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Perspectivas profesionales sobre las barreras para acceder a la atención de maternidad en Inglaterra: un estudio

Kerry Brennan-Tovey¹, Kausiki Sarma², Dafni Lima³

¹Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. Kerry.brennan-tovey@newcastle.ac.uk.

BMC pregnancy and childbirth

|February 10, 2026

Resumen

Los profesionales de la salud perciben barreras estructurales, interactivas e individuales que impiden que las mujeres embarazadas de bajos ingresos accedan a la atención de maternidad. Las soluciones incluyen herramientas digitales y vales de viaje para mejorar el acceso de las madres vulnerables.

Área de la Ciencia:

Salud Materna Salud Materna.
Salud Pública La salud pública.
Sociología Sociología Sociología.

Sus antecedentes:

Las mujeres de bajos ingresos en Inglaterra se enfrentan a mayores riesgos de muerte fetal, parto prematuro y mortalidad materna.
La desventaja socioeconómica limita el acceso a los servicios esenciales de salud y atención durante el embarazo.
Las barreras incluyen un bajo conocimiento de la salud, la exclusión digital y el pobre apoyo social.

Objetivo del estudio:

Explorar la comprensión de los profesionales de la salud de las barreras que enfrentan las mujeres embarazadas de bajos ingresos para acceder a la atención de maternidad.
Identificar cómo los factores socioeconómicos influyen en el compromiso con los servicios de maternidad.
Informar estrategias para mejorar el acceso equitativo a la atención.

Principales métodos:

Estudio cualitativo utilizando entrevistas semiestructuradas con 17 profesionales de la salud (parteras, visitantes de salud, profesionales de VCSE).
Participantes reclutados a través de muestreo de bola de nieve a propósito en el noreste de Inglaterra.
Análisis temático de datos anónimos, guiado por la teoría de sistemas ecológicos.

Principales resultados:

Los profesionales identificaron tres niveles de barreras: estructural (exclusión digital, lenguaje, personal), interaccional (redes sociales limitadas, racismo) e individual (costos de viaje, miedo a los profesionales).
La exclusión digital y las barreras lingüísticas fueron desafíos estructurales significativos.
Las barreras individuales incluyeron limitaciones financieras y temor al juicio de los proveedores de atención médica.

Conclusiones:

Los profesionales de la salud perciben importantes barreras al acceso a la atención de maternidad para las mujeres embarazadas de bajos ingresos.
Es crucial abordar el idioma, el apoyo social, los costos de viaje y las relaciones profesionales.
Las recomendaciones incluyen la implementación de teléfonos inteligentes reciclados, aplicaciones de traducción digital y vales de viaje para mejorar el acceso.

Palabras clave:

Acceso de acceso de acceso de acceso.Barreras de las barreras.Maternidad y maternidad.Pobreza La pobreza es la pobreza.Los profesionales son profesionales.

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