{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T06:04:46Z","timestamp":1780985086579,"version":"3.54.1"},"reference-count":72,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Pregnancy and childbirth are opportunities for Indigenous communities to welcome new life, integrate meaningful cultural practices, and tangibly strengthen communal wellbeing. Simultaneously, pregnant American Indian and Alaska Native (AIAN) women must navigate complex healthcare systems while experiencing structural inequities that contribute to elevated risks of complications and poor birth outcomes. This study explored the pregnancy experiences of AIAN women, examining how participants navigated healthcare systems, social supports, and structural challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted 10 semi-structured interviews with AIAN women to map care journeys and the social and structural contexts shaping them across the perinatal period. Participants were aged 18\u202fyears or older, self-identified as AIAN, and had a pregnancy within the past 2\u202fyears or were currently pregnant in their third trimester. Guided by AIAN community interest-holders, interviews incorporated a narrative pregnancy-journey mapping approach. We used a community-based participatory research (CBPR)-informed team ethnography approach that incorporated both insider and outsider perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The investigators identified seven themes through their analysis: cultural beliefs and traditions, prior pregnancy experiences, navigating prenatal healthcare systems, social support networks, social stressors, mental health, and birth and postpartum experiences. Many participants expressed a desire for culturally rooted guidance, including access to traditional healers, doulas, and teachings from their tribal communities. Prenatal care often required coordination across multiple healthcare systems. Family members and partners were consistently identified as central sources of emotional and practical support. While participants navigated cardiometabolic conditions and social stressors, their narratives reflected adaptability, advocacy, and survivance across pregnancy and postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings highlight the need for culturally grounded, relationship-based approaches to perinatal care for AIAN women. Participants described a strong desire for greater cultural connection during pregnancy. Strengths-based strategies that integrate cultural practices and expand collaboration with doulas, midwives, and community health workers may improve care experiences and support culturally responsive perinatal care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1839105","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T05:44:18Z","timestamp":1780983858000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pregnancy as a journey of care and connection: Indigenous women\u2019s experiences navigating health systems and community support"],"prefix":"10.3389","volume":"14","author":[{"given":"Christina M.","family":"Pacheco","sequence":"first","affiliation":[{"name":"Department of Family Medicine and Community Health, University of Kansas Medical Center","place":["Kansas, KS, United States"]},{"name":"Department of Population Health, University of Kansas Medical 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Health, University of Kansas Medical Center","place":["Kansas, KS, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Mir\u00e1s Neira","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Health, University of Kansas Medical Center","place":["Kansas, KS, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Landon","family":"Lee","sequence":"additional","affiliation":[{"name":"College of Medicine, The University of Oklahoma","place":["Oklahoma, OK, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kinsey","family":"Huebener","sequence":"additional","affiliation":[{"name":"Park Hill High School","place":["Kansas, MO, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonnes","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Journalism and Mass Communications, University of Kansas","place":["Lawrence, KS, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Vaccianna","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Kansas Medical Center","place":["Kansas, KS, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashlyn","family":"Potter","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Kansas Medical Center","place":["Kansas, KS, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Finocchario-Kessler","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Health, University of Kansas Medical Center","place":["Kansas, KS, United States"]},{"name":"Department of Population Health, University of Kansas Medical Center","place":["Kansas, KS, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taneisha S.","family":"Scheuermann","sequence":"additional","affiliation":[{"name":"Department of Population Health, University of Kansas Medical Center","place":["Kansas, KS, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"ref1","first-page":"213","article-title":"Indigenous birth as ceremony and a human right","volume":"23","author":"Hayward","year":"2021","journal-title":"Health Hum Rights"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"E326","DOI":"10.1001\/amajethics.2022.326","article-title":"Why restoring birth as ceremony can promote health equity","volume":"24","author":"Farrell","year":"2022","journal-title":"AMA J Ethics"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"409","DOI":"10.26522\/ssj.v17i3.4064","article-title":"\u201cYou do what you have to do for the babies\u201d: The pregnancy experiences of native American women","volume":"17","author":"Liddell","year":"2023","journal-title":"Stud Social Justice"},{"key":"ref4","volume-title":"Grandmothers Laughing: Intergenerational Transmission of Cultural Beliefs about Pregnancy and Childbirth among Native American Women","author":"Long","year":"1997"},{"key":"ref5","volume-title":"SAcRED AND STRoNG: Upholding our Matriarchal Roles The Health and Wellness Journeys of BC First Nations Women and Girls","year":"2021"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"7088","DOI":"10.3390\/ijerph19127088","article-title":"American Indian motherhood and historical trauma: Keetoowah experiences of becoming mothers","volume":"19","author":"Maxwell","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1111\/jan.12180","article-title":"Weaving dreamcatchers: mothering among American Indian women who were teen mothers","volume":"70","author":"Palacios","year":"2014","journal-title":"J Adv Nurs"},{"key":"ref8","volume-title":"Survivance: Narratives of Native Presence","author":"Vizenor","year":"2008"},{"key":"ref9","volume-title":"Indigenous Rebirth: A Return to Traditional Birthing Practices and Maternal Care","author":"Carraher-Kang","year":"2020"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1007\/s11199-025-01584-4","article-title":"Indigenous motherwork in crisis: caregiving, resistance, and community survival during the COVID-19 pandemic","volume":"91","author":"Glover","year":"2025","journal-title":"Sex Roles"},{"key":"ref11","year":"2025"},{"key":"ref12","year":"2022"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"115584","DOI":"10.1016\/j.socscimed.2022.115584","article-title":"The maternal health of American Indian and Alaska native people: a scoping review","volume":"317","author":"Burns","year":"2023","journal-title":"Soc Sci 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Indian women in a Northern Plains tribe","volume":"23","author":"Hanson","year":"2012","journal-title":"J Transcult Nurs"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1097\/NMC.0000000000000633","article-title":"Prenatal care for American Indian women","volume":"45","author":"Johnson","year":"2020","journal-title":"MCN Am J Matern Child Nurs"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1001\/jama.2021.11922","article-title":"Screening for gestational diabetes: US preventive services task force recommendation statement","volume":"326","author":"Davidson","year":"2021","journal-title":"JAMA"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"e2334923","DOI":"10.1001\/jamanetworkopen.2023.34923","article-title":"Cardiovascular disease burden and outcomes among American Indian and Alaska native medicare beneficiaries","volume":"6","author":"Eberly","year":"2023","journal-title":"JAMA Netw 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