Care of the migrant obstetric population

Hayes, Ivan; Enohumah, Kingsley; McCaul, Conán

doi:10.1016/j.ijoa.2011.06.008

Cited by 43 publications

(18 citation statements)

References 93 publications

(105 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pregnancy is a period of increased vulnerability for migrant women [6,7]. There is a consistent trend for poorer pregnancy outcomes amongst migrant women [2] who are at greater risk of maternal and neonatal morbidity and mortality when compared to native born women [2,[8][9][10][11][12][13][14][15][16][17]. This is a result of the complex interplay of multiple factors including substandard healthcare in the country of origin [2] and issues around accessing care and the quality of care in the new country [2,14,18].…”

Section: Introductionmentioning

confidence: 99%

Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review

et al. 2020

View full text Add to dashboard Cite

BackgroundAcross Europe there are increasing numbers of migrant women who are of childbearing age. Migrant women are at risk of poorer pregnancy outcomes. Models of maternity care need to be designed to meet the needs of all women in society to ensure equitable access to services and to address health inequalities. ObjectiveTo provide up-to-date systematic evidence on migrant women's experiences of pregnancy, childbirth and maternity care in their destination European country. Search strategyCINAHL, MEDLINE, PubMed, PsycINFO and Scopus were searched for peer-reviewed articles published between 2007 and 2017. Selection criteriaQualitative and mixed-methods studies with a relevant qualitative component were considered for inclusion if they explored any aspect of migrant women's experiences of maternity care in Europe. Data collection and analysisQualitative data were extracted and analysed using thematic synthesis. ResultsThe search identified 7472 articles, of which 51 were eligible and included. Studies were conducted in 14 European countries and focused on women described as migrants, PLOS ONE | https://doi.refugees or asylum seekers. Four overarching themes emerged: 'Finding the way-the experience of navigating the system in a new place', 'We don't understand each other', 'The way you treat me matters', and 'My needs go beyond being pregnant'. ConclusionsMigrant women need culturally-competent healthcare providers who provide equitable, high quality and trauma-informed maternity care, undergirded by interdisciplinary and crossagency team-working and continuity of care. New models of maternity care are needed which go beyond clinical care and address migrant women's unique socioeconomic and psychosocial needs.Migrant women's experiences of maternity care PLOS ONE | https://doi.

show abstract

Section: Introductionmentioning

confidence: 99%

Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review

et al. 2020

View full text Add to dashboard Cite

show abstract

“…It is necessary to understand the existing picture of healthcare access to migrants in order to develop migrant-sensitive strategies for improvement of maternal health. Maternal health indicators are poorer among migrants than natives (Shaokang et al 2002;Hayes et al 2011;Heaman et al 2013). Studies from India (Swain & Mishra 2006;Babu et al 2010;Kusuma et al 2010;Singh et al 2012) and abroad (Hayes et al 2011;Heaman et al 2013) reveal that the poor migrants often forego healthcare services.…”

Section: Introductionmentioning

confidence: 99%

Migration and access to maternal healthcare: determinants of adequate antenatal care and institutional delivery among socio‐economically disadvantaged migrants in Delhi, India

Kusuma

Kumari

Kaushal

2013

Tropical Med Int Health

View full text Add to dashboard Cite

Abstractobjective To identify the determinants of adequate antenatal care (ANC) utilisation and institutional deliveries among socio-economically disadvantaged migrants living in Delhi, India.methods In a cross-sectional survey, 809 rural-urban migrant mothers with a child aged below 2 years were interviewed with a pretested questionnaire. Data on receiving antenatal, delivery and post-natal services, migration history and other social, demographic and income were collected.results Recent migrants used the services significantly less than settled migrants. ANC was adequate only among 37% (35% of recent migrant women and 39% of settled migrants). Multinomial regression revealed that being a recent migrant, multiparous, illiterate and married to an unskilled worker were significant risk factors for receiving inadequate ANC. Around 53% of deliveries took place at home. ANC seeking has a strong influence on place of delivery: 70% of births to women who received inadequate ANC were at home. Women who are educated, had their first delivery after the age of 20 years and received adequate ANC were more likely to deliver their child in hospital. Post-natal care is grossly neglected among these groups.conclusion Migrant women, particularly recent migrants, are at the risk of not receiving adequate maternal healthcare. Because migration is a continuing phenomenon, measures to mitigate disadvantage due to migration need to be taken in the healthcare system.keywords antenatal care, internal migration, maternal health, primary healthcare

show abstract

“…In Europe, offspring of non-European migrants were consistently found to have higher perinatal mortality rates (PMRs) than the native population [5]. However, comparison between studies may be difficult as the definition of migrants vary across studies [5,6]. …”

Section: Introductionmentioning

confidence: 99%

Perinatal mortality in non-western migrants in Norway as compared to their countries of birth and to Norwegian women

et al. 2013

View full text Add to dashboard Cite

BackgroundA large number of women from countries with a high perinatal mortality rate (PMR) settle in countries with a low PMR. We compared the PMRs for migrants in Norway with the PMRs in their countries of birth. We also assessed the risk of perinatal death in offspring of migrant women as compared to offspring of Norwegian women.MethodsThe Medical Birth Registry of Norway and the Norwegian Central Person Registry provided data on births in Norway during the years 1986 to 2005 among all women born in Norway, Pakistan, Vietnam, Somalia, Sri Lanka, Philippines, Iraq, Thailand and Afghanistan. Information on the PMRs in the countries of birth was obtained from the World Health Organisation (WHO) for the years 1995, 2000 and 2004. Mean PMRs in Norway during 1986–2005 were calculated by mother’s country of birth, and the risks of perinatal death by country of birth were estimated as odds ratios (OR) using Norwegian women as the reference. Adjustments were made for mother’s age, plurality, parity, year of birth and gestational age at birth.ResultsThe PMRs for migrants in Norway were lower than in their countries of birth. The largest difference was in Afghan women (97 deaths per 1000 births in Afghanistan versus 24 deaths per 1000 births in Afghan women in Norway), followed by Iraqi and Somali women. As compared with Norwegian women, the adjusted odds ratio (OR) of perinatal death was highest for Afghan (OR 4.01 CI: 2.40 – 6.71), Somali (OR 1.83 CI: 1.44 - 2.34) and Sri Lankan (OR 1.76 CI: 1.36 – 2.27) women.ConclusionsThe lower PMRs for migrants in Norway as compared to the PMRs in their countries of birth may be explained by access to better health care after migration. The increased risk of perinatal death in migrants as compared to Norwegians encourages further research.

show abstract

Care of the migrant obstetric population

Cited by 43 publications

References 93 publications

Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review

Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review

Migration and access to maternal healthcare: determinants of adequate antenatal care and institutional delivery among socio‐economically disadvantaged migrants in Delhi, India

Perinatal mortality in non-western migrants in Norway as compared to their countries of birth and to Norwegian women

Contact Info

Product

Resources

About