Care during pregnancy and childbirth for migrant women: How do we advance? Development of intervention studies – The case of the MAMAACT intervention in Denmark

Villadsen, Sarah Fredsted; Mortensen, Laust Hvas; Andersen, Anne‐Marie Nybo

doi:10.1016/j.bpobgyn.2015.08.013

Cited by 38 publications

(47 citation statements)

References 44 publications

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“…Evidence on maternal healthcare focused mainly on specific issues such as female genital circumcision (FGC) (47), the delayed use of maternal health services by certain groups of migrants (48), and inequalities in pregnancy and childbirth (49). FGC was investigated together with prenatal care in refugee women from Syria, Somalia, Libya, Eritrea, Ethiopia, and the Ivory Coast in Malta (47).…”

Section: Access To Maternal Health Servicesmentioning

confidence: 99%

“…Insufficient interpreters and lack of cultural mediators, communication and information barriers were mentioned in two studies (47,49). These obstacles led to women missing important appointments, required medical tests remaining incomplete and women feeling uncomfortable (47).…”

Section: Access To Maternal Health Servicesmentioning

confidence: 99%

“…These obstacles led to women missing important appointments, required medical tests remaining incomplete and women feeling uncomfortable (47). Existing inequalities in childbirth outcomes for migrant women in Europe were evident, and underlined the lack of evidence for planning improved care and access to care (49).…”

Section: Access To Maternal Health Servicesmentioning

confidence: 99%

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Migrants’ and refugees’ health status and healthcare in Europe: A scoping literature review

Lebano

Hamed

Bradby

et al. 2020

Preprint

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Abstract Background There is increasing attention paid to the arrival of migrants from outwith the EU region to the European countries. Healthcare that is universally and equably accessible needs to be provided for these migrants throughout the range of national contexts and in response to complex and evolving individual needs. It is important to look at the evidence available on provision and access to healthcare for migrants to identify barriers to accessing healthcare and better plan necessary changes. Methods This review scoped seventy seven papers from nine European countries (Austria, Cyprus, France, Germany, Greece, Italy, Malta, Spain, and Sweden) in English and in country-specific languages in order to provide an overview of migrants’ access to healthcare. The review aims at identifying what is known about access to healthcare and healthcare use of migrants and refugees in the EU member states. The evidence included documents from 2011 onward. Results The literature reviewed confirms that despite the aspiration to ensure equality of access to healthcare, there is persistent inequalities between migrants and non-migrants in access to healthcare services. The evidence shows unmet healthcare needs, especially when it comes to mental and dental health as well as the existence of legal barriers in accessing healthcare. Language and communication barriers, overuse of emergency services and underuse of primary healthcare services as well as discrimination are described. Conclusions The European situation concerning migrants’ and refugees’ health status and access to healthcare is heterogenous and it is difficult to compare and draw any firm conclusions due to the scant evidence. Different diseases are prioritised by different countries, although these priorities do not always correspond to the expressed needs or priorities of the migrants. Mental healthcare, preventive care (immunization) and long term care in the presence of a growing migrant older population are identified as priorities that deserve greater attention. There is a need to improve the existing data on migrants’ health status, needs and access to healthcare to be able to tailor care to the needs of migrants. To conduct research that highlights migrants’ own views on their health and barriers to access to healthcare is key.

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Section: Access To Maternal Health Servicesmentioning

confidence: 99%

Section: Access To Maternal Health Servicesmentioning

confidence: 99%

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Migrants’ and refugees’ health status and healthcare in Europe: A scoping literature review

Lebano

Hamed

Bradby

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…While social relations often are examined according to the number of personal relations, Due and colleagues argue that the impact of social relations on morbidity and mortality must be understood as structure, i.e., formal and informal social relations, as well as function such as social support, relational strain and social anchorage [17].Currently, little is known about how immigrant women perceive and react to potential pregnancy complications. This study reports on findings part of a qualitative process evaluation [18] of the MAMAACT intervention [19]. The MAMAACT intervention was tried for effectiveness in a national realist trial from the year 2018 to 2019 [20].…”

mentioning

confidence: 99%

“…Referring to Agnew [29], Poland et al argue that to understand human behavior, it is necessary to examine micro episodes of everyday life and how these episodes are nested in specific contexts [28]. Building upon findings from the feasibility study of the MAMAACT intervention [19], we hypothesized that social life situations would affect non-Western immigrant women's care-seeking behavior throughout the pregnancy.…”

mentioning

confidence: 99%

Contextual Factors Influencing the MAMAACT Intervention: A Qualitative Study of Non-Western Immigrant Women’s Response to Potential Pregnancy Complications in Everyday Life

Johnsen

Christensen

Juhl

et al. 2020

IJERPH

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In western countries, immigrant women have an increased risk of negative birth outcomes. Immigrant women’s and maternity care system’s delayed response to pregnancy complications contribute to ethnic inequities in reproductive health. The MAMAACT intervention was developed to improve midwives’ and women’s response to pregnancy complications in Denmark. The study examines the context of the implementation of the MAMAACT intervention and investigates how the intended intervention mechanisms regarding response to pregnancy complications were affected by barriers in non-Western immigrant women’s everyday life situations. Twenty-one interviews with non-Western immigrant women were undertaken. Systematic text condensation and the situational-adaptation framework by Alonzo were used to analyze data. Four main categories were identified: ‘Sources of knowledge during pregnancy’, ‘Containment of pregnancy warning signs’, ‘Barriers during the onset of acute illness’ and ‘Previous situations with maternity care providers’. Attention to potential pregnancy complications may conflict with immigrant women’s everyday life situations and result in the containment of symptoms as well as causing delays in seeking medical assistance. It is probable that barriers in women’s everyday life will impact the intended intervention mechanisms and thus the full potential of the intervention may not be reached.

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The State of Current Integration of Race and Ethnicity in Medical Education

Stuppy,

Chowdhury

2023

Best Practices for Acknowledging and Addressing Racial and Ethnic Health Disparities in Medical Education

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Care during pregnancy and childbirth for migrant women: How do we advance? Development of intervention studies – The case of the MAMAACT intervention in Denmark

Cited by 38 publications

References 44 publications

Migrants’ and refugees’ health status and healthcare in Europe: A scoping literature review

Migrants’ and refugees’ health status and healthcare in Europe: A scoping literature review

Contextual Factors Influencing the MAMAACT Intervention: A Qualitative Study of Non-Western Immigrant Women’s Response to Potential Pregnancy Complications in Everyday Life

The State of Current Integration of Race and Ethnicity in Medical Education

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