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A Community-Informed Maternal and Infant Health Needs Assessment in Alabama
Holly Horan1, Emily Locke2, Lilanta Joy Bradley3
1Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 176F, 10360E, 619 19th ST South, Birmingham, AL, 35249, USA. hhoran@uabmc.edu.
Maternal and Child Health Journal
|September 30, 2024
Summary
Maternal mortality in Alabama is a crisis. This study found a need for respectful, collaborative perinatal care, highlighting patient-provider disconnects and advocating for improved care models to address poor outcomes.
Area of Science:
- Public Health
- Maternal Health
- Healthcare Quality
Background:
- Maternal mortality is a critical global public health issue.
- Alabama faces a high maternal mortality rate, necessitating local, evidence-based solutions.
- Limited data exists on frontline perspectives regarding maternal care in Alabama.
Purpose of the Study:
- To conduct a qualitative, statewide assessment of maternal and infant health.
- To identify challenges and solutions from physicians, providers, and birthing persons.
- To address the state's poor perinatal health outcomes.
Main Methods:
- A four-phase research design was employed.
- Data collection included semi-structured interviews and focus groups (January 2020-October 2021).
- Consensus coding and thematic analysis were used for data interpretation.
Main Results:
- Three key themes emerged from 59 participants.
- "A disconnect between perinatal healthcare services and patient needs" was identified.
- Limitations in providing respectful care and the need for collaborative care models were highlighted.
Conclusions:
- Participants recommended a collaborative perinatal healthcare model.
- Emphasis was placed on respectful, quality perinatal care.
- The study's approach can support contextually relevant maternity care practices.
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