Department of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA
UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
BMJ Glob Health. 2024 Feb 13;8(Suppl 2):e014075. doi: 10.1136/bmjgh-2023-014075.
Uptake of postnatal care (PNC) is low and inequitable in many countries, and immigrant women may experience additional challenges to access and effective use. As part of a larger study examining the views of women, partners, and families on routine PNC, we analysed a subset of data on the specific experiences of immigrant women and families.
This is a subanalysis of a larger qualitative evidence synthesis. We searched MEDLINE, PUBMED, CINAHL, EMBASE, EBM-Reviews and grey literature for studies published until December 2019 with extractable qualitative data with no language restrictions. For this analysis, we focused on papers related to immigrant women and families. Two reviewers screened each study independently; inclusion was agreed by consensus. Data abstraction and quality assessment were carried out using a study-specific extraction form and established quality assessment tools. Study findings were identified using thematic analysis. Findings are presented by confidence in the finding, applying the GRADE-CERQual approach.
We included 44 papers, out of 602 full-texts, representing 11 countries where women and families sought PNC after immigrating. All but one included immigrants to high-income countries. Four themes were identified: resources and access, differences from home country, support needs, and experiences of care. High confidence study findings included: language and communication challenges; uncertainty about navigating system supports including transportation; high mental health, emotional, and informational needs; the impact of personal resources and social support; and the quality of interaction with healthcare providers. These findings highlight the importance of care experiences beyond clinical care. More research is also needed on the experiences of families migrating between low-income countries.
Immigrant families experience many challenges in getting routine PNC, especially related to language, culture, and communication. Some challenges may be mitigated by improving comprehensive and accessible information on available services, as well as holistic social support.
CRD42019139183.
在许多国家，产后保健（PNC）的利用率较低且不公平，移民妇女在获得和有效利用方面可能会遇到更多的挑战。作为一项研究的一部分，该研究旨在调查妇女、伴侣和家庭对常规 PNC 的看法，我们分析了关于移民妇女和家庭具体经历的部分数据。
这是一项更大的定性证据综合研究的子分析。我们在没有语言限制的情况下，在 MEDLINE、PUBMED、CINAHL、EMBASE、EBM-Reviews 和灰色文献中搜索了截至 2019 年 12 月发表的具有可提取定性数据的研究。在这项分析中，我们重点关注与移民妇女和家庭有关的论文。两位审查员独立筛选每项研究；通过共识达成纳入共识。使用特定于研究的提取表格和既定的质量评估工具进行数据提取和质量评估。使用主题分析确定研究结果。根据 GRADE-CERQual 方法，应用置信度呈现研究结果。
我们共纳入了 44 篇论文，这些论文来自 602 篇全文，代表了 11 个移民妇女和家庭在移民后寻求 PNC 的国家。除了一个国家外，其他所有国家都是高收入国家的移民。确定了四个主题：资源和获取途径、与母国的差异、支持需求以及护理体验。高置信度的研究结果包括：语言和沟通障碍；在导航系统支持（包括交通）方面的不确定性；心理健康、情感和信息需求高；个人资源和社会支持的影响；以及与医疗保健提供者互动的质量。这些研究结果强调了护理体验不仅仅是临床护理的重要性。还需要更多关于低等收入国家之间家庭迁移经历的研究。
移民家庭在接受常规 PNC 方面面临许多挑战，尤其是在语言、文化和沟通方面。通过改善有关现有服务的全面和可获取信息，以及提供整体社会支持，可以减轻一些挑战。
CRD42019139183。
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