Experiences with infant mortality as reported by middle class black American women: In their own words
Item
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Title
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Experiences with infant mortality as reported by middle class black American women: In their own words
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Identifier
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d_2009_2013:7031092700c4:10498
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identifier
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10735
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Creator
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Paisley-Cleveland, Lisa,
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Contributor
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Miriam Abramovitz
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Date
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2010
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Language
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English
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Publisher
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City University of New York.
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Subject
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Social work | Obstetrics | Womens studies | Black | Disparity | Infant | Mortailty | Stress | Women
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Abstract
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The issue of Black Infant Mortality (BIM) appears to mirror the findings of disparities in poor health care and poor medical outcomes for minorities in the United States. The BIM rate of (13.3) is almost twice for all women (6.7) and more than twice the rate for white women (5.6). The BIM disparity holds even when variables such as income, education, and marital status are similar. This study explored the lived experience of infant loss through in-depth interviews with eight black-American middle-class women. It aimed to understand the contributing factors present among middle class black women, which could help in understanding the adverse birth outcomes for the target group studied.;All of the women revealed experiences with stress, from the time of pre-conception and throughout the entire pregnancy, although they gave little recognition to the negative affects of such stress on their medical health or the health of their unborn fetus. Coping mechanisms linked to a racial history, influenced the concept of self-expectation and responses to stress.;The presence of medical markers, a prominent theme, should be useful in the prevention of adverse pregnancy outcomes, if addressed. The role of race was implicated in quality of care issues, imbedded in medical views influenced by the prevalence of adverse birth outcomes for black women. The lack of timely medical tests to rule out the presence of a medical diagnosis was a probable consequence of such views.;In this study, an unexpected finding was that the majority of the fathers had a family history of premature births and infant loss.
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Type
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dissertation
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Source
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2009_2013.csv
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degree
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Ph.D.
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Program
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Social Welfare
