The maternity care experiences of women living in a diverse UK urban
city: a survey study.
Abstract
Objective To understand the maternity experiences of women
living in areas of high ethnic diversity and social deprivation.
Design An anonymous self-reported on-line survey incorporating
demographic, clinical outcome and validated tool (Experience of
Maternity Care) questions, and free text responses. Setting A
large urban NHS Trust in Northwest England Sample Postnatal
women, living in eight postcodes identified as areas of high
socio-economic deprivation and ethnic diversity. Methods
Quantitative data was collected and analysed using appropriate
statistics. Free text responses were coded and thematically analysed.
Main outcome measures Experience of Maternity Care scores and
free text themes. Results Sixty-four percent of the sample
identified as from an ethnic minority. Black women (42/68, 62%) were
more likely (p=0.003) to attend their first antenatal visit at 12 or
more weeks’ gestation compared to White (69/87, 79%) or Asian women
(127/150, 85%). Black (p=0.004) and multiparous (p=0.012) women were
more likely to report a positive postnatal experience. Most women were
positive about the care they received overall, but responses to specific
questions revealed concerns related to some aspects. Most (82%)
respondents did not mind being looked after during labour and birth by
midwives or doctors they had not met before. Themes from free text
responses included continuity of care, respectful care, communication,
early labour care and access to timely pain relief. Conclusions
Using a targeted approach ensured an ethnically diverse sample and
despite overall positive experiences of maternity care, negative
experiences reflect similar themes previously identified within UK
maternity care.