Navigating new lives: A scoping review and thematic synthesis of forced migrant women's perinatal experiences

Sharma, Esther; Howard, Natasha; Duclos, Diane

doi:10.1016/j.jmh.2020.100014

Cited by 8 publications

(7 citation statements)

References 66 publications

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“…Not knowing who to ask for help and the difficulties with navigating the diverse range of services and support was a consistent finding within this study. Similarly, other studies report on the difficulties migrant women experience in understanding different healthcare systems and accessing services and supports [24,39,50]. Community and social groups were seen as very valuable resources that provide a range of important supports for migrant women during and after pregnancy.…”

Section: Discussionmentioning

confidence: 92%

Fostering Collective Approaches in Supporting Perinatal Mental Healthcare Access for Migrant Women: A Participatory Health Research Study

Markey

Noonan

Doody

et al. 2022

IJERPH

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Perinatal mental health is a growing public health concern. The mounting evidence examining the prevalence of perinatal mental illness identifies specific vulnerabilities and risk factors among migrant women. We know that migrant women experience persistent and systematic barriers in accessing healthcare and that healthcare services do not always respond appropriately to migrant women’s needs, highlighting the need for targeted interventions in supporting positive perinatal mental health among migrant women. The purpose of this participatory health research study was to explore perinatal mental healthcare for migrant women in Ireland, from the perspectives of a diverse range of stakeholders (healthcare service providers, community organisations/networks/associations and migrant women). A key focus of this study was to collaboratively explore solution-focused approaches to improving access to supports and healthcare services for migrant women experiencing perinatal mental illness. Following ethical approval, data were collected during three key convenings, utilising the design principles of world café philosophies. Thematic analysis led to the generation of the following two themes: Building Capability and Capacity and Empowering Migrant Women. The main conclusions lie in the provision of whole-system approaches in collectively, collaboratively and proactively planning strategies that address the many factors that affect access to healthcare services for migrant women experiencing perinatal mental illness. Drawing on the collective perspectives of a wide range of stakeholders, our innovative solution focused on providing recommendations aimed at strengthening supports and healthcare services for migrant women.

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Section: Discussionmentioning

confidence: 92%

Fostering Collective Approaches in Supporting Perinatal Mental Healthcare Access for Migrant Women: A Participatory Health Research Study

Markey

Noonan

Doody

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Misunderstandings are more likely to occur when there are communication barriers, and we found communication needs cutting across all aspects of access to antenatal care for ethnic minority women who did not speak the local language. Communication barriers and the lack of suitable interpreters have been widely documented as key factors that hinder women’s ability to be involved in decision-making in their care [ 9 , 10 ], which in turn lead to confusion, fear and even (re-)traumatisation [ 71 ].…”

Section: Discussionmentioning

confidence: 99%

Ethnic minority women’s experiences of accessing antenatal care in high income European countries: a systematic review

Sharma

Tseng

Harden

et al. 2023

BMC Health Serv Res

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Background Women from ethnic minority backgrounds are at greater risk of adverse maternal outcomes. Antenatal care plays a crucial role in reducing risks of poor outcomes. The aim of this study was to identify, appraise, and synthesise the recent qualitative evidence on ethnic minority women’s experiences of accessing antenatal care in high-income European countries, and to develop a novel conceptual framework for access based on women’s perspectives. Methods We conducted a comprehensive search of seven electronic databases in addition to manual searches to identify all qualitative studies published between January 2010 and May 2021. Identified articles were screened in two stages against the inclusion criteria with titles and abstracts screened first followed by full-text screening. Included studies were quality appraised using the Critical Appraisal Skills Programme checklist and extracted data were synthesised using a ‘best fit’ framework, based on an existing theoretical model of health care access. Results A total of 30 studies were included in this review. Women’s experiences covered two overarching themes: ‘provision of antenatal care’ and ‘women's uptake of antenatal care’. The ‘provision of antenatal care’ theme included five sub-themes: promotion of antenatal care importance, making contact and getting to antenatal care, costs of antenatal care, interactions with antenatal care providers and models of antenatal care provision. The ‘women's uptake of antenatal care’ theme included seven sub-themes: delaying initiation of antenatal care, seeking antenatal care, help from others in accessing antenatal care, engaging with antenatal care, previous experiences of interacting with maternity services, ability to communicate, and immigration status. A novel conceptual model was developed from these themes. Conclusion The findings demonstrated the multifaceted and cyclical nature of initial and ongoing access to antenatal care for ethnic minority women. Structural and organisational factors played a significant role in women’s ability to access antenatal care. Participants in majority of the included studies were women newly arrived in the host country, highlighting the need for research to be conducted across different generations of ethnic minority women taking into account the duration of stay in the host country where they accessed antenatal care. Protocol and registration The review protocol was registered on PROSPERO (reference number CRD42021238115).

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“…Although this body of evidence helps us understand specific care needs that require consideration, it does not comprehensively identify specific enablers and barriers to access and engagement with perinatal mental health care services. While some literature reviews focus on examining perinatal experiences of refugee women [ 18 ], most reviews predominantly focus on examining perinatal experiences of migrant women generally [ 10 , 17 , 19 ]. The term migrant that is adopted in many of the existing reviews in the area is an overarching term used that does not distinguish between migrant subgroups that often have differing health care needs and specific barriers to accessing and engaging with services that are sometimes unique to their subgroup.…”

Section: Introductionmentioning

confidence: 99%

Service User and Service Provider Perceptions of Enablers and Barriers for Refugee and Asylum-Seeking Women Accessing and Engaging with Perinatal Mental Health Care Services in the WHO European Region: A Scoping Review Protocol

Markey

MacFarlane

Noonan

et al. 2022

IJERPH

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There is a need to understand the specific perinatal mental health care needs of migrant subgroups who often have differing health care needs and specific barriers to accessing and engaging with health care services. It is important to have evidence about the WHO European context given the rising numbers of refugees and asylum seekers in the region. The aim of this scoping review is to map the factors that enable and prevent access and engagement of refugee and asylum-seeking women with perinatal mental health care services in the WHO European Region, from the perspectives of service providers and service users. The database search will include PsycINFO, Cochrane, Web of Science, MEDLINE, EMBASE, CINAHL complete, Scopus, Academic Search Complete, and Maternity and Infant Care (OVID). Search results will be exported to an online tool that provides a platform to help manage the review process, including title, abstract, and full-text screening and voting by reviewers independently. Data concerning access and engagement with health care services will be mapped on to the candidacy framework. Systematically searching evidence within the WHO European region and examining this evidence through the candidacy lens will help develop a more comprehensive and a deeper conceptual understanding of the barriers and levers of access and engagement with perinatal mental health care services, whilst identifying gaps in existing evidence. Exploring factors that influence access and engagement for refugee and asylum-seeking women from the perspective of key stakeholders in the service provision and/or service utilisation of perinatal mental health care services will add a more comprehensive understanding of the recursive relationship between service provision and use.

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Navigating new lives: A scoping review and thematic synthesis of forced migrant women's perinatal experiences

Cited by 8 publications

References 66 publications

Fostering Collective Approaches in Supporting Perinatal Mental Healthcare Access for Migrant Women: A Participatory Health Research Study

Fostering Collective Approaches in Supporting Perinatal Mental Healthcare Access for Migrant Women: A Participatory Health Research Study

Ethnic minority women’s experiences of accessing antenatal care in high income European countries: a systematic review

Service User and Service Provider Perceptions of Enablers and Barriers for Refugee and Asylum-Seeking Women Accessing and Engaging with Perinatal Mental Health Care Services in the WHO European Region: A Scoping Review Protocol

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