Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Ground Floor, 43-51 Kanooka Grove, Clayton, Victoria 3186, Australia.
Women Birth. 2020 Jul;33(4):334-342. doi: 10.1016/j.wombi.2019.06.015. Epub 2019 Jul 5.
Cultural beliefs, practices and experiences significantly influence pregnancy preparation. Limited in-depth information exists regarding how women from migrant and refugee backgrounds (migrant women) prepare for pregnancy. This study explored pregnancy planning, preconception lifestyles, awareness, experiences and healthcare needs of migrant women in Australia.
Semi-structured interviews and focus groups were conducted with 25 women recruited through a diverse community in Melbourne, Australia (November 2017-February 2018). Discussions explored pregnancy planning, preconception health awareness, experiences and information needs. Qualitative data was analysed iteratively, through content and thematic analysis.
Four themes were identified: pregnancy planning experiences and perspectives, preconception health awareness and behaviours, social and cultural influences on pregnancy planning, and health information needs. Women had limited understanding of the concept or importance of preconception health, limited access to preconception health information and most women with children had experienced at least one unplanned pregnancy. Cultural mores constrained community discussion of preconception health in the context of sexual and reproductive health. Social factors emerged as predominant preconception concerns. Women reported wanting more information on preconception health through multiple, broad-reaching avenues, paired with timely, sensitive healthcare engagement.
Information for women addressing preconception health and pregnancy planning is limited. Our study demonstrates additional cultural and social nuances that need to be understood when working with migrant women. Discomfort raising reproductive and preconception health discussions with healthcare providers was a reported concern. Integration of culturally-sensitive preconception care within routine client assessments warrants exploration. Emphasis of the importance of preconception care for all women is needed.
文化信仰、习俗和经验会对怀孕准备产生重大影响。关于移民和难民背景（移民妇女）如何准备怀孕，目前仅存在有限的深入信息。本研究探讨了澳大利亚移民妇女的怀孕计划、孕前生活方式、意识、经验和医疗保健需求。
通过澳大利亚墨尔本的一个多元化社区，采用半结构式访谈和焦点小组的方式，对 25 名妇女进行了招募（2017 年 11 月至 2018 年 2 月）。讨论内容包括怀孕计划、孕前健康意识、经验和信息需求。通过内容分析和主题分析，对定性数据进行了迭代分析。
确定了四个主题：怀孕计划的经验和观点、孕前健康意识和行为、对怀孕计划的社会和文化影响、以及健康信息需求。妇女对概念或孕前健康的重要性理解有限，获得的孕前健康信息有限，大多数有孩子的妇女至少经历过一次意外怀孕。文化习俗限制了社区在性和生殖健康背景下对孕前健康的讨论。社会因素成为主要的孕前关注点。报告称，希望通过多种广泛的途径获得更多关于孕前健康的信息，并希望及时、敏感地获得医疗保健。
针对妇女的孕前健康和怀孕计划信息有限。我们的研究表明，在与移民妇女合作时，需要了解更多的文化和社会细微差别。与医疗保健提供者讨论生殖和孕前健康问题的不适感是一个报告的问题。需要探索在常规客户评估中纳入文化敏感的孕前护理。需要强调所有妇女都需要重视孕前护理。
