瑞士华人移民的妊娠经历和产前保健服务：一项定性研究。
The pregnancy experiences and antenatal care services of Chinese migrants in Switzerland: a qualitative study.
机构信息
Institute of Higher Education and Research in Healthcare (IUFRS), University of Lausanne, Route de la Corniche 10, Lausanne, 1011, Switzerland.
School of Nursing, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China.
出版信息
BMC Pregnancy Childbirth. 2022 Feb 22;22(1):148. doi: 10.1186/s12884-022-04444-1.
BACKGROUND
Differences in reproductive health outcomes according to the mothers' origins have been reported in Switzerland, for example, women from European countries and non-European countries. The Swiss Federal Office of Public Health has therefore called for specific Swiss-wide studies on migrant populations. This study explores the pregnancy and antenatal care experiences of Chinese migrants in Switzerland, intending to clarify their maternity care needs.
METHODS
In-depth interviews of 14 Chinese mothers and 13 family members were conducted in Chinese or English and audio recorded. All audio-recordings were transcribed verbatim. All Chinese transcripts were translated into English. Thematic analysis was performed with the assistance of the qualitative data analysis software, MAXQDA Analytics Pro 2020.
RESULTS
Five themes were extracted from the transcripts: (1) Motivations and concerns about having children, (2) The merits of the Swiss maternity care system, (3) The inconveniences and barriers of accessing Swiss maternity care services, (4) Strategies to deal with the inconveniences of the Swiss maternity care system, and (5) The need for culturally sensitive care.
CONCLUSIONS
The results of our study provide new knowledge and understanding of pregnancy experiences and antenatal care services of Chinese mothers and their families in Switzerland. Their unique positive experiences included: family planning, the continuity of maternity services, humane care with the privacy respected, personalized sensitive care needs, preferences for female obstetricians and obstetricians of Asian origin. Several barriers were highlighted, such as information seeking difficulties, communication difficulties, and a rigid appointment system. Reducing barriers enabling access to maternity care services within the Swiss healthcare system is necessary to provide equal quality maternity care for individuals, irrespective of their origins.
背景
瑞士曾有报道称，不同来源的母亲在生殖健康结果方面存在差异，例如，来自欧洲国家和非欧洲国家的女性。因此，瑞士联邦公共卫生办公室呼吁对移民群体进行瑞士范围内的专项研究。本研究旨在阐明中国移民的孕产经历和围产期护理需求，探索瑞士的中国移民的妊娠和产前护理经历。
方法
对 14 位中国母亲和 13 位家庭成员进行了中文或英文的深入访谈，并进行了录音。所有的录音都逐字转录。所有的中文记录都被翻译成英文。在定性数据分析软件 MAXQDA Analytics Pro 2020 的协助下进行了主题分析。
结果
从记录中提取了五个主题：（1）生育孩子的动机和顾虑；（2）瑞士产妇保健系统的优点；（3）获得瑞士产妇保健服务的不便和障碍；（4）应对瑞士产妇保健系统不便的策略；（5）需要文化敏感性护理。
结论
我们的研究结果为了解瑞士的中国母亲及其家庭的妊娠经历和产前护理服务提供了新知识和理解。他们独特的积极体验包括：计划生育、产妇服务的连续性、尊重隐私的人性化关怀、个性化敏感的护理需求、对女性妇产科医生和亚洲裔妇产科医生的偏好。突出的障碍包括寻求信息困难、沟通困难和僵化的预约制度。减少获得瑞士医疗保健系统内产妇保健服务的障碍，对于为个人提供平等质量的产妇保健服务是必要的，而不论其来源如何。
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