Abstract
In Aotearoa New Zealand, wahine Maori (Maori women) are overrepresented in several negative post-natal outcomes, including negative outcomes related to caesarean deliveries. We aimed to understand the experiences of wahine Maori who had experienced a caesarean delivery and to identify how healthcare systems can better meet the needs of wahine Maori during pre- and post-natal care. Using kaupapa Maori principles, thematic analysis of one-on-one interviews identified eight themes covering a range of issues related to overall wellbeing. Bodily autonomy and choice were discussed by all participants, as was the need for mental wellbeing to be a larger focus of perinatal care. Participants also shared positive encounters with midwives and nurses, as well as a desire to incorporate religious and cultural practices within perinatal care. The caesarean delivery birthing stories of wahine Maori highlighted the importance of Maori health models in understanding and providing culturally-affirming healthcare to wahine Maori across Aotearoa.