School of Healthcare, University of Leeds, Leeds, LS2 9JT, UK.
Leeds Teaching Hospitals NHS Trust, Leeds, UK.
BMC Pregnancy Childbirth. 2020 Feb 18;20(1):115. doi: 10.1186/s12884-020-2811-8.
This review aimed to identify and synthesise evidence of Muslim women's experiences of maternity services in the UK. A systematic review and thematic synthesis of qualitative evidence, unrestricted by type of publication was conducted. Muslim women who had accessed maternity services in the UK, regardless of obstetric or medical history were included.
Databases were searched from 2001 to 2019 and screened for inclusion using pre-determined criteria. The Critical Appraisal Skills Programme Qualitative Research Checklist was used to assess study quality and findings were synthesised using thematic synthesis, as described by Thomas and Harden.
Six studies were included. The following five themes were identified: Islamic practices and Individualised care; Talk, Teach and Translate; Injustice, Inequity and Intolerance; If Allah wills; and, 'It's not all that bad'. Synthesis highlighted the significance of Islam in shaping many of the women's decision-making relating to antenatal screening and medication, which was contrasted with healthcare professionals' limited awareness of the importance of Islam for motherhood. The majority of women experienced poor maternity care which at times indicated stereotypical and discriminatory behaviour.
Education for healthcare professionals is warranted, to enhance the quality and cultural competency in providing appropriate care that acknowledges and meets Muslim women's needs.
本综述旨在识别和综合英国穆斯林妇女在生育服务方面的经验证据。对定性证据进行了系统的综述和主题综合，不受出版类型的限制。包括在英国接受过生育服务的穆斯林妇女，无论其产科或医疗史如何。
从 2001 年到 2019 年，对数据库进行了搜索，并使用预先确定的标准对其进行了筛选，以确定其是否符合纳入标准。使用批判性评估技能计划定性研究清单评估研究质量，并使用托马斯和哈登描述的主题综合方法对研究结果进行综合。
共纳入 6 项研究。确定了以下五个主题：伊斯兰实践和个性化护理；谈话、教导和翻译；不公正、不平等和不容忍；如果真主愿意；和，“也不是那么糟糕”。综合结果强调了伊斯兰教在塑造许多妇女与产前筛查和药物治疗相关的决策方面的重要性，这与医疗保健专业人员对伊斯兰教对母性重要性的认识有限形成了对比。大多数妇女经历了较差的生育护理，有时表明存在刻板和歧视性的行为。
需要对医疗保健专业人员进行教育，以提高提供适当护理的质量和文化能力，承认并满足穆斯林妇女的需求。
