Faculty of Health Studies, VID specialized university, Diakonveien 16, 0370 Oslo, Norway.
Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Postboks 1130 Blindern, 0318 Oslo, Norway.
Sex Reprod Healthc. 2023 Sep;37:100878. doi: 10.1016/j.srhc.2023.100878. Epub 2023 Jun 19.
To explore community midwives' experiences caring for pregnant undocumented migrants seeking prenatal care in Norway.
Due to the relatively limited previous research and number of pregnant undocumented migrants we used an explorative approach through qualitative method. Ten community midwives were interviewed after snowball sampling in Oslo, the capital of Norway. The main themes emerged through a qualitative analysis of the transcripts, and meaning units were extracted.
Midwives with no prior experience with pregnant undocumented migrants expressed uncertainty regarding the women's rights. In contrast, those midwives who had had prior experience with this group, developed their own solutions and enacted certain strategies to help them without any guidelines from their employer. All the midwives found it challenging to provide follow-up care to the undocumented migrants during pregnancy and postpartum. They also expressed concerns regarding increasing challenges creating clinical trusting relationships and restrictions and practices at public hospitals.
To ensure adequate perinatal care, it is needed to reassure pregnant undocumented migrants free and safe care at all stages in the birth giving process. Community midwives need professional support in establishing trusting clinical relationships with pregnant undocumented migrants to reduce maternal stress and facilitate continuity in perinatal care.
探讨社区助产士在挪威为寻求产前护理的无证移民孕妇提供护理的经验。
由于之前的研究相对有限，且无证移民孕妇数量较少，我们采用了定性方法的探索性方法。在挪威首都奥斯陆，通过滚雪球抽样对 10 名社区助产士进行了访谈。通过对转录本的定性分析，出现了主要主题，并提取了意义单位。
没有为无证移民孕妇提供服务经验的助产士对她们的权利表示不确定。相比之下，那些有过此类经验的助产士则自行制定解决方案，并采取某些策略来帮助她们，而无需雇主提供任何指导。所有助产士都发现，在怀孕和产后为无证移民提供后续护理具有挑战性。他们还对在公立医院建立临床信任关系以及限制和做法方面日益增加的挑战表示关注。
为了确保充分的围产期护理，需要在分娩过程的所有阶段向无证移民孕妇保证免费和安全的护理。社区助产士需要在与无证移民孕妇建立信任的临床关系方面获得专业支持，以减轻产妇的压力并促进围产期护理的连续性。
