A concept analysis of the term migrant women in the context of pregnancy

Balaam, Marie‐Clare; Haith-Cooper, Melanie; Pařízková, Alena; Weckend, Marina J.; Fleming, Valerie; Roosalu, Triin; Vržina, Sanja Špoljar

doi:10.1111/ijn.12600

Cited by 13 publications

(11 citation statements)

References 30 publications

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“…Second, migrant women present a very heterogenous group with different needs and experiences. Even if the study assessed for example the length of the stay in Switzerland and the legal status, future studies should include also information about the type of migration experience (forced vs. voluntary) or the length of residence in the recipient country [38]. Also, as already outlined, migrant women who have been forced to leave their home country, might have different expectations, experiences and health problems compared to those having migrated for economic opportunities.…”

Section: Discussionmentioning

confidence: 99%

Giving birth in Switzerland: a qualitative study exploring migrant women’s experiences during pregnancy and childbirth in Geneva and Zurich using focus groups

et al. 2019

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Background Migrant mothers in high-income countries often encounter more complications during pregnancy, delivery, and the postpartum period. To enlighten health care providers concerning potential barriers, the objective of this study was to explore positive and negative experiences with maternal health services in the University Hospitals of Geneva and Zurich and to describe barriers to maternity services from a qualitative perspective. Methods In this qualitative study, six focus groups (FGs) were conducted involving 33 women aged 21 to 40 years. All FG discussions were audio-recorded and later transcribed. Data were analysed using a thematic analysis approach assisted by the Atlas.ti qualitative data management software. Results Positive experiences included not only the availability of maternity services, especially during emergency situations and the postpartum period, but also the availability of specific maternity services for undocumented migrants in Geneva. Negative experiences were classified into either personal or structural barriers. On the personal level, the main barriers were a lack of social support and a lack of health literacy, whereas the main themes on the structural level were language barriers and a lack of information. Conclusion Structural adaptation is necessary to meet the needs of the extremely diverse population. The needs include (1) the provision of specific information for migrant women in multiple languages, (2) the availability of trained interpreters who are easily accessible to health care providers, (3) specifically trained nurses or social assistance providers to guide migrants through the health system, and (4) a cultural competence-training programme for health care providers.

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Section: Discussionmentioning

confidence: 99%

Giving birth in Switzerland: a qualitative study exploring migrant women’s experiences during pregnancy and childbirth in Geneva and Zurich using focus groups

et al. 2019

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“…Eight electronic bibliographic health and social science databases (EMBASE, Public Health Database, Social Science Citation Index, Social work Abstracts, Maternal and Infant Health, Academic Search Complete, CINHAL, Medline) were initially searched in 2018 and then the search was updated in 2020. The search terms used reflected previous research [22] which identified that the terminology around migrant women within healthcare literature is problematic and imprecise. To address this, in addition to the key terms asylum-seeking and refugee, the following terms were included migrant, immigrant, undocumented, irregular migrants, asylum seekers, transient, refugee, foreign, illegal, alien and any literature recovered was then reviewed to ascertain if asylum seeking and refugee women were included within these broader terms.…”

Section: Methodsmentioning

confidence: 99%

“…This research should be done in a collaborative way with the women these interventions are aimed to support. This research needs to avoid the over homogenisation of women's experiences by ensuring that detailed data is collected including women's country of origin, time in reception country and legal status as recommended by Balaam et al [22].…”

Section: Implications For Practice and Researchmentioning

confidence: 99%

A Systematic Review of Perinatal Social Support Interventions for Asylum-seeking and Refugee Women Residing in Europe

Balaam

Kingdon

Haith-Cooper

2021

J Immigrant Minority Health

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Asylum-seeking and refugee women currently residing in Europe face unique challenges in the perinatal period. A range of social support interventions have been developed to address these challenges. However, little is known about which women value and why. A critical interpretive synthesis was undertaken using peer reviewed and grey literature to explore the nature, context and impact of these perinatal social support interventions on the wellbeing of asylum-seeking and refugee women. Four types of interventions were identified which had varying impacts on women’s experiences. The impacts of the interventions were synthesised into five themes: Alleviation of being alone, Safety and trust, Practical knowledge and learning, being cared for and emotional support, and increased confidence in and beyond the intervention. The interventions which were most valued by women were those using a community-based befriending/peer support approach as these provided the most holistic approach to addressing women’s needs.

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“…When studying immigration, it was necessary to access the immigrants’ status within the legal system of the host country . Hence, the influence of residence status as opposed to migration background on the uptake of ANC was tested in the two multivariate models.…”

Section: Methodsmentioning

confidence: 99%

The influence of migration on women’s use of different aspects of maternity care in the German health care system: Secondary analysis of a comparative prospective study with the Migrant Friendly Maternity Care Questionnaire (MFMCQ)

Seidel

Gürbüz

Großkreutz

et al. 2019

Birth

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Introduction Approximately 21% of Germany's inhabitants or their parents have been born abroad. There is evidence that immigrant women are starting antenatal care later than nonimmigrants. In Berlin, equality in health care access had improved until 2011‐2012, leaving only women with Low German language proficiency and an insecure residence status particularly at risk. With the recent influx of refugees, we analyzed whether access to antenatal and postpartum care differs depending on immigration, residence status, income, and education. Methods At our Berlin tertiary care center, a modified version of the Migrant Friendly Maternity Care Questionnaire was administered to women who delivered in the first half of 2017. Multivariate modeling compared nonimmigrant women, immigrants, and women who are direct descendants of immigrants. Results The study included 184 nonimmigrant women, 214 immigrant women, and 62 direct descendants of immigrants. Germany is relatively good in prenatal care for immigrant women, as most are getting adequate prenatal care. However, 21% of immigrants compared with 11% of nonimmigrant women started pregnancy care after the first trimester (P = .03). Low income was a more powerful predictor than immigration status for starting prenatal care after the first trimester. Immigrant women (23%) were less informed on postpartum care availability than nonimmigrants (3%) and used less postpartum midwifery care. Conclusions When designing health care interventions for immigrant women, not only migration‐specific factors should be considered but also low income as a barrier to access to maternity care.

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A concept analysis of the term migrant women in the context of pregnancy

Cited by 13 publications

References 30 publications

Giving birth in Switzerland: a qualitative study exploring migrant women’s experiences during pregnancy and childbirth in Geneva and Zurich using focus groups

Giving birth in Switzerland: a qualitative study exploring migrant women’s experiences during pregnancy and childbirth in Geneva and Zurich using focus groups

A Systematic Review of Perinatal Social Support Interventions for Asylum-seeking and Refugee Women Residing in Europe

The influence of migration on women’s use of different aspects of maternity care in the German health care system: Secondary analysis of a comparative prospective study with the Migrant Friendly Maternity Care Questionnaire (MFMCQ)

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