A Mixed-Methods Analysis and Personal Narratives of Black Maternal Health Experiences in the American Healthcare System

TL;DR

This study explores the maternal health experiences of Black women in the U.S., highlighting disparities and advocating for systemic changes to reduce maternal mortality.

Contribution

The novel contribution is the integration of personal narratives and mixed-methods analysis to amplify Black women's voices in maternal health discourse.

Findings

Survey and interview data revealed a spectrum of maternal care experiences among Black women.

Participants highlighted insufficient care and systemic inequities impacting maternal health outcomes.

Personal narratives emphasized the need for culturally appropriate interventions and advocacy.

Abstract

Purpose

The growing disparities and vulnerabilities in healthcare have contributed to alarmingly high maternal mortality rates for Black/African American women. In the United States, the maternal mortality rate is exponentially higher than that of other industrialized nations. Furthermore, within this nation, Black women face a disproportionately greater risk of maternal death. Therefore, blending the knowledge from these realities, it is evident that the immense number of women dying in our industrialized nation, compared to others, are primarily Black women. With knowledge of this devastating disparity, the fundamental objective of this project is to provide a voice for the Black/African American individuals whose lives are claimed prematurely due to systemic health disparities and lack of quality care. Our study aims to learn more intimate and personal recollections of the birthing experiences of Black/African American women as they are currently the most vulnerable.

Method

From June to December 2023, a mixed-methods study was conducted that included a quantitative questionnaire, which received 60 responses. Fourteen of those participants also took part in the qualitative portion, consisting of four interview groups that provided more insights into their experiences.

Results

This paper presents the mixed-method findings from both the questionnaire and interview groups, which revealed a spectrum of experiences. The survey results were analyzed and categorized as either sufficient care or insufficient care necessitating improvement. Additionally, participants provided intimate details through written and verbal responses, which have been illuminating.

Conclusion

Ultimately, prioritizing the voices of Black women through a patient-centered approach to addressing maternal mortality highlights the need for culturally appropriate interventions, enhanced healthcare education, and strengthened advocacy. These efforts are essential in creating a more equitable system that improves maternal health outcomes and reduces racial inequities.

Figures