Women from refugee backgrounds and their experiences of attending a specialist antenatal clinic. Narratives from an Australian setting

Stapleton, Helen; Murphy, Rebecca; Correa‐Velez, Ignacio; Steel, Michelle; Kildea, Sue

doi:10.1016/j.wombi.2013.07.004

Cited by 51 publications

(104 citation statements)

References 21 publications

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“…As an important first step, health and other services must develop working relationships with the community [66]. In some countries, maternity services are increasingly employing bicultural workers as a conduit between services and the community and to work directly with women [70, 71]. Given the practical difficulties of accessing services, outreach clinics and home visiting services should also be considered.…”

Section: Discussionmentioning

confidence: 99%

Migrant women’s experiences, meanings and ways of dealing with postnatal depression: A meta-ethnographic study

et al. 2017

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AimTo conduct a meta-ethnographic study of the experiences, meanings and ways of ‘dealing with’ symptoms or a diagnosis of postnatal depression amongst migrant women living in high income countries.BackgroundPrevalence of postnatal depression is highest amongst women who are migrants. Yet many women do not seek help for their symptoms and health services do not always respond appropriately to migrant women’s needs. Studies have reported migrant women’s experiences of postnatal depression and it is timely to synthesise findings from these studies to understand how services can be improved.DesignA meta-ethnographic synthesis of 12 studies reported in 15 papersData sourcesFive databases were searched for papers published between January 1999 and February 2016Review methodsThe quality of included studies was assessed using the Critical Appraisal Skills Program tool. The synthesis process was guided by the seven steps of meta-ethnography outlined by Noblit and Hare.FindingsFour key metaphors were identified: “I am alone, worried and angry—this is not me!”; ‘Making sense of my feelings’ ‘Dealing with my feelings’ and ‘What I need to change the way I feel!’. Primarily women related their feelings to their position as a migrant and as women, often living in poor socio-economic circumstances and they were exhausted keeping up with expected commitments. Many women were resourceful, drawing on their personal strengths and family / community resources. All the studies reported that women experienced difficulties in accessing appropriate services.ConclusionThe meta-ethnographic study demonstrates the impact of migration on perinatal mental health, particularly for women lacking family support, who have no employment, a precarious migration status and/or relationship conflict. Migrant women are resourceful and this requires support through appropriate services. Further research is needed to evaluate effective support strategies for migrant women in the perinatal period.

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Section: Discussionmentioning

confidence: 99%

Migrant women’s experiences, meanings and ways of dealing with postnatal depression: A meta-ethnographic study

et al. 2017

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“…Previous studies of maternity care models with women of refugee background have not explored mental health screening [21, 22], system challenges or factors critical to success in rolling out a comprehensive screening and referral programme [24, 25]. …”

Section: Introductionmentioning

confidence: 99%

Factors affecting implementation of perinatal mental health screening in women of refugee background

et al. 2016

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BackgroundFor women of refugee background, the increased risk of mental illness associated with pregnancy is compounded by pre- and post-settlement stressors. In Australia, antenatal screening for depression and anxiety symptoms using the Edinburgh Postnatal Depression Scale is recommended for all women. Despite this, screening is not routinely implemented and little is known about barriers and enablers to implementation for women of refugee background.MethodsSemi-structured interviews were conducted with a range of health professionals (n = 28: midwives, obstetricians, perinatal mental health and refugee health experts, interpreters) and women of refugee background (n = 9). Themes generated from thematic analysis were examined in relation to the Theoretical Domains Framework and Cultural Competence Conceptual Framework, followed by identification of effective behaviour change techniques to address the barriers and enablers identified by participants. These techniques formed the basis of recommendations to inform sustainable implementation of screening and referral.ResultsAlmost all participants perceived perinatal mental health screening to be necessary and most recognised the importance of post-traumatic stress disorder (PTSD) screening. Barriers and enablers were identified and related to eight domains: knowledge, skills, professional roles, beliefs about capabilities and consequences, environmental context, social influences and behavioural regulation.ConclusionsThis research clarifies how mental health screening may be integrated into routine antenatal care for women of refugee background, in order to improve provision of recommended care. These theory-informed recommendations include an inter-disciplinary approach, coordinating care within and across services, addition of PTSD screening, and effective communication with women.

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“…It found that women were often 11 "surprised" that midwives were not experienced in managing FGM (31). In a study of hospital 12 staff (professions unspecified) and African women, clinicians reported trying to discuss FGM 13 sensitively, while women viewed their efforts as intrusive and inappropriate (32 …”

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confidence: 99%

Midwives’ experiences of caring for women with female genital mutilation: Insights and ways forward for practice in Australia

et al. 2015

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Women from refugee backgrounds and their experiences of attending a specialist antenatal clinic. Narratives from an Australian setting

Cited by 51 publications

References 21 publications

Migrant women’s experiences, meanings and ways of dealing with postnatal depression: A meta-ethnographic study

Migrant women’s experiences, meanings and ways of dealing with postnatal depression: A meta-ethnographic study

Factors affecting implementation of perinatal mental health screening in women of refugee background

Midwives’ experiences of caring for women with female genital mutilation: Insights and ways forward for practice in Australia

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