‘You need that loving tender care’ : maternity care experiences and expectations of ethnic minority women born in the United Kingdom

Objective To explore the maternity care experiences and expectations of United Kingdom (UK)-born ethnic minority women. Methods Qualitative in-depth interviews with 34 UK-born mothers of Black Caribbean, Black African, Indian, Pakistani, Bangladeshi and Irish descent, recruited mainly from nine National Health Service (NHS) maternity units in England. Results Overall, women felt that their ethnic background did not matter at all with respect to the care they received. UK-born women's familiarity with the system and the absence of language barriers were felt to be influential in getting treated the same as White women. Women stressed the need for professionals to be ‘sensitive’ and ‘delicate’ in their interactions and wanted ‘continuity of care’. In general, they were positive about the adequacy of the information given during their antenatal appointments, but some women found it difficult to get access to antenatal classes. Women valued good communication and consistent information, with their views acknowledged and their questions answered consistently. They also expressed the need for better physical environments in maternity units. Conclusions Our findings contribute to the growing evidence about the need to improve maternity and postnatal care, and to develop more sensitive and women-centred care for all women irrespective of ethnic background

Will climate change impact the potential distribution of a native vine ( Merremia peltata

Merremia peltata is a species with uncertain status in the island nations of the Pacific region. It has been designated introduced and invasive in some countries whereas it is considered native in others. Recent increase in its abundance across some island landscapes have led to calls for its designation as an invasive species of environmental concern with biological control being suggested as a control strategy. Climate change will add to the complications of managing this species since changes in climate will influence its range limits. In this study, we develop a process‐oriented niche model of M. peltata using CLIMEX to investigate the impacts of climate change on its potential distribution. Information on the climatic requirements of M. peltata and its current geographic distribution were used to calibrate the model. The results indicate that under current climate, 273,132 km(2) of the land area in the region is climatically unsuitable or marginal for M. peltata whereas 664,524 km(2) is suitable to highly suitable. Under current climate, areas of climatic suitability for M. peltata were identified on the archipelagos of Fiji, Papua New Guinea, Solomon Islands and Vanuatu. By the end of the century, some archipelagos like Fiji, Hawaii, New Caledonia and Vanuatu will probably become more suitable while PNG and Solomon Islands become less suitable for M. peltata. The results can be used to inform biosecurity planning, management and conservation strategies on islands