Department of Prevention and Health Promotion, School of Public Health, Bielefeld University, Bielefeld, Germany.
Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany.
Midwifery. 2022 Jan;104:103157. doi: 10.1016/j.midw.2021.103157. Epub 2021 Sep 30.
The number of forced migrants increased worldwide, while pregnant refugee women are considered a vulnerable group, concerning their physical and mental health. How do maternal health care professionals manage their maternal health care? The aim is to review the current evidence regarding the interaction between migrant refugee women and professionals in maternal health care provision after resettlement and in high-income host countries.
We conducted a systematic qualitative review and searched the databases PubMed (MEDLINE); CINAHL; PSYNDEX, PsycINFO and Cochrane Library. Studies were judged for eligibility: a study had to address maternal health care provision for asylum seeking refugee (and migrant) women.
16 primary studies were included. Heterogeneity of the included studies exists regarding e.g. origin of the women, reasons for migration and receiving country. Nevertheless, synthesis provides valuable information on challenges and chances within interactions in maternal health care for asylum seeking refugee (and migrant) women: Finding one's way in the unknown health care system is a barrier for women, which professionals meet by informing the women and coordinating their care. The perceived diversity of women may lead to conflicts in care. While some studies recommend "cultural recipes", others emphasize the individuality of women and prefer holistic care approaches.
Maternal health care professionals face different barriers when providing maternal health care to refugee (and migrant) women such as communication barriers, coordinating care and handling women's diversity.
Initiating and enhancing public health activities such as training courses for professionals that convey general principles such as woman-centered care or communication techniques are valuable opportunities to improve asylum seeking refugee (and migrant) women's maternal health care.
全球被迫移民的人数增加，而处于孕产期的难民妇女被视为一个脆弱群体，她们的身心健康令人担忧。那么，产妇保健专业人员如何管理她们的产妇保健工作呢？本研究旨在综述移民难民妇女在重新安置和高收入东道国后与产妇保健专业人员之间互动的现有证据，探讨她们在母胎保健方面的现状。
我们进行了系统的定性综述，并在 PubMed（医学文献在线数据库）、CINAHL、PsynDEX、PsycINFO 和 Cochrane Library 等数据库中进行了检索。研究的入选标准为：研究必须涉及寻求庇护的难民（和移民）妇女的产妇保健服务提供问题。
共纳入 16 项原始研究。纳入研究在妇女的来源、移民原因和接收国等方面存在异质性。然而，综合分析提供了有关寻求庇护的难民（和移民）妇女在母胎保健互动中面临的挑战和机遇的宝贵信息：在未知的医疗保健系统中找到自己的方向对妇女来说是一个障碍，而专业人员则通过告知妇女并协调她们的护理来应对这一障碍。对妇女多样性的感知可能导致护理方面的冲突。虽然一些研究建议采用“文化食谱”，但另一些研究则强调妇女的个体性，并倾向于采用整体护理方法。
产妇保健专业人员在为难民（和移民）妇女提供产妇保健服务时面临着各种障碍，如沟通障碍、协调护理和处理妇女的多样性等。
开展和加强公共卫生活动，如为专业人员提供培训课程，传达以妇女为中心的护理或沟通技巧等一般原则，是改善寻求庇护的难民（和移民）妇女母胎保健的宝贵机会。
