ArticleBJOG : an international journal of obstetrics and gynaecology2025
Black Women's Mental Health Needs and Recommendations After Spontaneous Preterm Birth: A Qualitative Study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Evaluating the Government Response to the House of Lords Inquiry Into Preterm Birth: A Commentary on the Gaps in Maternal Mental Healthcare.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Redefining Strength: Challenging the Strong Black Woman Stereotype in Nursing Education and Leadership.SAGE open nursingReview
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Authors and funding
5 authors.
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Abstract
objectiveTo ascertain the perspectives and recommendations of Black individuals on their experience of spontaneous preterm birth (sPTB) and its impact on maternal mental health (MMH).
designQualitative interview study.
settingOne tertiary hospital in the United States of America. POPULATION: Self-identified Black women who experienced sPTB between 24w0d and 33w6d of gestation from July 2020 to July 2022; participants were at least 18 years old and English-speaking.
methodsUsing a semi-structured interview guide grounded in the Sojourner Syndrome and the emancipatory paradigm, we explored perceptions of mental health symptoms, barriers and facilitators to MMH, and recommendations for improvement after sPTB. Data were analysed using modified grounded theory methodology, ensuring rigor through interrater reliability.
main outcome measuresBlack women's experiences of mental health following sPTB, barriers and facilitators to MMH, and their recommendations for improving MMH after sPTB.
resultsThirteen interviews were completed, averaging 1.5 years post-delivery. Interrater reliability showed almost perfect coding agreement (mean kappa 0.99 (SD 0.01)). Participants experienced self-blame, anxiety, isolation, and prolonged duration of mental health symptoms. Dismissiveness, neglect, and medical racism were mental health barriers. Person-centred care, family-centred care and racial congruency were mental health facilitators. Participants recommended transparent communication, specialised mental health providers, support groups, and culturally sensitive care to improve MMH.
conclusionBlack women with sPTB endured prolonged mental health sequelae heightened by neglect, dismissiveness, and medical racism. Participants recommended implementing family-centred, transparent care models with cultural sensitivity, support groups, and specialised mental health providers as ways to improve postpartum mental health.
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