Migrant women's experiences of pregnancy, childbirth and maternity care in European countries: A systematic review
Publication year
2020Source
PLoS One, 15, 2, (2020), article e0228378ISSN
Publication type
Article / Letter to editor
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Organization
Primary and Community Care
Journal title
PLoS One
Volume
vol. 15
Issue
iss. 2
Subject
Radboudumc 18: Healthcare improvement science RIHS: Radboud Institute for Health Sciences; Primary and Community Care - Radboud University Medical CenterAbstract
BACKGROUND: Across Europe there are increasing numbers of migrant women who are of childbearing age. Migrant women are at risk of poorer pregnancy outcomes. Models of maternity care need to be designed to meet the needs of all women in society to ensure equitable access to services and to address health inequalities. OBJECTIVE: To provide up-to-date systematic evidence on migrant women's experiences of pregnancy, childbirth and maternity care in their destination European country. SEARCH STRATEGY: CINAHL, MEDLINE, PubMed, PsycINFO and Scopus were searched for peer-reviewed articles published between 2007 and 2017. SELECTION CRITERIA: Qualitative and mixed-methods studies with a relevant qualitative component were considered for inclusion if they explored any aspect of migrant women's experiences of maternity care in Europe. DATA COLLECTION AND ANALYSIS: Qualitative data were extracted and analysed using thematic synthesis. RESULTS: The search identified 7472 articles, of which 51 were eligible and included. Studies were conducted in 14 European countries and focused on women described as migrants, refugees or asylum seekers. Four overarching themes emerged: 'Finding the way-the experience of navigating the system in a new place', 'We don't understand each other', 'The way you treat me matters', and 'My needs go beyond being pregnant'. CONCLUSIONS: Migrant women need culturally-competent healthcare providers who provide equitable, high quality and trauma-informed maternity care, undergirded by interdisciplinary and cross-agency team-working and continuity of care. New models of maternity care are needed which go beyond clinical care and address migrant women's unique socioeconomic and psychosocial needs.
This item appears in the following Collection(s)
- Academic publications [245410]
- Electronic publications [132943]
- Faculty of Medical Sciences [93205]
- Open Access publications [106466]
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