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Experiencing maternity care: the care received and perceptions of women from different ethnic groups

BACKGROUND: According to the Office for National Statistics, approximately a quarter of women giving birth in England and Wales are from minority ethnic groups. Previous work has indicated that these women have poorer pregnancy outcomes than White women and poorer experience of maternity care, somet...

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Autores principales: Henderson, Jane, Gao, Haiyan, Redshaw, Maggie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3854085/
https://www.ncbi.nlm.nih.gov/pubmed/24148317
http://dx.doi.org/10.1186/1471-2393-13-196
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author Henderson, Jane
Gao, Haiyan
Redshaw, Maggie
author_facet Henderson, Jane
Gao, Haiyan
Redshaw, Maggie
author_sort Henderson, Jane
collection PubMed
description BACKGROUND: According to the Office for National Statistics, approximately a quarter of women giving birth in England and Wales are from minority ethnic groups. Previous work has indicated that these women have poorer pregnancy outcomes than White women and poorer experience of maternity care, sometimes encountering stereotyping and racism. The aims of this study were to examine service use and perceptions of care in ethnic minority women from different groups compared to White women. METHODS: Secondary analysis of data from a survey of women in 2010 was undertaken. The questionnaire asked about women’s experience of care during pregnancy, labour and birth, and the postnatal period, as well as demographic factors. Ethnicity was grouped into eight categories: White, Mixed, Indian, Pakistani, Bangladeshi, Black Caribbean, Black African, and Other ethnicity. RESULTS: A total of 24,319 women completed the survey. Compared to White women, women from minority ethnic groups were more likely to be younger, multiparous and without a partner. They tended to access antenatal care later in pregnancy, have fewer antenatal checks, fewer ultrasound scans and less screening. They were less likely to receive pain relief in labour and, Black African women in particular, were more likely to deliver by emergency caesarean section. Postnatally, women from minority ethnic groups had longer lengths of hospital stay and were more likely to breastfeed but they had fewer home visits from midwives. Throughout their maternity care, women from minority ethnic groups were less likely to feel spoken to so they could understand, to be treated with kindness, to be sufficiently involved in decisions and to have confidence and trust in the staff. CONCLUSION: Women in all minority ethnic groups had a poorer experience of maternity services than White women. That this was still the case following publication of a number of national policy documents and local initiatives is a cause for concern.
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spelling pubmed-38540852013-12-07 Experiencing maternity care: the care received and perceptions of women from different ethnic groups Henderson, Jane Gao, Haiyan Redshaw, Maggie BMC Pregnancy Childbirth Research Article BACKGROUND: According to the Office for National Statistics, approximately a quarter of women giving birth in England and Wales are from minority ethnic groups. Previous work has indicated that these women have poorer pregnancy outcomes than White women and poorer experience of maternity care, sometimes encountering stereotyping and racism. The aims of this study were to examine service use and perceptions of care in ethnic minority women from different groups compared to White women. METHODS: Secondary analysis of data from a survey of women in 2010 was undertaken. The questionnaire asked about women’s experience of care during pregnancy, labour and birth, and the postnatal period, as well as demographic factors. Ethnicity was grouped into eight categories: White, Mixed, Indian, Pakistani, Bangladeshi, Black Caribbean, Black African, and Other ethnicity. RESULTS: A total of 24,319 women completed the survey. Compared to White women, women from minority ethnic groups were more likely to be younger, multiparous and without a partner. They tended to access antenatal care later in pregnancy, have fewer antenatal checks, fewer ultrasound scans and less screening. They were less likely to receive pain relief in labour and, Black African women in particular, were more likely to deliver by emergency caesarean section. Postnatally, women from minority ethnic groups had longer lengths of hospital stay and were more likely to breastfeed but they had fewer home visits from midwives. Throughout their maternity care, women from minority ethnic groups were less likely to feel spoken to so they could understand, to be treated with kindness, to be sufficiently involved in decisions and to have confidence and trust in the staff. CONCLUSION: Women in all minority ethnic groups had a poorer experience of maternity services than White women. That this was still the case following publication of a number of national policy documents and local initiatives is a cause for concern. BioMed Central 2013-10-22 /pmc/articles/PMC3854085/ /pubmed/24148317 http://dx.doi.org/10.1186/1471-2393-13-196 Text en Copyright © 2013 Henderson et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Henderson, Jane
Gao, Haiyan
Redshaw, Maggie
Experiencing maternity care: the care received and perceptions of women from different ethnic groups
title Experiencing maternity care: the care received and perceptions of women from different ethnic groups
title_full Experiencing maternity care: the care received and perceptions of women from different ethnic groups
title_fullStr Experiencing maternity care: the care received and perceptions of women from different ethnic groups
title_full_unstemmed Experiencing maternity care: the care received and perceptions of women from different ethnic groups
title_short Experiencing maternity care: the care received and perceptions of women from different ethnic groups
title_sort experiencing maternity care: the care received and perceptions of women from different ethnic groups
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3854085/
https://www.ncbi.nlm.nih.gov/pubmed/24148317
http://dx.doi.org/10.1186/1471-2393-13-196
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