Find out below what our work has taught us about how neonatal care can feel for Black parents.
Their neonatal experience is different: The extent of this is often not fully recognised or understood. Mental health doesn’t look the same for everyone.
Black families can feel profound isolation: They may act strong or keep quiet, but this can be masking their need for support.
For many Black families there is a real fear of having their babies taken away: There is a real concern that showing any vulnerability will lead to negative outcomes for their babies. There may be a reluctance to appear uninformed which can prevent them from engaging with unit staff. Asking too many questions can be misinterpreted as being uneducated, aggressive or confrontational.
Gratitude for the neonatal care available can stop them from advocating for their baby: Lacking confidence to challenge decisions due to fear of recrimination.
Lack of understanding of the significance of Black families' experiences of healthcare before arriving on a neonatal unit: Previous experiences of trauma, racism and prejudice will impact how they navigate the vulnerable environment of neonatal care.
Based on this learning, here are some actions to consider when supporting Black families in neonatal care.
ASK: Don’t assume that parents are ok just because they don’t ask for help. They may be masking their feelings.
CHECK: Approach families more than once – this can build trust and offers space for them to talk when they feel comfortable and are able to do so.
LISTEN: Talk to parents about what matters to them and how they want to care for their baby. There might be cultural celebrations or traditions, stigmas they’re facing or concerns that they need clarifying. Facilitating these can be important to making a family feel at ease.
CONSIDER: Understand the antenatal journey that came before a family's neonatal stay.
CELEBRATE: Be confident to celebrate differences in all families, no journey through neonatal care is the same.