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"Why Does This Have to be So Hard?": Perinatal Experiences from an Ecological Systems Approach

Senk, Caitlin
http://orcid.org/0009-0006-1572-5938
http://rave.ohiolink.edu/etdc/view?acc_num=antioch1715352346747554

Abstract Details

2024, Ph.D., Antioch University, Antioch Seattle: Counselor Education & Supervision.
This study examines the lived experience of the perinatal population to understand how they can be supported from the lens of different ecological systems and what counselors can do to better serve people with uteruses during their perinatal experience. Furthermore, this study aims to utilize an inclusive framework for capturing the perinatal experience of people with uteruses and to explore barriers and facilitators to care through an ecological systems framework. Fifteen participants who have experienced infertility, conception, pregnancy, miscarriage, childbirth, stillbirth, and postpartum were recruited through various means throughout the United States. Thematic analysis was used, with semi-structured interviews and photovoice, to gather and analyze participant narratives through oral and visual means in two phases. The first phase resulted in eight themes: (1) social and cultural influences, (2) navigating transitions and changes, (3) support networks and resources, (4) discrimination and stigma, (5) advocacy and empowerment, (6) mental health and well-being, (7) interactions with medical systems, and (8) impact of systems and policies. The themes identified in phase two were: (1) meaning making, (2) the emotional impact of perinatal experiences, (3) navigating roles and identities, (4) pressure and expectations, (5) advocacy and empowerment, (6) social support and community, (7) prevalence of infertility and miscarriage, and (8) challenges in healthcare. Implications of this study indicate a need for collaborative, interdisciplinary communication among providers interacting with the perinatal population and perinatal mental health competency training. This dissertation is available in open access at AURA (https://aura.antioch.edu) and OhioLINK ETD Center (https://etd.ohiolink.edu).
Stephanie Thorson-Olesen (Committee Member)
Angela Mensink (Committee Member)
Katherine Fort (Committee Chair)
171 p.
Counseling Education; Counseling Psychology; Developmental Psychology; Education; Gender; Health; Health Care; Higher Education; Mental Health; Minority and Ethnic Groups; Psychology; Psychotherapy; Public Health; Public Policy; Therapy
thematic analysis; photovoice; qualitative; people with uteruses; perinatal; birthing people; ecological systems theory; perinatal mental health; perinatal experiences; perinatal mental health counseling; postpartum mood and anxiety disorders; birth trauma; infertility; miscarriage, liberation psychology

Recommended Citations

Citations

  • Senk, C. (2024). "Why Does This Have to be So Hard?": Perinatal Experiences from an Ecological Systems Approach [Doctoral dissertation, Antioch University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1715352346747554

    APA Style (7th edition)

  • Senk, Caitlin. "Why Does This Have to be So Hard?": Perinatal Experiences from an Ecological Systems Approach. 2024. Antioch University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=antioch1715352346747554.

    MLA Style (8th edition)

  • Senk, Caitlin. ""Why Does This Have to be So Hard?": Perinatal Experiences from an Ecological Systems Approach." Doctoral dissertation, Antioch University, 2024. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1715352346747554

    Chicago Manual of Style (17th edition)

antioch1715352346747554
129
© 2024, all rights reserved.
This open access ETD is published by Antioch University and OhioLINK.