Objectives:This narrative literature review aims to develop a framework that can be used to understand, study, and design maternal care environments that support the needs of women from diverse racial and ethnic groups.Background:Childbirth and the beginning of life hold particular significance across many cultures. People’s cultural orientation and experiences influence their preferences within healthcare settings. Research suggests that culturally sensitive care can help improve the experiences and outcomes and reduce maternal health disparities for women from diverse cultures. At the same time, the physical environment of the birth setting influences the birthing experience and maternal outcomes such as the progression of labor, the use of interventions, and the type of birth.Methods:The review synthesizes articles from three categories: (a) physical environment of birthing facilities, (b) physical environment and culturally sensitive care, and (c) physical environment and culturally sensitive birthing facilities.Results:Fifty-five articles were identified as relevant to this review. The critical environmental design features identified in these articles were categorized into different spatial scales: community, facility, and room levels.Conclusions:Most studies focus on maternal or culturally sensitive care settings outside the United States. Since the maternal care environment is an important aspect of their culturally sensitive care experience, further studies exploring the needs and perspectives of racially and ethnically diverse women within maternal care settings in the United States are necessary. Such research can help future healthcare designers contribute toward addressing the ongoing maternal health crisis within the country.

中文翻译：

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自然环境对文化多元化妇女孕产妇护理的影响：叙事回顾


目标：这篇叙述性文献综述旨在开发一个框架，可用于理解、研究和设计孕产妇护理环境，以支持不同种族和族裔群体的妇女的需求。背景：分娩和生命的开始在整个社会中具有特殊的意义许多文化。人们的文化取向和经历影响他们在医疗保健环境中的偏好。研究表明，文化敏感的护理有助于改善来自不同文化的女性的体验和结果，并减少孕产妇健康差异。同时，分娩环境的物理环境影响分娩经历和产妇结局，例如产程进展、干预措施的使用和分娩类型。方法：该综述综合了以下三类文章：(a)分娩设施的物理环境，(b) 物理环境和文化敏感护理，以及 (c) 物理环境和文化敏感分娩设施。结果：55 篇文章被确定与本次综述相关。这些文章中确定的关键环境设计特征被分为不同的空间尺度：社区、设施和房间级别。结论：大多数研究集中在美国以外的孕产妇或文化敏感的护理环境。由于产妇护理环境是其文化敏感护理体验的一个重要方面，因此有必要进一步研究探索美国产妇护理环境中不同种族和族裔妇女的需求和观点。此类研究可以帮助未来的医疗保健设计师为解决该国持续存在的孕产妇健康危机做出贡献。