School of Health, Te Herenga Waka-Victoria University of Wellington, PO Box 600, Wellington 6140, New Zealand.
Health Promot Int. 2023 Apr 1;38(2). doi: 10.1093/heapro/daad014.
A transformative approach to maternal health promotion should be mother-centred, context-driven and grounded in lived experiences. Health promotion can achieve this by drawing on its disciplinary roots to extend and reorient maternal health promotion towards an approach of non-stigmatizing and equitable health promotion that has mothers' well-being at the centre, particularly giving credit to marginalized, 'non-normative' maternities. This article draws on data from 18 workshops EN conducted across Aotearoa New Zealand, including 268 maternal health stakeholders. Drawing on design thinking, participants reimagined what a maternal health promotion approach informed by the Ottawa Charter action areas could comprise. The five themes included building connected systems close to home, developing mothering/parenting skills, addressing upstream determinants, mother-centred care and funding, and creating a collective mothering village. We discuss how these areas could better meet the unique challenges of transitioning to motherhood. Rather than focussing only on individual behaviours, many ideas reveal broader environmental and structural determinants. We link the themes to current literature and advance the agenda for centring the maternal in maternal health promotion.
促进孕产妇健康应采用以母亲为中心、注重背景和立足于实际经验的转变性方法。健康促进可以通过借鉴其学科根源，将孕产妇健康促进扩展和重新定位为一种非污名化和公平的健康促进方法，将母亲的福祉置于中心地位，特别是要为边缘化的、“非规范”的生育方式赋予应有的荣誉。本文利用在新西兰奥克兰开展的 18 次研讨会（EN）的数据，包括 268 名孕产妇健康利益相关者。参与者运用设计思维重新构想了以渥太华宪章行动领域为指导的孕产妇健康促进方法可能包括哪些内容。五个主题包括：建立离家近的互联系统、发展育儿技能、解决上游决定因素、以母亲为中心的护理和资金以及创建一个集体的母亲村。我们讨论了这些领域如何更好地应对向母亲身份过渡的独特挑战。许多想法不仅关注个人行为，还揭示了更广泛的环境和结构决定因素。我们将这些主题与当前文献联系起来，并推进以孕产妇为中心的孕产妇健康促进议程。
