College of Medicine, University of Arkansas for Medical Sciences Northwest, 2708 S. 48th St., Springdale, AR 72762, USA.
College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Ave, Fayetteville, AR 72701, USA.
Int J Environ Res Public Health. 2023 Feb 23;20(5):3949. doi: 10.3390/ijerph20053949.
Pacific Islander communities experience significant maternal and infant health disparities including high maternal and infant mortality. Contraception and reproductive life planning prevent approximately one-third of pregnancy-related deaths and neonatal deaths. We report the results of formative research devoted to understanding Marshallese mothers' as well as their maternal healthcare providers' practices and influences related to contraceptive use and reproductive life planning. This study used an exploratory, descriptive qualitative design to explore Marshallese mothers' and maternal healthcare providers' practices and influences of contraception use and reproductive life planning. Twenty participants were enrolled in the study, 15 Marshallese mothers and five Marshallese maternal healthcare providers. For the Marshallese mothers, two themes emerged: (1) Reproductive Life Planning Practices and Information; and (2) Reproductive Life Planning Influences. For the Marshallese maternal healthcare providers, two themes emerged: (1) Reproductive Life Planning Practices; and (2) Reproductive Life Planning Influences. This is the first study to document Marshallese mothers' and maternal healthcare providers' practices and influences with contraceptive use and reproductive life planning. Study results will inform the development of a culturally-adapted contraception and reproductive life planning tool with an educational program for Marshallese family units and maternal healthcare providers serving Marshallese women.
太平洋岛民社区在母婴健康方面存在显著差异，包括高孕产妇和婴儿死亡率。避孕和生殖生活规划可预防约三分之一与妊娠相关的死亡和新生儿死亡。我们报告了一项形成性研究的结果，该研究致力于了解马绍尔群岛母亲及其母婴保健提供者在避孕和生殖生活规划方面的实践和影响。这项研究采用了探索性、描述性的定性设计，以探讨马绍尔群岛母亲及其母婴保健提供者在避孕和生殖生活规划方面的实践和影响。研究共招募了 20 名参与者，其中 15 名是马绍尔群岛母亲，5 名是马绍尔群岛母婴保健提供者。对于马绍尔群岛的母亲，有两个主题出现：（1）生殖生活规划实践和信息；（2）生殖生活规划影响。对于马绍尔群岛的母婴保健提供者，有两个主题出现：（1）生殖生活规划实践；（2）生殖生活规划影响。这是第一项记录马绍尔群岛母亲及其母婴保健提供者在避孕和生殖生活规划方面的实践和影响的研究。研究结果将为制定一种文化适应性的避孕和生殖生活规划工具以及针对马绍尔群岛家庭单位和为马绍尔群岛妇女提供服务的母婴保健提供者的教育计划提供信息。
