“This year is not about carrying the heaviest burden”- a qualitative study on Black women’s postpartum experiences

There is a growing literature that seeks to understand Black women/birthing people’s postpartum experiences, particularly in the context of structural, political and historical exclusion of Black people in the United States. The overarching goals of this manuscript were to explore Black women’s post...

Full description

Saved in:
Bibliographic Details
Main Authors: Noelene K. Jeffers, Lauren A. Arrington, Ebony Marcelle, Erin C. Snowden, Lauren M. Aslami, Caitlin N. Mensah, Christina X. Marea
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:SSM: Qualitative Research in Health
Online Access:http://www.sciencedirect.com/science/article/pii/S2667321525000149
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850044047074263040
author Noelene K. Jeffers
Lauren A. Arrington
Ebony Marcelle
Erin C. Snowden
Lauren M. Aslami
Caitlin N. Mensah
Christina X. Marea
author_facet Noelene K. Jeffers
Lauren A. Arrington
Ebony Marcelle
Erin C. Snowden
Lauren M. Aslami
Caitlin N. Mensah
Christina X. Marea
author_sort Noelene K. Jeffers
collection DOAJ
description There is a growing literature that seeks to understand Black women/birthing people’s postpartum experiences, particularly in the context of structural, political and historical exclusion of Black people in the United States. The overarching goals of this manuscript were to explore Black women’s postpartum experiences, how racism impacts the postpartum year, and for those insights to reimagine a model of postpartum care that enables Black birthing people to achieve that vision of wellness. We conducted four focus groups with 23 self-identified Black women in the Washington DC metropolitan area who had given birth in the prior two years. Participants attributed the intense overwhelm that characterizes the postpartum period to the historical legacy of slavery, the Jim Crow era, and the enduring “strong Black woman” racial trope. Most participants reported receiving only one postpartum care visit amidst unmet care needs. Structural barriers like transportation, minimal paid leave, and crowded and racially segregated healthcare systems contributed to feelings that postpartum care and wellness were inaccessible. Racist encounters with healthcare providers and fears of family policing sometimes led to care avoidance as a means of mitigating harm while simultaneously motivating attempts to seek racially and culturally concordant care. Participants also shared the ways in which they resisted racism while also rejoicing in mothering and child(ren). Our findings demonstrate an urgent need to reimagine postpartum care to address the enduring impact of the historical context, the manifestations of racism, and the structural ways that postpartum is neglected, while also promoting wellness and joy.
format Article
id doaj-art-e1a898d85801475a8fb6c2d21c2ec00c
institution DOAJ
issn 2667-3215
language English
publishDate 2025-06-01
publisher Elsevier
record_format Article
series SSM: Qualitative Research in Health
spelling doaj-art-e1a898d85801475a8fb6c2d21c2ec00c2025-08-20T02:55:05ZengElsevierSSM: Qualitative Research in Health2667-32152025-06-01710053610.1016/j.ssmqr.2025.100536“This year is not about carrying the heaviest burden”- a qualitative study on Black women’s postpartum experiencesNoelene K. Jeffers0Lauren A. Arrington1Ebony Marcelle2Erin C. Snowden3Lauren M. Aslami4Caitlin N. Mensah5Christina X. Marea6Johns Hopkins University School of Nursing, 525 N.Wolfe Street, Baltimore, MD, 21205, USA; Corresponding author.Georgetown University School of Nursing, St. Mary's Hall, 3700 Reservoir Road, N.W., Washington D.C, 20057-1107, USAGeorgetown University School of Nursing, St. Mary's Hall, 3700 Reservoir Road, N.W., Washington D.C, 20057-1107, USA; Community of Hope, 4 Atlantic St, SW, Washington DC, 20032, USAMamatoto Village, 4315 Sheriff Rd NE, Washington DC, 20019, USAGeorgetown University School of Medicine, 3900 Reservoir Rd NW, Washington DC, 20007, USAJohns Hopkins University School of Nursing, 525 N.Wolfe Street, Baltimore, MD, 21205, USA; Georgetown University School of Nursing, St. Mary's Hall, 3700 Reservoir Road, N.W., Washington D.C, 20057-1107, USA; Georgetown University School of Medicine, 3900 Reservoir Rd NW, Washington DC, 20007, USA; Georgetown University, 3700 O St NW, Washington DC, 20007, USA; Mamatoto Village, 4315 Sheriff Rd NE, Washington DC, 20019, USA; Community of Hope, 4 Atlantic St, SW, Washington DC, 20032, USAGeorgetown University School of Nursing, St. Mary's Hall, 3700 Reservoir Road, N.W., Washington D.C, 20057-1107, USA; Community of Hope, 4 Atlantic St, SW, Washington DC, 20032, USAThere is a growing literature that seeks to understand Black women/birthing people’s postpartum experiences, particularly in the context of structural, political and historical exclusion of Black people in the United States. The overarching goals of this manuscript were to explore Black women’s postpartum experiences, how racism impacts the postpartum year, and for those insights to reimagine a model of postpartum care that enables Black birthing people to achieve that vision of wellness. We conducted four focus groups with 23 self-identified Black women in the Washington DC metropolitan area who had given birth in the prior two years. Participants attributed the intense overwhelm that characterizes the postpartum period to the historical legacy of slavery, the Jim Crow era, and the enduring “strong Black woman” racial trope. Most participants reported receiving only one postpartum care visit amidst unmet care needs. Structural barriers like transportation, minimal paid leave, and crowded and racially segregated healthcare systems contributed to feelings that postpartum care and wellness were inaccessible. Racist encounters with healthcare providers and fears of family policing sometimes led to care avoidance as a means of mitigating harm while simultaneously motivating attempts to seek racially and culturally concordant care. Participants also shared the ways in which they resisted racism while also rejoicing in mothering and child(ren). Our findings demonstrate an urgent need to reimagine postpartum care to address the enduring impact of the historical context, the manifestations of racism, and the structural ways that postpartum is neglected, while also promoting wellness and joy.http://www.sciencedirect.com/science/article/pii/S2667321525000149
spellingShingle Noelene K. Jeffers
Lauren A. Arrington
Ebony Marcelle
Erin C. Snowden
Lauren M. Aslami
Caitlin N. Mensah
Christina X. Marea
“This year is not about carrying the heaviest burden”- a qualitative study on Black women’s postpartum experiences
SSM: Qualitative Research in Health
title “This year is not about carrying the heaviest burden”- a qualitative study on Black women’s postpartum experiences
title_full “This year is not about carrying the heaviest burden”- a qualitative study on Black women’s postpartum experiences
title_fullStr “This year is not about carrying the heaviest burden”- a qualitative study on Black women’s postpartum experiences
title_full_unstemmed “This year is not about carrying the heaviest burden”- a qualitative study on Black women’s postpartum experiences
title_short “This year is not about carrying the heaviest burden”- a qualitative study on Black women’s postpartum experiences
title_sort this year is not about carrying the heaviest burden a qualitative study on black women s postpartum experiences
url http://www.sciencedirect.com/science/article/pii/S2667321525000149
work_keys_str_mv AT noelenekjeffers thisyearisnotaboutcarryingtheheaviestburdenaqualitativestudyonblackwomenspostpartumexperiences
AT laurenaarrington thisyearisnotaboutcarryingtheheaviestburdenaqualitativestudyonblackwomenspostpartumexperiences
AT ebonymarcelle thisyearisnotaboutcarryingtheheaviestburdenaqualitativestudyonblackwomenspostpartumexperiences
AT erincsnowden thisyearisnotaboutcarryingtheheaviestburdenaqualitativestudyonblackwomenspostpartumexperiences
AT laurenmaslami thisyearisnotaboutcarryingtheheaviestburdenaqualitativestudyonblackwomenspostpartumexperiences
AT caitlinnmensah thisyearisnotaboutcarryingtheheaviestburdenaqualitativestudyonblackwomenspostpartumexperiences
AT christinaxmarea thisyearisnotaboutcarryingtheheaviestburdenaqualitativestudyonblackwomenspostpartumexperiences