Medicaid, motherhood, and the challenges of having a healthy pregnancy amidst changing social networks
Medicaid, motherhood, and the challenges of having a healthy pregnancy amidst changing social networks
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DOI：
10.1016/j.wombi.2019.06.010
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发表时间：
2020-05-01
期刊：
影响因子：
3.8
通讯作者：
Dalstrom, Matthew
中科院分区：
文献类型：
--
作者：
Dalstrom, Matthew
背景：低收入的非裔美国妇女在健康怀孕方面面临着各种挑战。意外怀孕往往会加剧这些挑战，并对女性获得所需护理的能力产生负面影响。研究表明，社交网络可以帮助女性应对和解决她们面临的问题，从而改善妊娠结局。然而，关于意外怀孕如何影响非裔美国女性获得的医疗和社会支持的研究很少。 目的：本研究探讨了意外怀孕如何影响女性的社交网络以及她们在整个怀孕期间所需的支持类型。 设计和样本：这项人种学研究包括 20 名在美国卫生部门使用怀孕服务的非裔美国女性。十四名妇女在妊娠早期或中期参与了这项研究，并在入组后、妊娠晚期以及分娩后一个月内接受了采访。另外六名妇女在分娩后一个月内接受了采访。结果：非裔美国妇女的需求和社会支持网络在整个怀孕期间发生了变化。当医疗服务提供者主要在妊娠前三个月提供怀孕信息并向社会服务机构转介时，妇女在怀孕后期遇到的问题就没有得到妥善解决。结论：在怀孕期间需要多次获得社会支持。应在整个怀孕期间提供怀孕资源，认识到社会支持和个人斗争在怀孕期间不断变化。 (c) 2019 年澳大利亚助产士学院。由爱思唯尔有限公司出版。保留所有权利。
Background: African American women with low income face various challenges to having a healthy pregnancy. Unplanned pregnancies often amplify those challenges and negatively impact women's ability to get the care that she needs. Research has shown that social networks can improve pregnancy outcomes by helping women cope with and address the problems that they face. However, there is little research on how unintended pregnancy impacts the medical and social support that African American women receive.Aim: This research explored how unintended pregnancies impact women's social networks and the type of support that they need throughout the pregnancy.Design and sample: This ethnographic study included 20 African American women who used pregnancy services at a health department in the United States. Fourteen women were enrolled in the study during their first or second trimester and were interviewed upon enrollment, in their third trimester, and within one month of giving birth. An additional six women were enrolled and interviewed within one month of giving birth.Results: African American women's needs and social support networks change throughout their pregnancy. When medical providers primarily offer pregnancy information and referrals to social service agencies during the first trimester, problems that women have later in the pregnancy are not properly addressed.Conclusion: Social support needs to be accessed at multiple times during the pregnancy. Pregnancy resources should be provided throughout the pregnancy, recognizing that social support and personal struggles evolve during the pregnancy. (c) 2019 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.