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More Than a "Number": Perspectives of Prenatal Care Quality from Mothers of Color and Providers.
Womens Health Issues. 2018 Mar - Apr; 28(2):158-164.WH

Abstract

INTRODUCTION

African American mothers and other mothers of historically underserved populations consistently have higher rates of adverse birth outcomes than White mothers. Increasing prenatal care use among these mothers may reduce these disparities. Most prenatal care research focuses on prenatal care adequacy rather than concepts of quality. Even less research examines the dual perspectives of African American mothers and prenatal care providers. In this qualitative study, we compared perceptions of prenatal care quality between African American and mixed race mothers and prenatal care providers.

METHODS

Prenatal care providers (n = 20) and mothers who recently gave birth (n = 19) completed semistructured interviews. Using a thematic analysis approach and Donabedian's conceptual model of health care quality, interviews were analyzed to identify key themes and summarize differences in perspectives between providers and mothers.

FINDINGS

Mothers and providers valued the tailoring of care based on individual needs and functional patient-provider relationships as key elements of prenatal care quality. Providers acknowledged the need for knowing the social context of patients, but mothers and providers differed in perspectives of "culturally sensitive" prenatal care. Although most mothers had positive prenatal care experiences, mothers also recalled multiple complications with providers' negative assumptions and disregard for mothers' options in care.

CONCLUSIONS

Exploring strategies to strengthen patient-provider interactions and communication during prenatal care visits remains critical to address for facilitating continuity of care for mothers of color. These findings warrant further investigation of dual patient and provider perspectives of culturally sensitive prenatal care to address the service needs of African American and mixed race mothers.

Links

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Authors+Show Affiliations

Coley SL
Health Disparities Research Scholars Program, University of Wisconsin Madison, Madison, Wisconsin; Department of Medicine, University of Wisconsin Madison, Madison, Wisconsin. Electronic address: scoley2@wisc.edu.
Zapata JY
Department of Pediatrics, University of Wisconsin Madison, Madison, Wisconsin; Preventive Medicine and Public Health Residency Program, University of Wisconsin Madison, Madison, Wisconsin.
Schwei RJ
Department of Medicine, University of Wisconsin Madison, Madison, Wisconsin; BerbeeWalsh Department of Emergency Medicine, University of Wisconsin Madison, Madison, Wisconsin.
Mihalovic GE
Department of Medicine, University of Wisconsin Madison, Madison, Wisconsin.
Matabele MN
Department of Medicine, University of Wisconsin Madison, Madison, Wisconsin; University of Wisconsin Milwaukee, Milwaukee, Wisconsin.
Jacobs EA
Department of Medicine, University of Wisconsin Madison, Madison, Wisconsin; Dell Medical School, University of Texas Austin, Austin, Texas.
Anderson CK
Department of Obstetrics & Gynecology, University of Wisconsin Madison, Madison, Wisconsin.

MeSH

AdultBlack or African AmericanCommunicationFemaleHealthcare DisparitiesHumansMothersPerceptionPregnancyPrenatal CareProfessional-Patient RelationsQualitative ResearchQuality of Health CareVulnerable Populations

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

29208354

Citation

Coley, Sheryl L., et al. "More Than a "Number": Perspectives of Prenatal Care Quality From Mothers of Color and Providers." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 28, no. 2, 2018, pp. 158-164.
Coley SL, Zapata JY, Schwei RJ, et al. More Than a "Number": Perspectives of Prenatal Care Quality from Mothers of Color and Providers. Womens Health Issues. 2018;28(2):158-164.
Coley, S. L., Zapata, J. Y., Schwei, R. J., Mihalovic, G. E., Matabele, M. N., Jacobs, E. A., & Anderson, C. K. (2018). More Than a "Number": Perspectives of Prenatal Care Quality from Mothers of Color and Providers. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 28(2), 158-164. https://doi.org/10.1016/j.whi.2017.10.014
Coley SL, et al. More Than a "Number": Perspectives of Prenatal Care Quality From Mothers of Color and Providers. Womens Health Issues. 2018 Mar - Apr;28(2):158-164. PubMed PMID: 29208354.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - More Than a "Number": Perspectives of Prenatal Care Quality from Mothers of Color and Providers. AU - Coley,Sheryl L, AU - Zapata,Jasmine Y, AU - Schwei,Rebecca J, AU - Mihalovic,Glen Ellen, AU - Matabele,Maya N, AU - Jacobs,Elizabeth A, AU - Anderson,Cynthie K, Y1 - 2017/12/06/ PY - 2017/02/28/received PY - 2017/10/19/revised PY - 2017/10/25/accepted PY - 2017/12/7/pubmed PY - 2018/7/24/medline PY - 2017/12/7/entrez SP - 158 EP - 164 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 28 IS - 2 N2 - INTRODUCTION: African American mothers and other mothers of historically underserved populations consistently have higher rates of adverse birth outcomes than White mothers. Increasing prenatal care use among these mothers may reduce these disparities. Most prenatal care research focuses on prenatal care adequacy rather than concepts of quality. Even less research examines the dual perspectives of African American mothers and prenatal care providers. In this qualitative study, we compared perceptions of prenatal care quality between African American and mixed race mothers and prenatal care providers. METHODS: Prenatal care providers (n = 20) and mothers who recently gave birth (n = 19) completed semistructured interviews. Using a thematic analysis approach and Donabedian's conceptual model of health care quality, interviews were analyzed to identify key themes and summarize differences in perspectives between providers and mothers. FINDINGS: Mothers and providers valued the tailoring of care based on individual needs and functional patient-provider relationships as key elements of prenatal care quality. Providers acknowledged the need for knowing the social context of patients, but mothers and providers differed in perspectives of "culturally sensitive" prenatal care. Although most mothers had positive prenatal care experiences, mothers also recalled multiple complications with providers' negative assumptions and disregard for mothers' options in care. CONCLUSIONS: Exploring strategies to strengthen patient-provider interactions and communication during prenatal care visits remains critical to address for facilitating continuity of care for mothers of color. These findings warrant further investigation of dual patient and provider perspectives of culturally sensitive prenatal care to address the service needs of African American and mixed race mothers. SN - 1878-4321 UR - https://www.unboundmedicine.com/medline/citation/29208354/More_Than_a_"Number":_Perspectives_of_Prenatal_Care_Quality_from_Mothers_of_Color_and_Providers_ DB - PRIME DP - Unbound Medicine ER -