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Black Women's Mental Health Needs and Recommendations After Spontaneous Preterm Birth: A Qualitative Study
Abstract
Objective: To ascertain the perspectives and recommendations of Black individuals on their experience of spontaneous preterm birth (sPTB) and its impact on maternal mental health (MMH). Design: Qualitative interview study. Setting: One tertiary hospital in the United States of America. Population: Self‐identified Black women who experienced sPTB between 24w0d and 33w6d of gestation from July 2020 to July 2022; participants were at least 18 years old and English‐speaking. Methods: Using a semi‐structured interview guide grounded in the Sojourner Syndrome and the emancipatory paradigm, we explored perceptions of mental health symptoms, barriers and facilitators to MMH, and recommendations for improvement after sPTB. Data were analysed using modified grounded theory methodology, ensuring rigor through interrater reliability. Main Outcome Measures: Black women's experiences of mental health following sPTB, barriers and facilitators to MMH, and their recommendations for improving MMH after sPTB. Results: Thirteen interviews were completed, averaging 1.5 years post‐delivery. Interrater reliability showed almost perfect coding agreement (mean kappa 0.99 (SD 0.01)). Participants experienced self‐blame, anxiety, isolation, and prolonged duration of mental health symptoms. Dismissiveness, neglect, and medical racism were mental health barriers. Person‐centred care, family‐centred care and racial congruency were mental health facilitators. Participants recommended transparent communication, specialised mental health providers, support groups, and culturally sensitive care to improve MMH. Conclusion: Black women with sPTB endured prolonged mental health sequelae heightened by neglect, dismissiveness, and medical racism. Participants recommended implementing family‐centred, transparent care models with cultural sensitivity, support groups, and specialised mental health providers as ways to improve postpartum mental health.
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“These issues negatively impact how women feel they can advocate for themselves and their babies, both during their care and afterwards [21,22]”
From The birth trauma earthquake: A qualitative investigation of first-time mothers who perceived their birth as traumatic (2026) · cites this paper as [22]
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Cited by
Sorted by citations
Bailey, E. C., Barry, Z., Buabeng, R., Fellows, R. E., Khazaezadeh, N., Rajasingam, D., Silverio, S. A., & Sheen, K. S. (2026) · Women and Birth · doi:10.1016/j.wombi.2026.102171
Metadata
- Authors
- Zakama, A. K., Mengesha, M., Momplaisir, F., Lewey, J., & Debbink, M. P.
- Affiliations
- Department of Obstetrics and Gynecology University of Utah School of Medicine Salt Lake USA
- Department of Outpatient Family Practice University of Pennsylvania Perelman School of Medicine Philadelphia USA
- Department of Medicine, Division of Infectious Diseases University of Pennsylvania Perelman School of Medicine Philadelphia USA
- Leonard Davis Institute of Health Economics University of Pennsylvania Philadelphia Pennsylvania USA
- ORCID
- Zakama, Arthurine K.
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 2025-03-24
- Volume
- 132
- Issue
- 13
- Pages
- 2064-2076
- ISSN
- 1470-0328
- 1471-0528
- PMC
- PMC12429447
- Cited by
- 3
- References
- 5
- Language
- en
- Funders
- University of Pennsylvania
- National Institute of Nursing Research
- March of Dimes Foundation
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