Experiences and Perceptions of Maternal Autonomy and Racism Among BIPOC Veterans Receiving Cesarean Sections
Previous studies of pregnant veterans enrolled in Department of Veterans Affairs (VA) care reveal high rates of cesarean sections among racial/ethnic minoritized groups, particularly in southern states. The purpose of this study was to better understand contributors to and veteran perceptions of mat...
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| Veröffentlicht in: | Women's health issues 2024-07, Vol.34 (4), p.429-436 |
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| creator | Mattocks, Kristin Marteeny, Valerie Walker, Lorrie Wallace, Kate Goldstein, Karen M. Deans, Elizabeth Brewer, Erin Bean-Mayberry, Bevanne Kroll-Desrosiers, Aimee |
| description | Previous studies of pregnant veterans enrolled in Department of Veterans Affairs (VA) care reveal high rates of cesarean sections among racial/ethnic minoritized groups, particularly in southern states. The purpose of this study was to better understand contributors to and veteran perceptions of maternal autonomy and racism among veterans receiving cesarean sections.
We conducted semi-structured interviews to understand perceptions of maternal autonomy and racism among 27 Black, Indigenous, People of Color (BIPOC) veterans who gave birth via cesarean section using VA maternity care benefits.
Our study found that a substantial proportion (67%) of veterans had previous cesarean sections, ultimately placing them at risk for subsequent cesarean sections. More than 60% of veterans with a previous cesarean section requested a labor after cesarean (LAC) but were either refused by their provider or experienced complications that led to another cesarean section. Qualitative findings revealed the following: (1) differences in treatment by veterans’ race/ethnicity may reduce maternal agency, (2) many veterans felt unheard and uninformed regarding birthing decisions, (3) access to VA-paid doula care may improve maternal agency for BIPOC veterans during labor and birth, and (4) BIPOC veterans face substantial challenges related to social determinants of health.
Further research should examine veterans’ perceptions of racism in obstetrical care, and the possibility of VA-financed doula care to provide additional labor support to BIPOC veterans. |
| doi_str_mv | 10.1016/j.whi.2024.04.001 |
| format | Article |
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We conducted semi-structured interviews to understand perceptions of maternal autonomy and racism among 27 Black, Indigenous, People of Color (BIPOC) veterans who gave birth via cesarean section using VA maternity care benefits.
Our study found that a substantial proportion (67%) of veterans had previous cesarean sections, ultimately placing them at risk for subsequent cesarean sections. More than 60% of veterans with a previous cesarean section requested a labor after cesarean (LAC) but were either refused by their provider or experienced complications that led to another cesarean section. Qualitative findings revealed the following: (1) differences in treatment by veterans’ race/ethnicity may reduce maternal agency, (2) many veterans felt unheard and uninformed regarding birthing decisions, (3) access to VA-paid doula care may improve maternal agency for BIPOC veterans during labor and birth, and (4) BIPOC veterans face substantial challenges related to social determinants of health.
Further research should examine veterans’ perceptions of racism in obstetrical care, and the possibility of VA-financed doula care to provide additional labor support to BIPOC veterans.</description><identifier>ISSN: 1049-3867</identifier><identifier>ISSN: 1878-4321</identifier><identifier>EISSN: 1878-4321</identifier><identifier>DOI: 10.1016/j.whi.2024.04.001</identifier><identifier>PMID: 38760279</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Black or African American - psychology ; Cesarean Section - psychology ; Decision Making ; Doulas ; Ethnic and Racial Minorities - psychology ; Female ; Humans ; Interviews as Topic ; Perception ; Personal Autonomy ; Pregnancy ; Qualitative Research ; Racism ; United States ; United States Department of Veterans Affairs ; Veterans - psychology</subject><ispartof>Women's health issues, 2024-07, Vol.34 (4), p.429-436</ispartof><rights>2024</rights><rights>Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c305t-9ba84806721db67b852186b6505fe434df0b31e4a2403301f1e287a46b9defac3</cites><orcidid>0000-0002-6012-3008 ; 0000-0002-0026-7499</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.whi.2024.04.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38760279$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mattocks, Kristin</creatorcontrib><creatorcontrib>Marteeny, Valerie</creatorcontrib><creatorcontrib>Walker, Lorrie</creatorcontrib><creatorcontrib>Wallace, Kate</creatorcontrib><creatorcontrib>Goldstein, Karen M.</creatorcontrib><creatorcontrib>Deans, Elizabeth</creatorcontrib><creatorcontrib>Brewer, Erin</creatorcontrib><creatorcontrib>Bean-Mayberry, Bevanne</creatorcontrib><creatorcontrib>Kroll-Desrosiers, Aimee</creatorcontrib><title>Experiences and Perceptions of Maternal Autonomy and Racism Among BIPOC Veterans Receiving Cesarean Sections</title><title>Women's health issues</title><addtitle>Womens Health Issues</addtitle><description>Previous studies of pregnant veterans enrolled in Department of Veterans Affairs (VA) care reveal high rates of cesarean sections among racial/ethnic minoritized groups, particularly in southern states. The purpose of this study was to better understand contributors to and veteran perceptions of maternal autonomy and racism among veterans receiving cesarean sections.
We conducted semi-structured interviews to understand perceptions of maternal autonomy and racism among 27 Black, Indigenous, People of Color (BIPOC) veterans who gave birth via cesarean section using VA maternity care benefits.
Our study found that a substantial proportion (67%) of veterans had previous cesarean sections, ultimately placing them at risk for subsequent cesarean sections. More than 60% of veterans with a previous cesarean section requested a labor after cesarean (LAC) but were either refused by their provider or experienced complications that led to another cesarean section. Qualitative findings revealed the following: (1) differences in treatment by veterans’ race/ethnicity may reduce maternal agency, (2) many veterans felt unheard and uninformed regarding birthing decisions, (3) access to VA-paid doula care may improve maternal agency for BIPOC veterans during labor and birth, and (4) BIPOC veterans face substantial challenges related to social determinants of health.
Further research should examine veterans’ perceptions of racism in obstetrical care, and the possibility of VA-financed doula care to provide additional labor support to BIPOC veterans.</description><subject>Adult</subject><subject>Black or African American - psychology</subject><subject>Cesarean Section - psychology</subject><subject>Decision Making</subject><subject>Doulas</subject><subject>Ethnic and Racial Minorities - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Perception</subject><subject>Personal Autonomy</subject><subject>Pregnancy</subject><subject>Qualitative Research</subject><subject>Racism</subject><subject>United States</subject><subject>United States Department of Veterans Affairs</subject><subject>Veterans - psychology</subject><issn>1049-3867</issn><issn>1878-4321</issn><issn>1878-4321</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1O3DAUha2qqFDaB-gGedlNptc_sR2xGka0RQKB6M_Wcpyb1qMkHuwMLW9fM0NZIl3Jlvydc-WPkA8MFgyY-rRe_PkdFhy4XEAZYK_IETPaVFJw9rrcQTaVMEofkrc5rwGg5jW8IYfCaAVcN0dkOP-7wRRw8pipmzp6g8njZg5xyjT29MrNmCY30OV2jlMcH3bQrfMhj3Q5xukXPbu4uV7Rn1hAV0K36DHch_KwwuwSuol-Q78rfEcOejdkfP90HpMfn8-_r75Wl9dfLlbLy8oLqOeqaZ2RBpTmrGuVbk3NmVGtqqHuUQrZ9dAKhtJxCUIA6xlyo51UbdNh77w4Jh_3vZsU77aYZzuG7HEY3IRxm23ZopQGppuCsj3qU8w5YW83KYwuPVgG9lGyXdsi2T5KtlAGWMmcPNVv2xG758R_qwU43QNYPnkfMNnsd4q7kIoK28XwQv0_s6mMtA</recordid><startdate>20240701</startdate><enddate>20240701</enddate><creator>Mattocks, Kristin</creator><creator>Marteeny, Valerie</creator><creator>Walker, Lorrie</creator><creator>Wallace, Kate</creator><creator>Goldstein, Karen M.</creator><creator>Deans, Elizabeth</creator><creator>Brewer, Erin</creator><creator>Bean-Mayberry, Bevanne</creator><creator>Kroll-Desrosiers, Aimee</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6012-3008</orcidid><orcidid>https://orcid.org/0000-0002-0026-7499</orcidid></search><sort><creationdate>20240701</creationdate><title>Experiences and Perceptions of Maternal Autonomy and Racism Among BIPOC Veterans Receiving Cesarean Sections</title><author>Mattocks, Kristin ; 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The purpose of this study was to better understand contributors to and veteran perceptions of maternal autonomy and racism among veterans receiving cesarean sections.
We conducted semi-structured interviews to understand perceptions of maternal autonomy and racism among 27 Black, Indigenous, People of Color (BIPOC) veterans who gave birth via cesarean section using VA maternity care benefits.
Our study found that a substantial proportion (67%) of veterans had previous cesarean sections, ultimately placing them at risk for subsequent cesarean sections. More than 60% of veterans with a previous cesarean section requested a labor after cesarean (LAC) but were either refused by their provider or experienced complications that led to another cesarean section. Qualitative findings revealed the following: (1) differences in treatment by veterans’ race/ethnicity may reduce maternal agency, (2) many veterans felt unheard and uninformed regarding birthing decisions, (3) access to VA-paid doula care may improve maternal agency for BIPOC veterans during labor and birth, and (4) BIPOC veterans face substantial challenges related to social determinants of health.
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| subjects | Adult Black or African American - psychology Cesarean Section - psychology Decision Making Doulas Ethnic and Racial Minorities - psychology Female Humans Interviews as Topic Perception Personal Autonomy Pregnancy Qualitative Research Racism United States United States Department of Veterans Affairs Veterans - psychology |
| title | Experiences and Perceptions of Maternal Autonomy and Racism Among BIPOC Veterans Receiving Cesarean Sections |
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