"他们不相信我":探索黑人妇女的产周护理经验,死产丧生
Dorian S Odems1, Na'Tasha Evans2, Lucinda Canty3
1Department of Human Ecology, University of California, Davis, Davis, California.
概括
经历死产的黑人妇女报告了不充分和不尊重的护理,突出了围产支持和悲伤护理的系统性问题. 解决产科种族主义问题对于改善结果和满足悲伤的黑人母亲的需求至关重要.
科学领域:
- 围产期健康 围产期健康
- 生殖健康公平性 生殖健康公平性
- 孕产妇的发病率和死亡率
背景情况:
- 黑人女性面临着不成比例的高死产率,是白人和亚洲女性的两倍.
- 现有的研究强调了黑人妇女在怀孕和分娩期间的歧视性医疗遭遇.
- 关于黑人妇女死产的经历的研究有限,特别是关于产科种族主义的研究.
研究的目的:
- 描述经历过死产的黑人妇女的产周护理经历.
- 了解产科种族主义对死产丧生的影响.
- 为了确定对丧亲的黑人母亲的照顾和支持的系统性缺陷.
主要方法:
- 在俄俄州东北部对15名经历过死产的黑人妇女进行了半结构化采访.
- 参与者年龄在18岁或以上,居住在一个大都市县.
- 采访成绩单被分析使用描述性编码和主题分析在Dedoose.
主要成果:
- 五个主题出现了:不充分的护理,不充分的悲伤支持,忽视,不尊重提供者,以及提供者缺乏同情心.
- 在丧失期间遭受虐待的经历影响了产后护理的决策.
- 提供者无效参与者的损失,并无视他们的情感福祉.
结论:
- 调查结果显示,医院对经历死产的黑人妇女的支持和护理存在系统性缺陷.
- 干预措施必须解决产科种族主义问题,并加强服务,以满足悲伤的黑人妇女和家庭的需求.
- 未来的研究应该专注于改善围产期护理公平性和对这一弱势群体的支持.
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