This paper explores the birthing experiences of 16 pregnant Māori women under 20 years of age who were involved in E Hine, a Kaupapa Māori (by Māori, for Māori) longitudinal qualitative research study of young Māori women's journeys through pregnancy and into motherhood that ran from 2010 to 2013. This study provided these young women with an opportunity to share their birthing experiences during kanohi-ki-te-kanohi (face-to-face) interviews. Interpretive phenomenological analysis guided the analysis of these interviews. Following analysis, four themes emerged: some tikanga Māori (Māori practices) are being practised today; whānau (family) support is critical for these young Māori mothers; current system issues impact negatively on birth experiences; and adaptation to motherhood varies. From these themes, positive practices were drawn out that can be applied to clinical practice to improve the birthing experiences of young Māori women. These practices include promoting positive communication between patient and providers, facilitating supportive whānau environments, and enhancing support services accessibility.
BetancourtJ. R., CorbettJ., & BondarykM. R. (2014). Addressing disparities and achieving equity: Cultural competence, ethics, and healthcare transformation.CHEST Journal, 145(1), 143–148. http://doi.org/bd6c
5.
BiggerstaffD., & ThompsonA. R. (2008). Interpretative phenomenological analysis (IPA): A qualitative methodology of choice in healthcare research.Qualitative Research in Psychology, 5(3), 214–224. http://doi.org/chxjdr
6.
CormackD., RobsonB., PurdieG., RatimaM., & BrownR. (2005). Access to cancer services for Māori.Wellington, New Zealand: Ministry of Health.
CramF., SmithL., & JohnstoneW. (2003). Mapping the themes of Maori talk about health.New Zealand Medical Journal, 116(1170), 357–363.
10.
DurieM. (2006 August). Measuring Māori wellbeing. Paper presented at the New Zealand Treasury Guest Lecture Series, Wellington.
11.
GabelK. (2013). Poipoia te tamaiti ki te ūkaipō (Unpublished doctoral thesis). University of Waikato, Hamilton, New Zealand.
12.
JansenP., & JansenD. (2011). Māori and health. In St GeorgeIan (Ed.), Cole's medical practice in New Zealand (11th ed., pp. 48–60). Wellington, New Zealand: Medical Council of New Zealand.
13.
JonesB., InghamT., DaviesC., & CramF. (2010). Whānau tuatahi: Māori community partnership research using a Kaupapa Māori methodology.Mai Review, 3, 1–14.
14.
KenneyC. (2011). Midwives, women and their families: A Māori gaze towards partnerships for maternity care in Aotearoa New Zealand.AlterNative, 7(2), 123–137.
15.
KriegerN. (2003). Does racism harm health? Did child abuse exist before 1962? On explicit questions, critical science, and current controversies: An ecosocial perspective.American Journal of Public Health, 93(2), 194–199. http://doi.org/ffsr83
16.
LawtonB., MakowharemahihiC., CramF., RobsonB., & NgataT. (2016). E Hine: Access to contraception for indigenous Māori teenage mothers.J Prim Health Care, 8, 52–59.
17.
LawtonB., CramF., MakowharemahihiC., NgataT., RobsonB., BrownS., & CampbellW. (2013). Developing a Kaupapa Māori research project to help reduce health disparities experienced by young Māori women and their babies.AlterNative, 9(3), 246–261.
18.
LundgrenI., BergM., & LindmarkG. (2003). Is the childbirth experience improved by a birth plan?Journal of Midwifery & Women's Health, 48(5), 322–328. http://doi.org/cdgp8w
PenehiraM., & DohertyL. (2013). Tu mai te oriori, nau mai te hauora! A Kaupapa Māori approach to infant mental health: Adapting mellow parenting for Māori mothers in Aotearoa, New Zealand.Pimatisiwin: A Journal of Aboriginal and Indigenous Community Health, 10(3), 367–382.
21.
Perinatal and Maternal Mortality Review Committee (2015). Ninth annual report of the Perinatal and Maternal Mortality Review Committee: Reporting mortality 2013.Wellington, New Zealand: Health Quality & Safety Commission.
PihamaL., CramF., & WalkerS. (2002). Creating methodological space: A literature review of Kaupapa Maori research.Canadian Journal of Native Education, 26(1), 30–43.
24.
RawiriC. (2007). Adolescent Maori mothers’ experiences with social support during pregnancy, birth and motherhood and their participation in education (Unpublished master's thesis). University of Waikato, Hamilton, New Zealand.
25.
SimmondsN. (2011). Mana wahine: Decolonising politics.Women's Studies Journal, 25(2), 11–25.
26.
SmithG. H. (1997). The development of Kaupapa Maori: Theory and praxis (Unpublished doctoral thesis). University of Auckland, Auckland, New Zealand.
27.
SmithL. (1999). Decolonizing methodologies: Research and Indigenous peoples.London, England: Zed Books.
28.
Te AwekotukuN. (1991). He tikanga whakaaro: Research ethics in the Māori community: A discussion paper.Wellington, New Zealand: Ministry of Māori Affairs.
29.
ThompsonK. (2009). Māori whānau experiences of a neonatal intensive care unit: Waikato Hospital (Unpublished master's thesis). University of Waikato, Hamilton, New Zealand.
