Department of Midwifery, Faculty of Health Sciences, Cukurova University Adana, Turkey. Cemile ONAT KÖROGLU, MSc, Lecturer.
Department of Nursing, Faculty of Health Sciences, Hatay Mustafa Kemal University, Antakya, Hatay, Turkey.
East Mediterr Health J. 2021 Dec 28;27(12):1173-1181. doi: 10.26719/emhj.21.065.
Adverse birth outcomes of immigrant women and neonates are associated with the quality of perinatal care. For this reason, examining immigrant women's experiences of perinatal care is necessary if host country care systems are to respond appropriately to migration.
The aim of the study was to evaluate the perinatal care experiences of immigrant women.
The qualitative phenomenological design used in the study enabled to make an in-depth exploration of immigrant women's experiences. The participants were 24 women who had a pregnancy within the past 6 months and lived in Adana, Turkey, between September and December 2019. Data were collected using a semi-structured form through the snowball method. Qualitative data were analysed using the thematic analysis method.
The participants' mean age was 21.41 [standard deviation (SD) 3.86] years. Mean age at first pregnancy was 17.27 (SD 4.59) years. It was determined that immigrant women received insufficient maternity services. In thematic analysis, 4 main themes indicating barriers to sufficient perinatal care were identified. The barriers to maternal care services were: language barrier, cultural incompatibility, decreased social support and inadequate information.
Our findings indicated that perinatal care for immigrant women was inadequate and their experiences were generally negative. Although the barriers seem separate, they are actually intertwined, with the language barrier appearing to be the main one. Innovative approaches are needed to solve this problem. Mobile applications that translate instantly can be used by both immigrant women and health care professionals.
移民妇女和新生儿的不良生育结局与围产期保健质量有关。因此，如果东道国的保健系统要对移徙做出适当反应，就有必要审查移民妇女的围产期保健经历。
本研究旨在评估移民妇女的围产期保健经历。
本研究采用定性现象学设计，能够深入探讨移民妇女的经历。参与者为 24 名在过去 6 个月内在土耳其阿达纳怀孕并居住在那里的妇女，时间为 2019 年 9 月至 12 月。使用半结构式表格通过滚雪球法收集数据。使用主题分析方法对定性数据进行分析。
参与者的平均年龄为 21.41 岁（标准差 3.86）。第一次怀孕的平均年龄为 17.27 岁（标准差 4.59）。研究确定移民妇女获得的产妇服务不足。在主题分析中，确定了 4 个主要主题，表明充分的围产期保健存在障碍。产妇保健服务的障碍是：语言障碍、文化不兼容、社会支持减少和信息不足。
我们的研究结果表明，移民妇女的围产期保健不足，她们的经历普遍负面。尽管这些障碍看似独立，但实际上是相互交织的，语言障碍似乎是主要障碍。需要创新方法来解决这个问题。可以使用即时翻译的移动应用程序，供移民妇女和医疗保健专业人员使用。
