by which health workers provide care and treatment to pregnant women.Design Qualitative study.Setting The Gambia.Population Rural women and men.Methods We conducted 41 interviews and 16 focus group discussions with women, adolescents, men and traditional birth attendants (TBAs).Main outcome measure Pregnancy disclosure.Results Most women recognised early signs and symptoms of pregnancy and believed other people could easily do so. To avoid gossip, women hid their pregnancies and delayed antenatal care, even though husbands and TBAs insisted on attendance. Women acutely ill in early pregnancy hoped health workers would recognise pregnancy without explicit disclosure. Women said that they knew, and sought to avoid, some contraindicated drugs, but their knowledge was rudimentary. Health workers stressed the benefits, not the risks of prescribed drugs.Conclusions Despite public health and clinical benefits of preventing and treating pregnancy infections, women were ill informed and pressurised into taking drugs. These ethical issues should be more widely addressed.Keywords Antenatal care, drugs, Gambia, informed decisionmaking, pregnancy.Please cite this paper as: Stokes E, Dumbaya I, Owens S, Brabin L. The right to remain silent: a qualitative study of the medical and social ramifications of pregnancy disclosure for Gambian women.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The right to remain silent: a qualitative study of the medical and social ramifications of pregnancy disclosure for Gambian women

Stokes

Dumbaya

Owens

et al. 2008

BJOG

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“…Reponses on the items were summed into a prenatal care barriers index, which ranges from 0–11 (Cronbach’s Alpha = 0.761). Overall, these 11 items encompass a wide range of barriers broadly defined, which encompass structural, cognitive, and knowledge-based issues that have been found to inhibit women from getting adequate prenatal care in prior literature [ 45 , 46 , 47 ].…”

Section: Methodsmentioning

confidence: 99%

Incarceration Exposure and Barriers to Prenatal Care in the United States: Findings from the Pregnancy Risk Assessment Monitoring System

Testa

Jackson

2020

IJERPH

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Previous research demonstrates that exposure to incarceration during pregnancy – either personally or vicariously through a partner – worsens parental care. However, little is known about the specific barriers to parental care that are associated with incarceration exposure. Using data from the Pregnancy Risk Assessment Monitoring System (years 2009–2016), the current study examines the relationship between exposure to incarceration during pregnancy and barriers to prenatal care in the United States. Negative binomial and logistic regression models were used to assess the association between the recent incarceration of a woman or her partner (i.e., incarceration that occurred in the 12 months prior to the focal birth) and several barriers to prenatal care. Findings indicate that exposure to incarceration, either personally or vicariously through a partner, increases the overall number of barriers to prenatal care and this association operates through several specific barriers including a lack of transportation to doctor’s appointments, having difficulty finding someone to take care of her children, being too busy, keeping pregnancy a secret, and a woman not knowing she was pregnant. Policies designed to help incarceration exposed women overcome these barriers can potentially yield benefits for enhancing access to parental care.

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“…Of course, pregnancy and childbirth play a special cultural and religious role for women (Ricci, 2016). They decide to change their behaviors depending on their beliefs (Darvill, Skirton, & Farrand, 2010; Fontenot, 2007; Gualdani & Pegoli, 2014), which are mostly about the care of the unborn child (Campbell, Stanford, & Ewigman, 1996; Groth & Morrison-Beedy, 2013; Reyes, Klotz, & Herring, 2013). With the progression of pregnancy, and as an innate inclination, the desire to nurture and protect the unborn child leads to maternal effort to care for her unborn child (Yarcheski, Mahon, Yarcheski, Hanks, & Cannella, 2009).…”

mentioning

confidence: 99%

Maternal care for spiritual health of unborn child during pregnancy: A qualitative study with content analysis approach.

Narenji¹,

Nahidi²,

Ebadi³

et al. 2018

Spirituality in Clinical Practice

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Unborn child spirituality is a subject that has little regard in research. The purpose of this study is to explain the experiences of mothers regarding the spiritual well-being of their child during pregnancy. In a qualitative study, with purposive and easy sampling, 48 semistructured and in-depth interviews were conducted with 39 women who were pregnant or had recent experience of successful pregnancy. Data analysis was done using a conventional content analysis approach. The results showed that Iranian mothers were trying to protect the spiritual health of their unborn child during pregnancy by interacting with God, avoiding sin and forbidden food, and improving their behavior and verbal and nonverbal communication with the fetus. According to the findings, the health of unborn child, like its mother may be affected by physical, mental, social, and spiritual aspects. Much more research is needed.

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The social pregnancy interaction model: conceptualizing cognitive, social and cultural barriers to prenatal care

Cited by 5 publications

References 32 publications

The right to remain silent: a qualitative study of the medical and social ramifications of pregnancy disclosure for Gambian women

The right to remain silent: a qualitative study of the medical and social ramifications of pregnancy disclosure for Gambian women

Incarceration Exposure and Barriers to Prenatal Care in the United States: Findings from the Pregnancy Risk Assessment Monitoring System

Maternal care for spiritual health of unborn child during pregnancy: A qualitative study with content analysis approach.

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