title: 'It's not me, it's them': How lesbian women make sense of negative experiences of maternity care: a hermeneutic study.
abstract: OBJECTIVE
  The paper is a report of one aspect of a hermeneutic study of lesbian women's experiences of maternity care, specifically interpretations of negative experiences.
  
  
  BACKGROUND
  There is a growing body of literature in relation to lesbian women's experiences of maternity care. Although most commentators discuss the negative experiences encountered by lesbian mothers, there has been no contextual analysis of these expressions of negativity in an increasingly positive environment.
  
  
  METHODS
  The study was undertaken using a qualitative approach using an adapted Gadamerian hermeneutic phenomenology using unstructured interviews with eight women. The interviews took place between November 2007 and March 2008. All of the participants had disclosed their sexual orientation in pregnancy. Snowball sampling was used. The data were then analysed using an iterative hermeneutic framework.
  
  
  RESULTS
  The participants not only described their experiences of maternity care as being positive but also offered examples of negative experiences. These were analysed separately to explore the ways in which the women made sense of them in the context of an otherwise positive experience. These experiences were expressed in ways that distanced the negative and that seemed to rationalize behaviour or ascribe it to the health professional.
  
  
  CONCLUSIONS
  Negative encounters with health professionals are processed by women in a way that protects their overall experience. Health professionals in maternity care should consider the impact of negative responses to lesbian mothers and the effect that it has in reducing the overall quality of this significant life event.
authors.affiliation: Midwifery School of Nursing and Midwifery, University of Dundee, UK. e.c.lee@dundee.ac.uk
authors.forename: Elaine
authors.initials: E
authors.lastname: Lee
authors.forename: Julie
authors.initials: J
authors.lastname: Taylor
authors.forename: Fiona
authors.initials: F
authors.lastname: Raitt
mesh_terms: D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002961:Civil Rights / Q000331:legislation & jurisprudence; D005260:Female; D018452:Homosexuality, Female / Q000523:psychology*; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration / Q000592:standards*; D008880:Midwifery; D015399:Nursing Research; D018802:Patient-Centered Care / Q000458:organization & administration / Q000592:standards*; D011247:Pregnancy; D011287:Prejudice; D011369:Professional-Patient Relations; D036301:Qualitative Research; D011908:Rationalization; D012650:Self Disclosure; D012922:Social Change; D016387:Women's Health