Summarizing recommendations to eliminate weight stigma in prenatal health care settings: A scoping review

2020 ◽  
Vol 103 (11) ◽  
pp. 2214-2223
Author(s):  
Taniya S. Nagpal ◽  
Rebecca H. Liu ◽  
Laura Gaudet ◽  
Jocelynn L. Cook ◽  
Kristi B. Adamo
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
Weight Stigma ◽  
Prenatal Health ◽  
Health Care Settings ◽  
Prenatal Health Care

scholarly journals Understanding Prenatal Health Care for American Indian Women in a Northern Plains Tribe

2011 ◽  
Vol 23 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Jessica D. Hanson
Keyword(s):  
Health Care ◽  
Prenatal Care ◽  
American Indian ◽  
Qualitative Interviews ◽  
Northern Plains ◽  
American Indian Women ◽  
Indian Women ◽  
Prenatal Health ◽  
Health Care Experiences ◽  
Prenatal Health Care

Early and regular prenatal care appointments are imperative for the health of both the mother and baby to help prevent complications associated with pregnancy and birth. American Indian women are especially at risk for health disparities related to pregnancy and lack of prenatal health care. Previous research has outlined a basic understanding of the reasons for lack of prenatal care for women in general; however, little is known about care received by pregnant women at Indian Health Service hospitals. Qualitative interviews were carried out with 58 women to better understand the prenatal health experiences of American Indian women from one tribe in the Northern Plains. Several themes related to American Indian women’s prenatal health care experiences were noted, including communication barriers with physicians, institutional barriers such as lack of continuity of care, and sociodemographic barriers. Solutions to these barriers, such as a nurse midwife program, are discussed.

scholarly journals Knowledge of prenatal health care among Costa Rican and Panamanian women

2008 ◽  
Vol 23 (6) ◽  
pp. 369-376
Author(s):  
William Harold Guilford ◽  
Kara Elizabeth Downs ◽  
Trevor Joseph Royce
Keyword(s):  
Health Care ◽  
Costa Rican ◽  
Prenatal Health ◽  
Prenatal Health Care

scholarly journals Using Text Messaging to Improve Access to Prenatal Health Information in Urban African American and Afro-Caribbean Immigrant Pregnant Women: Mixed Methods Analysis of Text4baby Usage

10.2196/14737 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e14737 ◽  
Author(s):  
Tenya M Blackwell ◽  
LeConte J Dill ◽  
Lori A Hoepner ◽  
Laura A Geer
Keyword(s):  
Health Care ◽  
African American ◽  
Mixed Methods ◽  
Pregnant Women ◽  
Health Information ◽  
Behavioral Intent ◽  
Prenatal Health ◽  
Intent To Use ◽  
Prenatal Health Care

Background The Text4baby (T4B) mobile health (mHealth) program is acclaimed to provide pregnant women with greater access to prenatal health care, resources, and information. However, little is known about whether urban African American and Afro-Caribbean immigrant pregnant women in the United States are receptive users of innovative health communication methods or of the cultural and systematic barriers that inhibit their behavioral intent to use T4B. Objective This study aimed to understand the lived experiences of urban African American and Afro-Caribbean immigrant pregnant women with accessing quality prenatal health care and health information; to assess usage of mHealth for seeking prenatal health information; and to measure changes in participants’ knowledge, perceptions, and behavioral intent to use the T4B mHealth educational intervention. Methods An exploratory sequential mixed methods study was conducted among pregnant women and clinical professionals for a phenomenological exploration with focus groups, key informants, interviews, and observations. Qualitative themes were aligned with behavioral and information technology communications theoretical constructs to develop a survey instrument used. repeated-measures pre- and post-test design to evaluate changes in participants’ knowledge, attitudes, and beliefs, of mHealth and T4B after a minimum of 4 weeks’ exposure to the text message–based intervention. Triangulation and mixing of both qualitative and quantitative data occurred primarily during the survey development and also during final analysis. Results A total of 9 women participated in phase 1, and 49 patients signed up for T4B and completed a 31-item survey at baseline and again during follow-up. Three themes were identified: (1) patient-provider engagement, (2) social support, and (3) acculturation. With time as a barrier to quality care, inadequate patient-provider engagement left participants feeling indifferent about the prenatal care and information they received in the clinical setting. Of 49 survey participants, 63% (31/49) strongly agreed that T4B would provide them with extra support during their pregnancy. On a Likert scale of 1 to 5, participants’ perception of the usefulness of T4B ranked at 4.26, and their perception of the compatibility and relative advantage of using T4B ranked at 4.41 and 4.15, respectively. At follow-up, there was a 14% increase in participants reporting their intent to use T4B and a 28% increase from pretest and posttest in pregnant women strongly agreeing to speak more with their doctor about the information learned through T4B. Conclusions Urban African American and Afro-Caribbean immigrant pregnant women in Brooklyn endure a number of social and ecological determinants like low health literacy, income, and language that serve as barriers to accessing quality prenatal health care and information, which negatively impacts prenatal health behaviors and outcomes. Our study indicates a number of systematic, political, and other microsystem-level factors that perpetuate health inequities in our study population.

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