ArticleBMC pregnancy and childbirth2023
Association between primary Spanish language and quality of intrapartum care among Latina women: a secondary analysis of the Listening to Mothers in California survey.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Prevalence of obstetric violence in high-income countries: A systematic review of mixed studies and meta-analysis of quantitative studies.Acta obstetricia et gynecologica Scandinavica · 2025Pooled it
- Patient Activation in the Postpartum Period by Race, Ethnicity, and Spoken Language.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2026Article
- Barriers and facilitators to, and knowledge of, cord blood banking among pregnant Hispanic women at a university obstetric clinic.Transfusion · 2026Article
- Cultural Brokering in Pregnancy Care: A Qualitative Study.Birth (Berkeley, Calif.) · 2026Article
- A Spanish-Language Patient-Reported Outcome Measure for Trust in Pregnancy Care Clinician.JAMA network open · 2025Article
- What is effective communication in breastfeeding care? Perspectives from Latina women.PloS one · 2025Article
- Socio-Structural Intersect With Post-COVID-19 Telehealth Utilization for Hispanic/Latino Groups in Colorado: A Mixed Methods Study.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2025Article
- Exploring Patient-Clinician Trust During Pregnancy Care: A Qualitative Study With Latine Patients.O&G open · 2024Article
- Psychometric assessment of the US person-centered prenatal and maternity care scales in a low-income predominantly Latinx population in California.BMC women's health · 2023Article
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3 authors at 3 institutions in 1 country.
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Abstract
backgroundLanguage barriers play significant roles in quality of healthcare. Limited studies have examined the relationships between Spanish language and quality of intrapartum care. The objective was to determine the association between primary Spanish language and quality of intrapartum care so as to further inform best practices for non-English speaking patients in the labor and delivery setting.
methodsWe used the 2016 Listening to Mothers in California survey data, which included a statewide representative sample of women who gave birth in hospitals. Our analytical sample included 1202 Latina women. Multivariable logistic regression was used to examine the association between primary language (monolingual English vs. monolingual Spanish vs. bilingual Spanish/English) and perceived discrimination due to language, perceived pressure for medical interventions, and mistreatment during labor, adjusting for maternal sociodemographics and other maternal and neonatal factors.
resultsOver one-third of the study population spoke English (35.6%), less than one-third spoke Spanish (29.1%), and greater than one-third spoke bilingual Spanish/English (35.3%). Overall, 5.4% of Latina women perceived discrimination due to language spoken, 23.1% perceived pressure for any medical intervention, and 10.1% experienced either form of mistreatment. Compared to English-speakers, Spanish-speakers were significantly more likely to report discrimination due to language (aOR 4.36; 95% CI 1.15-16.59), but were significantly less likely to experience pressure for certain medical interventions (labor induction or cesarean delivery) during labor (aOR 0.34; 95% CI 0.15-0.79 for induction; aOR 0.44; 95% CI 0.18-0.97 for cesarean delivery). Bilingual Spanish/English-speakers also significantly reported discrimination due to language to a lesser extent than monolingual Spanish-speakers (aOR 3.37; 95% CI 1.12-10.13). Any form of Spanish language (monolingual or bilingual) was not significantly associated with mistreatment.
conclusionsSpanish language may contribute to experiences of discrimination during intrapartum care among Latina women. Future research is needed to explore perceptions of pressure, discrimination and mistreatment, among patients with limited English proficiency.
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