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Biomedical subjects

A Woollett

Publications and source records attributed to A Woollett.

4 recordsLinked to original sources

The ideas and experiences of pregnancy and childbirth of Asian and non-Asian women in east London.

This study examined differences between the ideas and experiences of pregnancy and childbirth of Asian and non-Asian women giving birth in East London, and sources of variability in Asian women's accounts. In line with the findings of previous research, Asian women's ideas about diet in pregnancy, the gender of their children and postnatal care (e.g. the need for rest and recovery, and restrictions on their activities) were influenced by cultural beliefs and practices. However, in other ways Asian women demonstrated a strong commitment to Western maternity care. In contrast to some other studies Asian women wanted their husbands or partners present at delivery, indicating the extent to which traditional ideas are being modified. Qualitative analysis of Asian women's fuller accounts indicated that women subscribed to traditional practice as well as Western maternity care. Acculturation or familiarity with Western ideas about maternity care was associated with variability in Asian women's ideas and experiences, in line with previous research. However, in spite of frequent assumptions about its significance, religion was not associated with variability in Asian women's ideas and experiences. Parity, however, was a major variable, for Asian and for non-Asian women, suggesting that the first birth has different significance for parents than subsequent births. The implications for the provision of maternity care are discussed, especially the need to go beyond stereotypical views based on women's ethnicity or religion to consider the beliefs and preferences of women as individuals and their personal circumstances.

Adolescent↗

Postnatal care: the attitudes and experiences of Asian women in east London.

Thirty-two Asian women living in East London were interviewed about their experiences of childbirth. A significant part of their accounts concerned their experiences in the postnatal wards. They reported fewer difficulties with infant feeding than their non-Asian counterparts in other studies, but there were indications of similar tensions between mothers and staff about how much responsibility mothers should take for their baby's care. Asian women raised several additional issues. Some centred on communication difficulties for Asian women who did not speak fluent English. Others point to their different ideologies around the care of the mother and baby and the nature of early mother-infant relations. Asian women viewed the opportunity to rest and recover postnatally as more central to their postnatal care than they considered hospitals did. Women had less to say and seemed less familiar with the discourse on bonding, and were less preoccupied with the establishment of close mother-infant relationship. The implications for ideas about 'normal' maternal behaviour and the quality of care are discussed.

Adolescent↗

Current maternal attitudes to infant feeding methods.

Mothers' feeding practices and their attitudes to breast and bottle feeding were investigated. Sixty-four per cent started to breast feed and 35% continued past 2 months, a continuation rate which is higher than previously reported. Also higher than previously reported was the proportion of working class women breast feeding. This may reflect a current trend. Most women decided on their infant feeding technique early in pregnancy, and 80% followed that decision. For those who changed their minds about feeding practice postnatally, and for those who were initially undecided, the hospital was influential. Analysis of women's pleasurable and less restricting than they had anticipated. The results are discussed in relation to attempts to encourage breast feeding.

Attitude↗

Pregnancy and antenatal care: the attitudes and experiences of Asian women.

Asian women living in the East End of London were interviewed in English or in their own language to assess their attitudes to and experiences of pregnancy and antenatal care and to consider some factors which may influence their experiences, especially their fluency in English. In some respects Asian women's experiences were similar to those of non-Asian women reported in other studies, e.g. similar levels of nausea and lack of tie-up between nausea and negative reactions to pregnancy. However there were also some differences, e.g. Asian women expressed greater concern about the sex of the child and about eating 'cool' foods to counterbalance the hot state of pregnancy. Asian women were good patients: they attended antenatal clinics, read the leaflets provided and about half attended antenatal classes, although some were keener than others to seek information about pregnancy and childbirth and only a quarter bought books or watched videos. Less than half of the women were living in extended families and receiving support from in-laws in the traditional way. Those living in nuclear families received support from friends, neighbours and especially husbands. There were considerable individual differences in women's reactions and experiences. Women who spoke little or no English were less knowledgeable and had lived for a shorter time in the UK than women who were fluent in English. Leaflets in languages women can read and link workers at clinics helped some women.

Acculturation↗