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. 2022 Jul;78(7):2175-2190.
doi: 10.1111/jan.15233. Epub 2022 Mar 24.

Black, Asian and minority ethnic women's experiences of maternity services in the UK: A qualitative evidence synthesis

Jennifer MacLellan  1 , Sarah Collins  2 , Margaret Myatt  3 , Catherine Pope  1 , Wanja Knighton  4 , Tanvi Rai  1
Affiliations

Black, Asian and minority ethnic women's experiences of maternity services in the UK: A qualitative evidence synthesis

Jennifer MacLellan et al. J Adv Nurs. 2022 Jul.

Abstract

Aims: Black, Asian and minority ethnic women are at higher risk of dying during pregnancy, childbirth and postnatally and of experiencing premature birth, stillbirth or neonatal death compared with their White counterparts. Discrimination against women from ethnic minorities is known to negatively impact women's ability to speak up, be heard and their experiences of care. This evidence synthesis analysed Black, Asian and minority ethnic women's experiences of UK maternity services in light of these outcomes.

Design: We conducted a systematic review and qualitative evidence synthesis using the method of Thomas and Harden.

Data sources: A comprehensive search in AMED, Cinahl, Embase, Medline, PubMed and PsycINFO, alongside research reports from UK maternity charities, was undertaken from 2000 until May 2021. Eligible studies included qualitative research about antenatal, intrapartum and postnatal care, with ethnic minority women in maternity settings of the UK NHS.

Review methods: Study quality was graded using the Critical Appraisal Skills Programme tool.

Results: Twenty-four studies met the inclusion criteria. Our synthesis highlights how discriminatory practices and communication failures in UK NHS maternity services are failing ethnic minority women.

Conclusion: This synthesis finds evidence of mistreatment and poor care for ethnic minority women in the UK maternity system that may contribute to the poor outcomes reported by MBRRACE. Woman-centred midwifery care is reported as positive for all women but is often experienced as an exception by ethnic minority women in the technocratic birthing system.

Impact: Ethnic minority women report positive experiences when in receipt of woman-centred midwifery care. Woman-centred midwifery care is often the exception in the overstretched technocratic UK birthing system. Mistreatment and poor care reported by many ethnic minority women in the UK could inform the inequalities of outcomes identified in the MBRRACE report.

Keywords: UK; ethnic minority; literature review; maternity; meta-synthesis.

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Conflict of interest statement

The authors report no financial or personal interests.

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References

    1. Ali, N. (2004). Experiences of maternity services: Muslim Women's perspectives. The Maternity Alliance. https://www.maternityaction.org.uk/wp
    1. Alshawish, E. , Marsden, J. , Yeowell, G. , & Wibberley, C. (2013). Investigating access to and use of maternity health‐care services in the UK by Palestinian women. British Journal of Midwifery, 21, 571–577.
    1. American Medical Association (AMA) AMA adopts guidelines that confront systemic racism in medicine. Press release. 2021. https://www.ama‐assn.org/press‐center/press‐releases/ama‐adopts‐guidelin...
    1. Aquino, M. R. , Edge, D. , & Smith, D. M. (2015). Pregnancy as an ideal time for intervention to address the complex needs of black and minority ethnic women: Views of British midwives. Midwifery, 31, 373–379. 10.1016/j.midw.2014.11.006 - DOI - PubMed
    1. Atkins, S. , Lewin, S. , Smith, H. , Engel, M. , Fretheim, A. , & Volmink, J. (2008). Conducting a meta‐ethnography of qualitative literature: Lessons learnt. BMC Medical Research Methodology, 8, 21. 10.1186/1471-2288-8-21 - DOI - PMC - PubMed

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