“They Need to Know the Science, but We also Need to Listen”: Perspectives of Black Rural Postpartum Mothers’ Health Care Providers And Support Persons

Background: In the United States, Black women are three times more likely to be affected by maternal mortality than White women. People who live in rural areas also face an increased risk. The objective of this study was to explore the perspectives of Black postpartum women’s support persons and hea...

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Main Authors: Natalie Hernandez-Green, Morgan V. Davis, Kaitlyn Hernandez-Spalding, Merna S. Beshara, Oluyemi Farinu, Kennedy Lewis, Sherilyn Francis, LeThenia Joy Baker, Sherrell Byrd, Andrea Parker, Rasheeta Chandler
Format: Article
Language:English
Published: Mary Ann Liebert 2024-12-01
Series:Health Equity
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Online Access:https://www.liebertpub.com/doi/10.1089/heq.2024.0051
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author Natalie Hernandez-Green
Morgan V. Davis
Kaitlyn Hernandez-Spalding
Merna S. Beshara
Oluyemi Farinu
Kennedy Lewis
Sherilyn Francis
LeThenia Joy Baker
Sherrell Byrd
Andrea Parker
Rasheeta Chandler
author_facet Natalie Hernandez-Green
Morgan V. Davis
Kaitlyn Hernandez-Spalding
Merna S. Beshara
Oluyemi Farinu
Kennedy Lewis
Sherilyn Francis
LeThenia Joy Baker
Sherrell Byrd
Andrea Parker
Rasheeta Chandler
author_sort Natalie Hernandez-Green
collection DOAJ
description Background: In the United States, Black women are three times more likely to be affected by maternal mortality than White women. People who live in rural areas also face an increased risk. The objective of this study was to explore the perspectives of Black postpartum women’s support persons and health care providers, and the impact of race and rurality on their roles, to inform the development of a mobile health (mHealth) application focused on postpartum transitional care for rural Black women. Methods: Utilizing a semistructured designed discussion guide, we conducted four focus groups between July 2021 and October 2021. We asked support persons and health care providers to share their opinions about (1) postpartum needs, (2) the current hospital discharge process, (3) gender discrimination and experiences of racism and classism, and (4) suggestions for mobile application development. Results: Ten health care providers and seven support persons participated in the focus groups. A total of 57.1% of support persons identified themselves as a family member of the mother. In addition, 60% of health care providers indicated they practiced in a rural area at the time. Identified themes included race and rurality, emotional health, participants’ roles in relation to mothers’ needs, and the importance of technology for accessing information and resources. Conclusion: When describing their personal experiences, participants emphasized the importance of mHealth technology for helping Black postpartum mothers access health information. Insight from support persons and health care providers highlighted the challenges Black rural mothers face during the postpartum period and how our mobile application can be best utilized to address their needs.
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spelling doaj-art-98facbe7916a4c8eb7148a133618f5d52025-08-20T02:58:58ZengMary Ann LiebertHealth Equity2473-12422024-12-018156857710.1089/heq.2024.0051“They Need to Know the Science, but We also Need to Listen”: Perspectives of Black Rural Postpartum Mothers’ Health Care Providers And Support PersonsNatalie Hernandez-Green0Morgan V. Davis1Kaitlyn Hernandez-Spalding2Merna S. Beshara3Oluyemi Farinu4Kennedy Lewis5Sherilyn Francis6LeThenia Joy Baker7Sherrell Byrd8Andrea Parker9Rasheeta Chandler10Morehouse School of Medicine, Atlanta, Georgia, USA.Morehouse School of Medicine, Atlanta, Georgia, USA.Morehouse School of Medicine, Atlanta, Georgia, USA.Morehouse School of Medicine, Atlanta, Georgia, USA.Morehouse School of Medicine, Atlanta, Georgia, USA.Emory University, Atlanta, Georgia, USA.Georgia Institute of Technology, Atlanta, Georgia, USA.Wellstar West Georgia Medical Center, LaGrange, Georgia, USA.SOWEGA Rising Coalition, Albany, Georgia, USA.Georgia Institute of Technology, Atlanta, Georgia, USA.Emory University, Atlanta, Georgia, USA.Background: In the United States, Black women are three times more likely to be affected by maternal mortality than White women. People who live in rural areas also face an increased risk. The objective of this study was to explore the perspectives of Black postpartum women’s support persons and health care providers, and the impact of race and rurality on their roles, to inform the development of a mobile health (mHealth) application focused on postpartum transitional care for rural Black women. Methods: Utilizing a semistructured designed discussion guide, we conducted four focus groups between July 2021 and October 2021. We asked support persons and health care providers to share their opinions about (1) postpartum needs, (2) the current hospital discharge process, (3) gender discrimination and experiences of racism and classism, and (4) suggestions for mobile application development. Results: Ten health care providers and seven support persons participated in the focus groups. A total of 57.1% of support persons identified themselves as a family member of the mother. In addition, 60% of health care providers indicated they practiced in a rural area at the time. Identified themes included race and rurality, emotional health, participants’ roles in relation to mothers’ needs, and the importance of technology for accessing information and resources. Conclusion: When describing their personal experiences, participants emphasized the importance of mHealth technology for helping Black postpartum mothers access health information. Insight from support persons and health care providers highlighted the challenges Black rural mothers face during the postpartum period and how our mobile application can be best utilized to address their needs.https://www.liebertpub.com/doi/10.1089/heq.2024.0051mHealthpostpartumBlack womenmaternal health disparitiesrural healthmental health
spellingShingle Natalie Hernandez-Green
Morgan V. Davis
Kaitlyn Hernandez-Spalding
Merna S. Beshara
Oluyemi Farinu
Kennedy Lewis
Sherilyn Francis
LeThenia Joy Baker
Sherrell Byrd
Andrea Parker
Rasheeta Chandler
“They Need to Know the Science, but We also Need to Listen”: Perspectives of Black Rural Postpartum Mothers’ Health Care Providers And Support Persons
Health Equity
mHealth
postpartum
Black women
maternal health disparities
rural health
mental health
title “They Need to Know the Science, but We also Need to Listen”: Perspectives of Black Rural Postpartum Mothers’ Health Care Providers And Support Persons
title_full “They Need to Know the Science, but We also Need to Listen”: Perspectives of Black Rural Postpartum Mothers’ Health Care Providers And Support Persons
title_fullStr “They Need to Know the Science, but We also Need to Listen”: Perspectives of Black Rural Postpartum Mothers’ Health Care Providers And Support Persons
title_full_unstemmed “They Need to Know the Science, but We also Need to Listen”: Perspectives of Black Rural Postpartum Mothers’ Health Care Providers And Support Persons
title_short “They Need to Know the Science, but We also Need to Listen”: Perspectives of Black Rural Postpartum Mothers’ Health Care Providers And Support Persons
title_sort they need to know the science but we also need to listen perspectives of black rural postpartum mothers health care providers and support persons
topic mHealth
postpartum
Black women
maternal health disparities
rural health
mental health
url https://www.liebertpub.com/doi/10.1089/heq.2024.0051
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