University of Technology (UTS), Sydney, PO Box 123, Broadway, NSW, 2007, Australia.
University of Technology (UTS), Sydney, PO Box 123, Broadway, NSW, 2007, Australia.
Women Birth. 2021 Nov;34(6):531-539. doi: 10.1016/j.wombi.2020.12.012. Epub 2021 Jan 5.
The maternity care experiences and perinatal outcomes of women seeking asylum in high-income countries (HICs) are poorer than the general population of pregnant women in that HIC. There is a paucity of literature on the maternity experiences of women seeking asylum in HICs.
There is an increasing number of women seeking asylum in HICs due to escalating violence and human rights abuses. Asylum-seeking women are a distinct group whom are likely to have different needs to refugees or migrants as a result of their undocumented status.
This literature review aimed to explore the emotional, physical and health information needs of women seeking asylum in the perinatal period in HICs, to provide insights to better address their maternity needs.
A meta-ethnography described by Noblit and Hare, was applied to analyse the studies, to reflect the voices of women seeking asylum, hosted in HICs in their perinatal period.
Eight studies were included in the review. The overarching theme was 'just having to survive.' Four sub-themes were revealed which highlighted the vulnerability of asylum-seeking women. They included: 'I was never sure if I had understood', 'feeling ignored and alone', 'ongoing dislocation and recurrent relocation' and 'knowing there's someone who cares for you'.
Improved maternity care for women seeking asylum requires culturally appropriate respectful maternity care and supportive strategies such as consistent access to language services.
It is recommended that future research is targeted to explore the maternity experience of women seeking asylum in HICs, such as Australia.
在高收入国家（HICs）寻求庇护的妇女的孕产经历和围产期结局比该 HIC 中一般孕妇的更差。关于 HIC 中寻求庇护的妇女孕产经历的文献很少。
由于暴力和侵犯人权行为不断升级，越来越多的妇女在 HIC 中寻求庇护。寻求庇护的妇女是一个独特的群体，由于其无证件身份，她们可能与难民或移民有不同的需求。
本文献综述旨在探讨 HIC 中寻求庇护的妇女在围产期的情感、身体和健康信息需求，为更好地满足她们的孕产需求提供见解。
采用 Noblit 和 Hare 描述的元民族学方法分析研究，以反映 HIC 中处于围产期的寻求庇护妇女的声音。
综述纳入了 8 项研究。总体主题是“只能生存下去”。揭示了四个副标题，突出了寻求庇护妇女的脆弱性。它们包括：“我从来不确定我是否理解”、“感到被忽视和孤独”、“持续的流离失所和反复搬迁”和“知道有人关心你”。
改善寻求庇护的妇女的孕产护理需要文化上适当的尊重孕产护理以及支持性策略，如持续获得语言服务。
建议未来的研究针对澳大利亚等 HIC 中寻求庇护的妇女的孕产经历进行探索。
