Exploring ethnic minority women’s experiences of maternity care during
the SARS-CoV-2 pandemic: a qualitative study
Abstract
Objective: To explore ethnic minority women’s experiences of maternity
care during the SARS-CoV-2 pandemic. Design: Qualitative study.
Population: Sixteen Black, Asian and Minority Ethnic women who were
pregnant, or had delivered within 6 weeks prior to interview in a
predominantly urban Scottish health board area. Methods: Thematic
analysis of semi-structured in-depth interviews. Results Four themes
were identified: ‘communication’, ‘interactions with health care
professionals’, ‘racism’ and ‘the pandemic effect’. Each theme had
relevant sub-themes. ‘Communication’ encompassed respect, accent bias,
language barrier and cultural dissonance; ‘interactions with health care
professionals’: continuity of care, empathy, informed decision making
and dissonance with other health care systems; ‘racism’ was deemed to be
institutional, interpersonal and internalised; and ‘the pandemic effect’
consisted of isolation, psychological impact and barriers to access of
care. Main outcome measures: To explore the experiences of pregnancy,
childbirth, antenatal and postnatal care in women belonging to ethnic
minorities and to identify any specific challenges that these women
faced during the SARS-CoV-2 pandemic. Conclusions This study highlights
specific challenges faced by ethnic minority women in pregnancy, which
intersect with the unique problems posed by the ongoing SARS-CoV-2
pandemic to potentially widen existing ethnic disparities in experiences
of maternity care. Funding: Ethical approval for this study was granted
by the Research Ethics Committee of West of Scotland (20/WS/0168) on
26/11/2020.