Defense Date

2024

Document Type

Thesis

Degree Name

Master of Science

Department

Counseling Psychology

First Advisor

Dr. Shawn Utsey

Second Advisor

Dr. Shawn Jones

Third Advisor

Dr. Nicole Corley

Abstract

This qualitative study explores the intricate dynamics of patient-provider relationships within the context of prenatal care among Black women and how these experiences may affect their perinatal mental health. The study was conducted using a methodology consisting of structured interviews with 12 participants, snowball sampling facilitated recruitment. Thematic analysis revealed six prominent themes encapsulating the multifaceted interactions between Black women and their healthcare providers during the perinatal period. The findings illuminate nuanced aspects of the patient-provider relationship, shedding light on issues such as: (a) Anticipation of Low Quality Care, (b) Lack of Communication, (c) Listening, (d) Stereotype Threat, (e) Colorism, (f) Education Status, (g) Birth Anxiety, (h) Postpartum Care, (i) Advocacy, (j) and In-Depth Screening. These codes underscore the complexity of navigating healthcare systems as Black women seeking prenatal care. Furthermore, this study underscores the importance of future research focusing on three critical areas: delivery experiences, patient advocacy, and patient education. Further exploration of Black women's experiences during childbirth can provide insights into potential disparities and inequities within obstetric and mental health care. Additionally, prioritizing patient advocacy initiatives can empower Black women to assert their healthcare rights and preferences, fostering more equitable and respectful care environments. Moreover, enhancing patient education efforts can promote informed decision-making and improve health outcomes among Black women during the perinatal period. By addressing these research priorities, healthcare systems can work towards cultivating more supportive, culturally sensitive, and patient-centered care practices for Black women navigating pregnancy and perinatal mental health.

Rights

© The Author

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

5-8-2024

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