Prenatal care adequacy of migrants born in conflict-affected countries and country-born parturients in Finland

Leppälä, Satu; Lamminpää, Reeta; Gissler, Mika; Vehviläinen‐Julkunen, Katri

doi:10.1016/j.jmh.2022.100122

Cited by 2 publications

(3 citation statements)

References 47 publications

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“…Studies noted that people from refugee and asylum seeker backgrounds take longer to engage with antenatal services than the general population, access less healthcare overall, and less healthcare than recommended. (6, 32) In addition to difficulties with knowing what services are available or how to access them,(14–16, 18, 25, 26, 28, 33) uncertainty about their residency status meant that people from a refugee or asylum seeker background did not consistently know what they were allowed to access, or whether their access rights may have changed over time. (14, 22, 26) These issues may be overcome by ensuring additional time is provided at the point of initial service engagement and throughout the perinatal period to explain the health care system and what birthing in a local hospital is like.…”

Section: Resultsmentioning

confidence: 99%

“…However, low literacy among some people from a refugee background meant that written materials remained inaccessible. (19, 20) Access to professional translators helped ensure accurate and confidential information was being communicated between service users and healthcare professionals, although issues of concern included availability of translators,(1) their ability to communicate in the same dialect,(6) and their age and gender appropriateness. (1, 18) Appointments facilitated by translators took longer,(28, 36) but this was not discussed as having been accounted for with longer appointment times.…”

Section: Resultsmentioning

confidence: 99%

“…While the reasons for such disparities in outcomes are likely to be varied and complex, it is known that people from a refugee and asylum seekers background have lower engagement with health services when pregnant, (5) even when antenatal care is universal. (6) Lower engagement may, in part, be due to the challenges of navigating health care when settling in a new country or because health services are not meeting the needs of people with a refugee or asylum seeker background. Thus, other services and supports may be needed to improve engagement with antenatal care by pregnant refugee and asylum seekers.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Refugee and asylum seekers’ engagement with health services during pregnancy: A rapid review

Green,

Herbert,

Pitts

et al. 2023

Preprint

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The objective of this work was to summarise and describe antenatal care experiences of people from refugee and asylum seeker backgrounds living in high-income countries with universal healthcare. Academic articles from six databases and grey literature from selected government websites were systematically searched for English-language articles published 2012-2022. Articles describing perinatal care of people from refugee and asylum seeker backgrounds from the service user and service providers perspective were eligible for inclusion. A thematic synthesis of included articles was undertaken with study quality assessed using Critical Appraisal Sills Program tools.Of the 37 included articles, there were seven qualitative, 15 quantitative, two mixed-methods studies and 13 reviews. Articles were conducted in Australia (57%), Canada (11%), and the remainder from Europe. Three recurring themes of communication, sociocultural and health system factors were described as barriers or challenges to antenatal care experiences but also presented opportunities for improving care. Many issues around antenatal care experiences for people from refugee and asylum seeker backgrounds remain the same as those identified over ten years ago. To improve antenatal care for people from refugee and asylum seeker backgrounds, health services could implement a range of strategies that support communication, sociocultural experiences and system-related issues.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Refugee and asylum seekers’ engagement with health services during pregnancy: A rapid review

Green,

Herbert,

Pitts

et al. 2023

Preprint

View full text Add to dashboard Cite

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Determinants of Antenatal Education and Breastfeeding Uptake in Refugee-Background and Australian-Born Women

Nguyen

Mohsin

Moussa

et al. 2023

Women

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Despite the well-established benefits of antenatal education (ANE) and breastfeeding for mothers, there is a paucity of evidence about the uptake of ANE and breastfeeding amongst women from refugee backgrounds or its associations with sociodemographic factors. The current study is a cross-sectional survey at two time points examining the prevalence of ANE attendance, breastfeeding, and intimate partner violence (IPV) amongst 583 women refugees resettled in Australia and a control group of 528 Australian-born women. Multi-logistic regression was used to explore bivariate associations between ANE attendance, breastfeeding, IPV, and sociodemographic characteristics (parity, maternal employment, and education). Refugee-background women compared to Australian-born women have lower ANE utilization (20.4% vs. 24.1%), higher rates of breastfeeding on hospital discharge (89.3% vs. 81.7%), and more IPV reports (43.4% vs. 25.9%). Factors such as nulliparity, higher level of education, and employment predict higher rates of ANE and breastfeeding adoption. In contrast, IPV is a risk factor for ANE underutilization. Further, of the women from refugee backgrounds who accessed ANE services, 70% attended clinics designed for women from non-English-speaking backgrounds. These findings support the need to ensure effective screening and interventions for IPV during antenatal care and to better understand the role of culture as a protective or risk factor for breastfeeding initiation.

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Prenatal care adequacy of migrants born in conflict-affected countries and country-born parturients in Finland

Cited by 2 publications

References 47 publications

Refugee and asylum seekers’ engagement with health services during pregnancy: A rapid review

Refugee and asylum seekers’ engagement with health services during pregnancy: A rapid review

Determinants of Antenatal Education and Breastfeeding Uptake in Refugee-Background and Australian-Born Women

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