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Understanding Low-Income African American Women's Expectations, Preferences, and Priorities in Prenatal Care

2015; Lippincott Williams & Wilkins; Volume: 38; Issue: 2 Linguagem: Inglês

10.1097/fch.0000000000000066

1550-5057

Brownsyne Tucker Edmonds, Marjie Mogul, Judy A. Shea,

Grief, Bereavement, and Mental Health

We aimed to explore factors affecting prenatal care attendance and preferences for prenatal care experiences among low-income black women by conducting a focus group study using a community-based participatory research framework and nominal group technique. Discussions were audiorecorded, transcribed, and coded by trained reviewers. Friends/family and baby's health were the top attendance motivators. Greatest barriers were insurance, transportation, and ambivalence. Facilitators included transportation services, social support, and resource education. In a "perfect system," women wanted continuity of care, personal connection, and caring/respect from providers. Relationship-centered maternity care models may mitigate disparities. Group prenatal care may provide the continuity and support system desired.