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Te mana o te wahine: Young mothers healthcare experiences in pregnancy, birth, and into motherhood

Abstract
In Aotearoa-New Zealand being a young mother is often associated with clinical and societal ‘risks.’ Younger women have higher rates of maternal depression and suicide, complications during birth, and their babies are more likely to be born preterm, and of smaller gestational age and weight (Perinatal and Maternal Mortality Review Committee, 2012; Te Whatu Ora - Health New Zealand, 2023b, 2023a). Research also indicates that young mothers experience stigmatisation and discrimination that they attribute to their age and/or ethnicity (Adcock, 2016; Makowharemahihi et al., 2014; Rawiri, 2007; Ware, 2019). In discussion with researchers, discrimination was the topic that young mothers at He Puaawai Teen Parent Centre wanted to talk about. They shared a strong desire to see change in the way that doctors, nurses, and midwives service young parents and were passionate about ensuring that future young mothers had more support. Thus, in responding to their call, 22 parents, including two fathers attending (or recent school-leavers of) He Puaawai Teen Parent Centre volunteered to participate in this study. This qualitative kaupapa Māori study employed a series of wānanga, individual kōrero, and an investigator-triangulation thematic analysis. The research questions explored both the positive and negative healthcare experiences of this cohort during pregnancy, birth, and into motherhood. The aim of this study was to listen and learn about the experiences of these young parents and co-design informational and/or educational materials to help healthcare practitioners better understand and support young mothers/parents. To spread awareness of the experiences of these young parents, the co-design materials and findings of this study were disseminated via various healthcare seminars and meetings around the Waikato region. The findings of this study contribute to previous research that revealed over the last 20 years young parents have continued to report predominantly negative experiences in their maternity journey. Participants of this study reported experiences of unsolicited judgement and advice, a general lack of manaakitanga (care, empathy, respect), communication, and support from doctors, nurses, and midwives. The relatively small number of positive experiences shared in this study emphasises the importance of manaakitanga regardless of age. An unexpected finding was the impact that receptionists had on young parents’ healthcare experiences, as the face and entry point of healthcare services.
Type
Thesis
Type of thesis
Series
Citation
Date
2024
Publisher
The University of Waikato
Supervisors
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