Murphy Laura, Liu Fuqin, Keele Rebecca, Spencer Becky, Kistner Ellis Kathleen, Sumpter Danica
Nurs Womens Health. 2022 Dec;26(6):462-472. doi: 10.1016/j.nwh.2022.09.008. Epub 2022 Oct 31.
To synthesize the current body of evidence regarding the perinatal experiences of Black women.
The databases PubMed, the Cumulative Index of Nursing and Allied Health Literature (CINAHL), and Scopus were searched with the search terms "African American" (in PubMed), "Black" (in Scopus), or "Black" OR "African American" (in CINAHL) AND "pregnancy" AND "experiences."
Searches yielded 266 articles published between January 2015 and May 2021. After initial screening, 68 articles were assessed for eligibility, yielding 23 studies that met the inclusion criteria of this review.
Studies were reviewed for the perinatal experiences of Black women. Nonresearch articles, systematic reviews, and instrument development articles were removed. Also excluded were articles with a focus on adolescent pregnancy, breastfeeding experiences, and those outside of the perinatal time frame.
Analysis showed that Black women continue to report negative experiences in perinatal care and that these negative experiences spanned various sociodemographic characteristics. Although some Black women described positive interactions, many more expressed dissatisfaction with the lack of education, resources, and continuity in care, as well as poor communication. Additionally, experiences of racism and biases in care, mistrust in the health care system, and doubts of the efficacy or necessity of medical treatments exist.
Negative perinatal care experiences and dissatisfaction among Black women remain common. Although Black women desire more holistic, naturalistic, and empowering care, Black women first want safe, respectful care and a health care team that removes biases and racism from its system. More research is needed that includes the voices of Black women to understand these experiences and to develop interventions to improve the perinatal care experience. Nurses and other health care providers providing care in the perinatal period must also listen to, trust, and respect Black women.
综合当前有关黑人女性围产期经历的证据。
使用搜索词“非裔美国人”（在PubMed中）、“黑人”（在Scopus中）或“黑人”或“非裔美国人”（在CINAHL中）以及“怀孕”和“经历”对数据库PubMed、护理及相关健康文献累积索引（CINAHL）和Scopus进行检索。
检索得到2015年1月至2021年5月发表的266篇文章。初步筛选后，评估了68篇文章的 eligibility，产生了23项符合本综述纳入标准的研究。
对研究黑人女性围产期经历的文章进行审查。排除非研究文章、系统评价和工具开发文章。还排除了关注青少年怀孕、母乳喂养经历以及围产期时间框架之外的文章。
分析表明，黑人女性在围产期护理中继续报告负面经历，这些负面经历跨越各种社会人口学特征。虽然一些黑人女性描述了积极的互动，但更多人对缺乏教育、资源和护理连续性以及沟通不畅表示不满。此外，存在护理中的种族主义和偏见经历、对医疗保健系统的不信任以及对治疗效果或必要性的怀疑。
黑人女性围产期护理的负面经历和不满仍然很常见。虽然黑人女性希望获得更全面、自然主义和赋权的护理，但黑人女性首先想要安全、尊重的护理以及一个从其系统中消除偏见和种族主义的医疗保健团队。需要更多包括黑人女性声音的研究，以了解这些经历并制定改善围产期护理体验的干预措施。在围产期提供护理的护士和其他医疗保健提供者也必须倾听、信任和尊重黑人女性。
