Journal of Racial and Ethnic Health Disparities

, Volume 3, Issue 3, pp 466–472 | Cite as

Birth Experiences of Immigrant Latina Women in a New Growth Community

  • Meagan Niebler
  • Patricia I. Documét
  • Diego Chaves-Gnecco
  • Thomas E. Guadamuz


A woman’s birth experience can impact the physical and mental well-being of mothers long after the birth of their child. Little is known about the experiences of Latina women in areas with small, yet growing Latino populations. To understand Latina’s perceptions of their childbirth experience and to see how insurance status impacts that experience, we conducted in-depth, semi-structured interviews with a non-proportional quota sampling of ten Latina women, five with and five without health insurance. Most women reported a positive global experience; the birth of a healthy child was the most important factor influencing birth experiences for all of them. Locus of control and support from medical providers and loved ones also shaped experiences. Uninsured women reported lower levels of perceived control and support, which did impact their birthing experience. These differences could be influenced by social status and position. Medical provider, hospital, and policy recommendations are made which could lead to improvements in uninsured Latinas’ childbirth experiences.


Childbirth Pregnancy Latino Insurance Uninsured Labor and delivery 


Compliance with Ethical Standards

Meagan Niebler, Patricia Documét, Diego Chaves-Gnecco, and Thomas Guadamuz declare that they have no conflict of interest. This article does not contain any studies with animals performed by any of the authors. Informed consent was obtained from all individual participants included in the study. The University of Pittsburgh Institutional Review Board reviewed and approved the study protocol.


  1. 1.
    Kaiser Family Foundation. Distribution of U.S. Population by Race/Ethnicity [Graph illustration], 2008. Available at:
  2. 2.
    Documet PI, Kamouyerou A, Pesantes A, et al. Participatory assessment of the health of Latino immigrant men in a community with a growing Latino population. J Immigr Minor Health. 2015;17:239–47. doi: 10.1007/s10903-013-9897-2.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Suro, R., et al., Latino growth in metropolitan America: changing patterns, new locations. Washington, DC: Brookings Institution, Center on Urban and Metropolitan Policy in collaboration with the Pew Hispanic Center. 2002.Google Scholar
  4. 4.
    Cunningham P and Banker M. Health coverage and access to care for Hispanics in “new growth communities” and “major Hispanic centers”. In: S. Artiga & J. Tolbert, eds. Kaiser Commission on Medicaid and the Uninsured. The Henry J. Kaiser Family Foundation, 2006.Google Scholar
  5. 5.
    U.S. Department of Commerce. State and County Quickfacts: Allegheny County, Pennsylvania, 2010. United States Census Bureau, January 29, 2012. Available at:
  6. 6.
    Pennsylvania Department of Health. Birth Statistics [Data file], 2010. Available at:
  7. 7.
    Burciaga Valdez R, Giachello A, Rodriguez-Trias H, et al. Improving access to health care in Latino communities. Public Health Rep. 1993;108(5):534–9.Google Scholar
  8. 8.
    Documét PL, Sharma RK. Latinos’ health care access: financial and cultural barriers. J Immigr Health. 2004;6(1):5–13.CrossRefPubMedGoogle Scholar
  9. 9.
    Betancourt JR, Green AR, Carrillo JE, et al. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and healthcare. Public Health Rep. 2003;118:293–118.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Campbell-Grossman C, Brage Hudson D, Keating-Lefler R, et al. Community leaders’ perceptions of Hispanic, single, low-income mothers’ needs, concerns, social support and interactions with health care services. Issues in Compr Pediatr Nurs. 2009;32:31–46.CrossRefGoogle Scholar
  11. 11.
    Kaiser Family Foundation. Health Coverage for the Hispanic Population Today and Under the Affordable Care Act, 2013. Available at:
  12. 12.
    Freeman JD, Kadiyala S, Bell JF, et al. The casual effect of health insurance on utilization and outcomes in adults: a systematic review of US studies. Med Care. 2008;46(10):1023–33.CrossRefPubMedGoogle Scholar
  13. 13.
    Allen H, Wright BJ, Harding K, et al. The role of stigma in access to health care for the poor. Milbank Q. 2014;92(2):289–318.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Kamouyerou, A. Insights into an invisible community: a photovoice project with Latino immigrant men in Allegheny County. Master’s Thesis, University of Pittsburgh, 2011.Google Scholar
  15. 15.
    Callister LC. Making meaning: Women’s birth narratives. J Obstet Gynecol Neonatal Nurs. 2004;33:508–18.CrossRefPubMedGoogle Scholar
  16. 16.
    Goodman P, Mackey MC, Tavakoli AS. Factors related to childbirth satisfaction. Issues Innov Nurs Pract. 2004;46(2):212–9.Google Scholar
  17. 17.
    Simkin P. Just another day in a woman’s life? Women’s long-term perceptions of their first birth experience. Part I Birth. 1991;18(4):203–10.CrossRefPubMedGoogle Scholar
  18. 18.
    Anderson C. Impact of traumatic birth experiences on Latina adolescent mothers. Issues Mental Health Nurs. 2010;21:700–7.CrossRefGoogle Scholar
  19. 19.
    Elmir R, Schmied V, Wilkes L, et al. Women’s perceptions and experiences of a traumatic birth: a meta-ethnography. J Adv Nurs. 2010;66(1):2142–53.CrossRefPubMedGoogle Scholar
  20. 20.
    Waldenstrom U. Experience of labor and birth in 1111 women. J Psychosom Res. 1999;47(5):471–82.CrossRefPubMedGoogle Scholar
  21. 21.
    Waldenstrom U, Hildingsson I, Rubertsson C, et al. A negative birth experience: prevalence and risk factors in a national sample. Birth. 2004;31(1):17–27.CrossRefPubMedGoogle Scholar
  22. 22.
    Namey EE, Lylerly D. The meaning of “control” for childbearing women in the US. Soc Sci Med. 2010;71:769–76.CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Matthews R, Callister LC. Childbearing women’s perceptions of nursing care that promotes dignity. J Obstet Gynecol Neonatal Nurs. 2004;33:498–507.CrossRefPubMedGoogle Scholar
  24. 24.
    Dyer JM, Hunter R, Murphy PA. Relationship of social network size to infant birth weight in Hispanic and non-Hispanic women. J Immigr Minor Health. 2011;13(3):487–193.CrossRefPubMedGoogle Scholar
  25. 25.
    Díaz AV. Cultural factors in preventive care: Latinos. Prim Care. 2002;29:503–17.CrossRefPubMedGoogle Scholar
  26. 26.
    Gurman TA, Becker D. Factors affecting Latina immigrants’ perceptions of maternal health care: findings from a qualitative study. Health Care Women Int. 2008;29:507–26.CrossRefPubMedGoogle Scholar
  27. 27.
    U.S. Department of Health and Human Services, Office of Minority Health. National Partnership for Action to End Health Disparities. The National Plan for Action Draft as of February 17, 2010. Chapter 1: Introduction. Available at:
  28. 28.
    Bernard HR, Ryan GW. Analyzing qualitative data: systematic approaches. Thousand Oaks, CA: SAGE Publications, Inc.; 2010.Google Scholar
  29. 29.
    University of California at Davis Center for Evaluation and Research. Tips & Tools #20: writing analytic memos for qualitative research. Available at:
  30. 30.
    Espenshade TJ, Fu H. An analysis of English-language proficiency among U.S. immigrants. Am Sociol Rev. 1997;62:288–305.CrossRefGoogle Scholar
  31. 31.
    Mirowsky J, Ross CE. Education, social status, and health. Hawthorne, NY: Aldine de Gruyter; 2003.Google Scholar
  32. 32.
    Barr DA. Health disparities in the United States: social class, race, ethnicity, and health. Baltimore: The Johns Hopkins University Press; 2008.Google Scholar
  33. 33.
    Todorova ILG, Falcon LM, Lincoln AK, et al. Perceived discrimination, psychological distress and health. Sociol Health Illness. 2010;32(6):843–61.CrossRefGoogle Scholar
  34. 34.
    Burk ME, Wieser PC, Keegan L. Cultural beliefs and health behaviors of pregnant Mexican-American women: implications for primary care. Adv Nurs Sci. 1995;17(4):37–52.CrossRefGoogle Scholar
  35. 35.
    Flores G, Barton Laws M, Mayo SJ, et al. Errors in medical interpretation and their potential clinical consequences in pediatric encounters. Pediatrics. 2003;111:6–14.CrossRefPubMedGoogle Scholar
  36. 36.
    Livingston, G., Minushkin, S. & Cohn, D. Hispanics and health care in the United States: access, information, and knowledge. Pew Research Center August 2008.Google Scholar
  37. 37.
    Wasserman M, Bender D, Lee SD. Use of preventive maternal and child health services by Latina women. Med Care Res Rev. 2007;64(1):4–45.CrossRefPubMedGoogle Scholar
  38. 38.
    Gruber KJ, Cupito SH, Dobson CF. Impact of doulas on healthy birth outcomes. J Perinat Educ. 2013;22(1):49–58.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© W. Montague Cobb-NMA Health Institute 2015

Authors and Affiliations

  • Meagan Niebler
    • 1
  • Patricia I. Documét
    • 1
  • Diego Chaves-Gnecco
    • 1
  • Thomas E. Guadamuz
    • 2
  1. 1.University of PittsburghPittsburghUSA
  2. 2.Mahidol UniversityNakhon PathomThailand

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