Research in Childbirth and Health (ReaCH), School of Community Health and Midwifery University of Central Lancashire, Brook Building, Preston PR1 2HE, UK.
Maternal and Infant Nutrition and Nurture (MAINN), School of Community Health and Midwifery University of Central Lancashire, UK.
Women Birth. 2018 Oct;31(5):e341-e347. doi: 10.1016/j.wombi.2017.12.010. Epub 2018 Jan 19.
The persistence of health inequalities in pregnancy and infancy amongst vulnerable/marginalised groups in the UK.
During pregnancy and early motherhood some women experience severe and multiple psychosocial and economic disadvantages that negatively affect their wellbeing and make them at increased risk of poor maternal and infant health outcomes.
To explore vulnerable/marginalised women's views and experiences of receiving targeted support from a specialist midwifery service and/or a charity.
A mixed-methods study was undertaken that involved analysis of routinely collected birth-related/outcome data and interviews with a sample of vulnerable/marginalised women who had/had not received targeted support from a specialist midwifery service and/or a charity. In this paper we present in-depth insights from the 11 women who had received targeted support.
Four key themes were identified; 'enabling needs-led care and support', 'empowering through knowledge, trust and acceptance', 'the value of a supportive presence' and 'developing capabilities, motivation and confidence'.
Support provided by a specialist midwifery service and/or charity improved the maternity and parenting experiences of vulnerable/marginalised women. This was primarily achieved by developing a provider-woman relationship built on mutual trust and understanding and through which needs-led care and support was provided - leading to improved confidence, skills and capacities for positive parenting and health.
The collaborative, multiagency, targeted intervention provides a useful model for further research and development. It offers a creative, salutogenic and health promoting approach to provide support for the most vulnerable/marginalised women as they make the journey into parenthood.
在英国，弱势群体/边缘群体在怀孕和婴儿期仍然存在健康不平等现象。
在怀孕和早期母亲阶段，一些女性经历严重且多种的社会心理和经济劣势，这对她们的幸福感产生负面影响，并使她们面临更高的不良母婴健康结局风险。
探讨弱势/边缘群体女性对从专门助产服务和/或慈善机构获得有针对性支持的看法和体验。
进行了一项混合方法研究，其中包括对常规收集的与分娩相关/结局数据进行分析，并对一组曾/未曾从专门助产服务和/或慈善机构获得有针对性支持的弱势/边缘群体女性进行了访谈。在本文中，我们介绍了从 11 名接受过有针对性支持的女性中获得的深入见解。
确定了四个关键主题；“使需求导向的护理和支持成为可能”、“通过知识、信任和接纳赋予权力”、“支持性存在的价值”和“发展能力、动力和信心”。
专门的助产服务和/或慈善机构提供的支持改善了弱势/边缘群体女性的孕产经历。这主要是通过建立在相互信任和理解基础上的提供者与女性之间的关系来实现的，通过这种关系提供需求导向的护理和支持，从而提高积极育儿和健康的信心、技能和能力。
协作的、多机构的、有针对性的干预为进一步的研究和发展提供了一个有用的模式。它提供了一种富有创意、有益健康的方法，为最弱势/边缘群体的女性提供支持，帮助她们在成为父母的过程中成长。
