Schmied Virginia, Black Emma, Naidoo Norell, Dahlen Hannah G, Liamputtong Pranee
School of Nursing and Midwifery, Western Sydney University, Sydney, New South Wales, Australia.
Perinatal and Women's Mental Health Unit, St John of God Health Care and School of Psychiatry, University of New South Wales, Burwood, New South Wales, Australia.
PLoS One. 2017 Mar 15;12(3):e0172385. doi: 10.1371/journal.pone.0172385. eCollection 2017.
To 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.
Prevalence 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.
A meta-ethnographic synthesis of 12 studies reported in 15 papers.
Five databases were searched for papers published between January 1999 and February 2016.
The 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.
Four 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.
The 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.
对生活在高收入国家的移民妇女“应对”产后抑郁症状或诊断的经历、意义及方式进行元民族志研究。
产后抑郁在移民妇女中患病率最高。然而，许多妇女并未就其症状寻求帮助，且卫生服务机构也并不总是能恰当地回应移民妇女的需求。已有研究报道了移民妇女产后抑郁的经历，现应综合这些研究结果以了解如何改善服务。
对15篇论文中报道的12项研究进行元民族志综合分析。
检索了五个数据库，查找1999年1月至2016年2月发表的论文。
使用批判性评价技能计划工具评估纳入研究的质量。综合过程以诺布利特和黑尔概述的元民族志七个步骤为指导。
确定了四个关键隐喻：“我孤独、焦虑且愤怒——这不是真正的我！”；“理解我的感受”“应对我的感受”以及“我需要做些什么来改变我的感受！”。主要是，妇女将她们的感受与她们作为移民和女性的身份联系起来，她们通常生活在社会经济状况较差的环境中，为履行预期的责任而疲惫不堪。许多妇女足智多谋，利用自身优势以及家庭/社区资源。所有研究均报告称，妇女在获得适当服务方面遇到困难。
元民族志研究表明了移民对围产期心理健康的影响，尤其是对那些缺乏家庭支持、没有工作、移民身份不稳定和/或存在关系冲突的妇女。移民妇女足智多谋，但这需要通过适当的服务来提供支持。需要进一步研究以评估围产期为移民妇女提供有效支持的策略。
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