how do women with social risk factors experience m
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Running head: How do Women with Social Risk Factors Experience Maternity in the United Kingdom 1
HOW DO WOMEN WITH SOCIAL RISK FACTORS EXPERIENCE MATERNITY CARE IN
THE UNITED KINGDOM?
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Abstract
Background
According to global trends, recent reports on infant and maternal deaths in the United
Kingdom confirmed that parturiency to women with social risk factors are over 50 percent likely
, Running head: How do Women with Social Risk Factors Experience Maternity in the United Kingdom 2
to cause neonatal death or stillbirth. It also poses a high risk of maternal mortality and premature
birth. The goal of this research project was to discover how social risk factors are prevalent in
maternity care and these factors affect maternity health outcomes.
Methods
In this research project, Realist methodology is used. Different sources exploring how
women with different social risk factors experience maternity care in the United Kingdom were
used. The process of data extraction identifies structures, situations and results.
Results
Three themes, Resources, Relationships, and Candidacy, overarched eight CMO
configurations. Access to services, practical support, interpreters, appropriate education and
continuity of care were certainly crucial for women living deranged lives and those who are new
to the United Kingdom system. However, women that have been through traumatic experiences
and those who lack a sense of control require a trusting relationship with a health care providers
was required to regain their trust. Women that have been involved with social care during
pregnancy view health care services as surveillance as opposed to support, impacting on their
engagement. This, as experiences of discrimination and patronizing care and can be addressed by
the developing relationships of trusting.
Conclusions
The outcomes depict underlying theory and practical guidance on ways to develop safe
services with an aim of reducing imbalances in women's experiences and birth outcomes.
Introduction
Half the population of women residing in regions with the highest levels of poverty in the
United Kingdom is likely to experience neonatal death or stillbirth. These mothers experience
high rates of premature birth, cesarean, low birth weight, and maternal mortality. As their
socioeconomic status declines, women are more likely to report that they were not attended to
with respect, that they were not addressed in a manner they could understand during their
maternity care, and that their concerns are not adhered to. Health inequalities between
socioeconomic groups are well documented and have been a key priority in many international
and United Kingdom ambitions, Global strategy for women's and children's health, the World
Health Organization's (WHO) and the “Better Births” National Maternity Review.
Lower socioeconomic status is frequently accompanied by other complex social factors
linked to negative outcomes. It is hypothesized that a lack of antenatal care and maternity service
engagement is directly proportional to poor maternal and neonatal outcomes; therefore, policies
are often focused on improving access to maternal care services. Secondary analyses of the
United Kingdom’s National Maternity indicates that the most underprivileged women in the
United Kingdom were almost 60 percent less likely to have received any antenatal care when
compared to the least deprived women. Reports on neonatal and maternal mortality shows that
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