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Cited by 32

The DOI matches its Crossref record; 45 of the 45 references it cites were found in a registry or an index.

Inside the ‘imperfect mosaic’: Minority ethnic women’s qualitative experiences of race and ethnicity during pregnancy, childbirth, and maternity care in the United Kingdom

Silverio, Sergio A., Varman, Nila, Barry, Zenab, Khazaezadeh, Nina, Rajasingam, Daghni, Magee, Laura A., Matthew, Jacqueline·2023·BMC Public Health
DOI 10.1186/s12889-023-17505-7PMC PMC10734065
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Abstract

Background: Persistent, high rates of maternal mortality amongst ethnic minorities is one of the UK’s starkest examples of racial disparity. With greater risks of adverse outcomes during maternity care, ethnic minority women are subjected to embedded, structural and systemic discrimination throughout the healthcare service. Methods: Fourteen semi-structured interviews were undertaken with minority ethnic women who had recent experience of UK maternity care. Data pertaining to ethnicity and race were subject to iterative, inductive coding, and constant comparison through Grounded Theory Analysis to test a previously established theory: The ‘Imperfect Mosaic’. Analysis & findings: A related theory emerged, comprising four themes: ‘Stopping Short of Agentic Birth’; ‘Silenced and Stigmatised through Tick-Box Care’; ‘Anticipating Discrimination and the Need for Advocacy’; and ‘Navigating Cultural Differences’. The new theory: Inside the ‘Imperfect Mosaic’, demonstrates experiences of those who received maternity care which directly mirrors experiences of those who provide care, as seen in the previous theory we set-out to test. However, the current theory is based on more traditional and familiar notions of racial discrimination, rather than the nuanced, subtleties of socio-demographic-based micro-aggressions experienced by healthcare professionals. Conclusions: Our findings suggest the need for the following actions: Prioritisation of bodily autonomy and agency in perinatal physical and mental healthcare; expand awareness of social and cultural issues (i.e., moral injury; cultural safety) within the NHS; and undertake diversity training and support, and follow-up of translation of the training into practice, across (maternal) health services.

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Crossref · 10.1186/s12889-023-17505-7

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Fig. 1 Stacked Venn Diagram explaining degrees of violence against minority ethnic people N/B. Diagram draws influence from talk by Kilby & Staniforth [51]
Fig. 1 Stacked Venn Diagram explaining degrees of violence against minority ethnic people N/B. Diagram draws influence from talk by Kilby & Staniforth [51]CC BY · PubMed Central

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Citations

Cites

Research works printed but not linked: 8

  1. Knight M, Bunch K, Patel R, Shakespeare J, Kotnis R, Kenyon S, Kurinczuk JJ, editors. On behalf of MBRRACE-UK. Saving lives, improving mothers’ care. Core report: lessons learned to inform maternity care from the UK and Ireland confidential enquiries into maternal deaths and morbidity 2018-20. Oxford: National Perinatal Epidemiology Unit, University of Oxford; 2022.
  2. Awe T, Abe C, Peter M, Wheeler R. The Black maternity experiences survey: a nationwide study of black women’s experiences of maternity services in the United Kingdom. London: Five X More; 2022.
  3. Birthrights. Systemic racism, not broken bodies. An inquiry into racial injustice and human rights in UK maternity care: executive summary. Coventry: Birthrights; 2022.
  4. Gohir S, Invisible. Maternity experiences of Muslim women from racialised minority communities. Birmingham: Muslim Women’s Network UK; 2022.
  5. Green L. Understanding the life course: sociological and psychological perspectives. 2nd ed. Polity Press; 2017.
  6. Glaser BG. The grounded theory perspective: conceptualization contrasted with description. Sociology Press; 2001.
  7. Kilby L, Staniforth L. Gendered Islamophobia in the UK media: The discursive construction of Jihadi brides. The British Psychological Society Psychology of Women and Equalities Section Annual Conference 2023: Windsor, United Kingdom.
  8. World Health Organization. WHO recommendations: Intrapartum Care for a positive Childbirth experience. Geneva: WHO; 2018.

Cited by

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Metadata

Authors
Silverio, S. A., Varman, N., Barry, Z., Khazaezadeh, N., Rajasingam, D., Magee, L. A., & Matthew, J.
ORCID
Venue
BMC Public Health
Publisher
Springer Science and Business Media LLC
Published
2023-12-21
Volume
23
Issue
1
ISSN
1471-2458
DOI
10.1186/s12889-023-17505-7
PMC
PMC10734065
Cited by
32
References
45
Language
en
Licence
Funders
The College of Radiographers (CBRHvaCoRIPS197)

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