Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review

FAIR, Frankie, RABEN, Liselotte, WATSON, Helen, VIVILAKI, Victoria, VAN DEN MUIJSENBERGH, Maria, SOLTANI, Hora and THE ORAMMA TEAM, (2020). Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review. PLOS ONE, 15 (2), e0228378.

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Abstract

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.

Item Type:	Article
Contributors:	Editor - Daoud, Nihaya
Additional Information:	** From PLOS via Jisc Publications Router ** Licence for this article: http://creativecommons.org/licenses/by/4.0/ **Journal IDs: eissn 1932-6203 **Article IDs: publisher-id: pone-d-19-13980 **History: published_online 11-02-2020; accepted 14-01-2020; collection 2020; submitted 17-05-2019
Uncontrolled Keywords:	Research Article, Medicine and health sciences, Research and analysis methods, People and places, Social sciences, Biology and life sciences
Identification Number:	https://doi.org/10.1371/journal.pone.0228378
Page Range:	e0228378
SWORD Depositor:	Colin Knott
Depositing User:	Colin Knott
Date Deposited:	17 Feb 2020 11:49
Last Modified:	18 Mar 2021 02:36
URI:	https://shura.shu.ac.uk/id/eprint/25823

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