7.3-O7The need for trust and safety inducing encounters: a qualitative exploration of women's experiences of seeking perinatal care when living as undocumented migrants in Sweden

Barkensjö, My; Greenbrook, J T V; Rosenlundh, J; Ascher, Henry; Elden, Helen

doi:10.1093/eurpub/cky047.253

Cited by 2 publications

(8 citation statements)

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“…In addition, this study showed that three women were denied access or continuation of care by a health care professional. Previous research from Norway and Sweden, and a report from the Swedish Agency for Public Management have found similar tendencies [8,36,37].…”

Section: Access To Prenatal Carementioning

confidence: 56%

“…In this research, solely professional interpretation was used only in one-fourth of the prenatal visits, which is less frequently compared with a recent study conducted in Sweden, where professional interpretation was used in 82 % of the prenatal visits of asylum seeker and undocumented pregnant women [9]. Lastly, it needs to be considered that the lack of knowledge amongst health care professionals on the o cial guidelines on the legal rights of undocumented migrants may hinder the access to prenatal care [7,8,37].…”

Section: Access To Prenatal Carementioning

confidence: 93%

“…As the legal right to maternity health care is not su cient to guarantee access to prenatal care [9], there is a need to develop diverse and innovative ways to reach undocumented women to increase access to care. Further, the importance of policy-makers and health care managers' responsibility in ensuring that health care professionals receive su cient training and knowledge on the rights and practices of care of undocumented pregnant women should be emphasized [8,37].…”

Section: Access To Prenatal Carementioning

confidence: 99%

“…Every woman should be entitled to special care and assistance during pregnancy, childbirth, and the postnatal period [1][2][3]. Undocumented pregnant women constitute a particularly vulnerable group of people [4][5][6][7][8][9] who lack equal access to quality pregnancy care [9]. With continuous prenatal care throughout pregnancy, it is possible to prevent pregnancy complications and arrange proper medical care and guidance when needed [3].…”

Section: Introductionmentioning

confidence: 99%

“…Previous research has shown that undocumented migrants encounter great di culties in accessing health services [8,11,12]. Undocumented pregnant women use less health care services compared with other women in the same country [6,7,9,[13][14][15] and the onset of prenatal care is often delayed [4,5,9,13,[16][17][18].…”

Section: Introductionmentioning

confidence: 99%

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Maternal health care utilization and the obstetric outcomes of undocumented women in Finland – a retrospective register-based study

Tasa

Holmberg

Sainio

et al. 2020

Preprint

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Background: Undocumented pregnant women constitute a vulnerable group of people who lack equal access to pregnancy care. Previous research has shown that undocumented migrants encounter difficulties in accessing health services, the onset of prenatal care is delayed, and women have an increased risk for infectious diseases. The aim of this study was to describe the use of maternal health care services and the obstetric outcomes of undocumented women in Helsinki, in addition to comparing the results with all pregnant women in Finland.Methods: The study was a retrospective register-based study consisting of data collected between 2014 to 2018 from the electronic medical records of the public maternity clinic and maternity hospital in Helsinki, Finland. The study population consists of 62 individual pregnancies of undocumented women. The results of the study were compared with national data on parturients and deliveries (N=47,274 women) and with prenatal screening tests for infectious diseases (N=51,447 [HIV, HBV], N=51,446 [syphilis]) (relative risk, RR with 95 % CI).Results: The majority (91 %) of the undocumented women attended public prenatal care. However, four women received no prenatal care and three women were denied access to care. Undocumented women entered prenatal care later and had fewer visits compared with all pregnant women. The majority (71 %) of the undocumented women received inadequate prenatal care as the number of visits was less than eight. Of the study population, 5 % (3/61) tested positive for HIV, 3 % (2/61) for HBV, and 2 % (1/62) for syphilis. The prevalence of HIV (RR 62, 95 % CI 20–195), HBV (RR 16, 95 % CI 4–63), and syphilis (RR 20, 95 % CI 3–145) were higher amongst undocumented women compared with all pregnant women.Conclusions: Undocumented women entered prenatal care later than recommended. Most women received inadequate prenatal care and some of them did not receive prenatal care at all. The prevalence of infectious diseases was higher and the coverage of prenatal screenings deficient amongst undocumented pregnant women.

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Section: Access To Prenatal Carementioning

confidence: 56%

Section: Access To Prenatal Carementioning

confidence: 93%

Section: Access To Prenatal Carementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Maternal health care utilization and the obstetric outcomes of undocumented women in Finland – a retrospective register-based study

Tasa

Holmberg

Sainio

et al. 2020

Preprint

View full text Add to dashboard Cite

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Health-seeking behaviours of immigrants, asylum seekers and refugees in Europe: a systematic review of peer-reviewed articles

Ahmadinia

Eriksson‐Backa

Nikou

2021

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PurposeImmigrants, asylum seekers and refugees living in Europe face a number of challenges in accessing or using health information and healthcare services available in their host countries. To resolve these issues and deliver the necessary services, providers must take a comprehensive approach to better understand the types of health information and healthcare services that these individuals need, seek and use. Therefore, the purpose of this paper is to develop that comprehensive approach.Design/methodology/approachIn this paper, a systematic literature review of peer-reviewed publications was performed, with 3.013 articles collected from various databases. A total of 57 qualifying papers on studies conducted in Europe were included in the review after applying the predefined inclusion and exclusion requirements, screening processes and eliminating duplicates. The information seeking and communication model (ISCM) was used in the analysis.FindingsThe findings revealed that while many health information and healthcare services are accessible in Europe for immigrants, asylum seekers and refugees, many of these individuals are unaware of their existence or how to access them. While our findings do not specify what health-related information these groups need, use or seek, they do suggest the importance and value of providing mental health, sexual health and HIV, as well as pregnancy and childbirth information and services. Furthermore, according to our results, health information services should be fact-based, easy to understand and raise awareness about healthcare structure and services available in Europe for this vulnerable population.Practical implicationsThis study has a range of practical implications, including (1) highlighting the need for mental health and behavioural health services and (2) stressing the value of addressing cultural context and religious values while investigating (health) information seeking of people with foreign background.Originality/valueThis is one of the first studies to systematically review and examine the behaviour of immigrants, asylum seekers and refugees in relation to health information and healthcare services in the European context.

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7.3-O7The need for trust and safety inducing encounters: a qualitative exploration of women's experiences of seeking perinatal care when living as undocumented migrants in Sweden

Cited by 2 publications

References 0 publications

Maternal health care utilization and the obstetric outcomes of undocumented women in Finland – a retrospective register-based study

Maternal health care utilization and the obstetric outcomes of undocumented women in Finland – a retrospective register-based study

Health-seeking behaviours of immigrants, asylum seekers and refugees in Europe: a systematic review of peer-reviewed articles

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