Department of Health Services Research, NIHR CLAHRC North West Coast. Institute of Psychology, Health and Society, University of Liverpool, Waterhouse Building, Brownlow street, Liverpool, L69 3GL, England.
Faculty of Education, Health and Community. Public Health Institute, Liverpool John Moores University, Liverpool, England.
BMC Pregnancy Childbirth. 2019 May 6;19(1):156. doi: 10.1186/s12884-019-2302-y.
Muslim women of child-bearing age make up a fair part of the UK society, however, literature addressing their health needs or experiences of health services have not been extensively researched. The term 'Muslim' is often combined with ethnic group identity, rather than used to refer to people distinguished by beliefs or affiliations. Muslim women commonly observe certain religious and cultural practices during their maternity journey. The little research there is in this area suggests that more could be done from a service provision perspective to support Muslim women through this significant life event. The aim of this study was to investigate Muslim women's perceived needs and the factors that influence their health seeking decisions when engaging with maternity services located in North-West of England.
The study used longitudinal semi-structured interviews with seven English-speaking first-time pregnant Muslim women receiving maternity care in North-West of England. Total of 21 interview; each woman was interviewed during the antenatal (29 to 40 weeks of pregnancy), immediate postnatal (within the first 2 months after birth) and later postnatal (4 months after birth) period. Audio-recorded interviews were transcribed and thematically analysed using Braun & Clark (2006) as a guide to forming a systematic approach to handling raw data.
Muslim women associated most aspects of the maternity journey with their religious beliefs. Religion was not the primary reason for them becoming pregnant, yet it was an aspiration for them becoming mothers. Emerging themes include: 1) a spiritual perspective; 2) expression of religious requirements; 3) perceptions of healthcare professionals. Religious values and practices provided a positive resource for women during their maternity journey. They described how healthcare professionals approached their needs, while highlighting their concerns of the negative presentation of Muslims in Western media.
Muslim women need to feel confident to express their needs within a maternity setting. Lack of awareness amongst healthcare professionals around religious values and how Muslim women may feel when expressing their needs can inhibit them getting optimal care that acknowledges their needs. The study concludes that educating healthcare professionals about Muslim women's worldview would enhance the quality of maternity care for Muslim women.
处于生育年龄的穆斯林女性在英国社会中占有相当一部分比例,然而,针对她们的健康需求或对医疗服务的体验的文献研究却并不充分。“穆斯林”一词通常与族群身份联系在一起,而不是用来指信仰或归属不同的人。穆斯林女性在生育期间通常会遵守某些宗教和文化习俗。在这个领域的研究很少,这表明从服务提供的角度来看,可以做更多的工作来支持穆斯林女性度过这一重要的人生事件。本研究旨在调查穆斯林女性在参与位于英格兰西北部的产妇服务时,对其健康需求的认知以及影响其寻求健康决策的因素。
本研究采用纵向半结构式访谈的方法,对 7 名在英格兰西北部接受产妇护理的英语母语初产妇穆斯林女性进行了研究。每位女性在产前(怀孕 29 至 40 周)、产后即刻(分娩后 2 个月内)和产后后期(分娩后 4 个月)接受了访谈。采访内容被录音并转录,然后采用 Braun 和 Clark(2006)的主题分析法进行分析,形成一种处理原始数据的系统方法。
穆斯林女性将产妇服务之旅的大部分方面都与她们的宗教信仰联系在一起。宗教并不是她们怀孕的主要原因,但成为母亲是她们的愿望。出现的主题包括:1)精神视角;2)表达宗教要求;3)对医疗保健专业人员的看法。宗教价值观和实践为女性在生育之旅中提供了积极的资源。她们描述了医疗保健专业人员如何满足她们的需求,同时强调了她们对穆斯林在西方媒体中负面形象的担忧。
穆斯林女性需要有信心在产妇服务环境中表达自己的需求。医疗保健专业人员对宗教价值观的认识不足,以及穆斯林女性在表达自己的需求时可能感到的不适,可能会妨碍她们获得承认自己需求的最佳护理。该研究得出的结论是,教育医疗保健专业人员了解穆斯林女性的世界观,将提高穆斯林女性的产妇护理质量。