创伤性分娩和产科种族主义的交叉点:一种定性研究
Amelia Dmowska1, Priya Fielding-Singh2, Jodi Halpern1
1University of California Berkeley and University of California San Francisco Joint Medical Program, Berkeley, California, USA.
Birth (Berkeley, Calif.)
|October 18, 2023
概括
产科种族主义对黑人,拉丁裔和亚裔母亲的创伤性分娩经历产生重大影响,导致负面的心理健康结果和不信任. 解决种族偏见和加强患者主动性对于改善孕产妇护理至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 健康和疾病的社会学
- 健康 公平 卫生 公平
背景情况:
- 创伤性分娩影响了相当一部分美国母亲,但研究往往忽视了各种种族和民族经历.
- 现有的研究主要集中在白人母亲身上,在了解有色人种母亲的经历方面存在差距.
研究的目的:
- 探索美国黑人,拉丁裔和亚裔母亲的创伤性分娩经历.
- 调查产科种族主义在塑造这些创伤性分娩经历中的作用.
主要方法:
- 使用深入的,半结构化的访谈进行的定性探索性研究.
- 采访了30位有色人种 (黑人,拉丁裔,亚裔) 母亲,她们自称经历了创伤性的分娩经历.
- 使用定性内容分析来解释数据.
主要成果:
- 产科种族主义被认为是创伤性分娩经历的核心.
- 种族主义通过性别和种族化刻板印象表现出来,使母亲的需求无效.
- 后果包括产后焦虑/抑郁,对医生的不信任,以及对未来怀孕的欲望减少.
结论:
- 产科种族主义,特别是通过刻板印象,显著影响了母亲在分娩期间的治疗.
- 研究结果表明,需要解决产科种族主义问题,以改善患者主动性和赋权.
- 建议包括加强实践者在反种族主义实践和文化谦卑方面的培训.
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