Evidence map›Paper›PMID 33934698›Full record

ArticleBMC pregnancy and childbirth2021

Youth-centered maternity care: a binational qualitative comparison of the experiences and perspectives of Latina adolescents and healthcare providers.

Martha J Decker, Noelle Pineda, Abigail Gutmann-Gonzalez, Claire D Brindis

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Communication Preferences During Pregnancy Care Among Patients With Primary Spanish Language: A Scoping Review.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Martha J DeckerDepartment of Epidemiology and Biostatistics, University of California, San Francisco, 550 16th Street, 2nd floor, San Francisco, CA, 94158, USA.
Noelle PinedaStanford University School of Medicine, Stanford University, 291 Campus Drive, Stanford, CA, 94305, USA.
Abigail Gutmann-GonzalezPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 490 Illinois Street, 7th floor, San Francisco, CA, 94158, USA. abigail.gutmann-gonzalez@ucsf.edu.ORCID http://orcid.org/0000-0002-8975-8701
Claire D BrindisPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 490 Illinois Street, 7th floor, San Francisco, CA, 94158, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough there is growing recognition of the importance of person-centered maternity care, the needs and perspectives of pregnant adolescents are rarely considered. The purpose of this study was to compare the maternity care experiences of Mexican-origin adolescents in Guanajuato, Mexico and Fresno, California from both youth and healthcare provider perspectives.

methodsQualitative interviews and focus groups were conducted with a total of 89 respondents, including 74 pregnant and parenting adolescents as well as 15 providers between December 2016 and July 2017. Adolescents also completed a short demographic survey prior to participation. Transcripts in English and Spanish were coded and thematically analyzed using Dedoose software. Results were compared by location and between youth and providers.

resultsFour themes emerged regarding patient-provider interactions: the need for communication and clear explanations, respectful versus judgmental providers, engaging youth in decision-making, and a focus on the age of the youth and their partners. While youth had similar perspectives and priorities in both locations, youth in Mexico reported more negative healthcare experiences than youth in California. Perspectives varied between the youth and providers, with providers in both California and Mexico identifying several structural challenges in providing quality care to adolescents. In California, challenges to supporting immigrant Latina adolescents and their families included language and translation issues as well as barriers to care due to immigration status and documentation. In both locations, providers also mentioned high patient caseloads and their own concerns about the youth's life choices.

conclusionYouth-centered care requires more effective and respectful patient-provider communication, where adolescents are engaged in their healthcare decision-making and delivery options. Changes in patient-provider interactions can help improve the maternity care experiences and outcomes of Latina adolescents. Healthcare systems and providers need to reconfigure their approaches to focus on the needs and priorities of adolescents.

Indexed as

Decision MakingMaternal Health ServicesAdolescentAttitude of Health PersonnelCaliforniaCommunicationFemaleFocus GroupsHealth PersonnelHispanic or LatinoHumansInterviews as TopicMexicoMothersPregnancyProfessional-Patient RelationsCaliforniaMexicoPatient-centered carePerinatal carePregnancy in adolescenceQualitative

Identifiers

PMID33934698
PMCPMC8091497

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.