Department of Nursing, Université du Québec en Outaouais, Saint-Jérôme, Québec, Canada.
Département de médecine sociale et préventive de l'École de santé publique de l'Université de Montréal, Montreal, Quebec, Canada.
PLoS One. 2022 Mar 14;17(3):e0265232. doi: 10.1371/journal.pone.0265232. eCollection 2022.
Inadequate pregnancy monitoring for pregnant migrant women without medical insurance (PMWMI) exposes them to severe complications during childbirth and consequences for the health of their child (e.g. preterm delivery, low birth weight, etc.). This scoping review aims to identify existing interventions globally to improve access to perinatal care for PMWMI. It will also highlight the strengths, weaknesses as well as the costs of these interventions.
The methodological framework developed by Arksey & O'Malley (2005) will be used. An electronic search of studies from 2000 to 2021, published in French or English, will be conducted in 12 databases. Publication in Websites of non-governmental organizations working on migrant women without medical insurance issues will be also searched. All articles related to perinatal follow-up and care of PMWMIs, regardless of design, will be included. Editorial comments will be excluded. Outcomes of interest will focus on the impacts, strengths, weaknesses, and cost of interventions. Selection of articles and data extraction will be done by two independent researchers following the Tricco et al. (2018) reporting guide. Finally, a deliberative workshop with experts will allow to identify the most promising and appropriate interventions that can facilitate access to perinatal services by PMWMIs in the Quebec province of Canada.
对于没有医疗保险的移民孕妇（PMWMI），妊娠监测不足会使她们在分娩时面临严重的并发症，并对其子女的健康造成后果（例如早产、低出生体重等）。本范围综述旨在确定全球现有的干预措施，以改善 PMWMI 获得围产期护理的机会。它还将强调这些干预措施的优点、缺点和成本。
将使用 Arksey 和 O'Malley（2005 年）制定的方法框架。将在 12 个数据库中对 2000 年至 2021 年期间发表的、用法语或英语撰写的研究进行电子搜索。还将搜索非政府组织网站上发布的关于没有医疗保险的移民妇女问题的出版物。将纳入所有与 PMWMI 围产期随访和护理相关的文章，无论设计如何。将排除社论评论。感兴趣的结果将重点关注干预措施的影响、优势、劣势和成本。文章的选择和数据提取将由两名独立的研究人员按照 Tricco 等人（2018 年）的报告指南进行。最后，与专家举行的协商研讨会将确定最有希望和最合适的干预措施，以促进加拿大魁北克省 PMWMI 获得围产期服务。
