Ayers Britni L, Kabua Philmar Mendoza, Moore Sarah, Stone Leslie, Andersen Jennifer A, Langston Krista, McElfish Pearl A
College of Medicine, University of Arkansas for Medical Sciences Northwest, 2708 S. 48 St., Springdale, AR 72762.
College of Nursing, University of Arkansas for Medical Sciences Northwest, 2708 S. 48 St., Springdale, AR 72762.
Womens Reprod Health (Phila). 2025;12(1):16-33. doi: 10.1080/23293691.2024.2377963. Epub 2024 Jul 29.
Immigrant women in the United States often have poorer maternal and infant outcomes and suboptimal experiences of maternity care compared to non-immigrant women in the same setting. The purpose of this study was to explore community-based doulas' experiences of working with immigrant clients and maternal health care providers in Arkansas. A descriptive qualitative design was used. Themes emerged within three categories: 1) experiences with immigrant clients; 2) experiences with maternal health care providers; and 3) suggestions to improve support for immigrant clients. Within the first theme, three subthemes emerged: 1) language barriers; 2) transportation; and 3) access to food and housing. Within the second theme, two subthemes emerged: 1) dismissive; and 2) takes time to build rapport. Within the third theme, two subthemes emerged: 1) listen to the client and improve communication; and 2) more community-based doulas. Community-based doula programs may help address poorer health outcomes faced by immigrant women.
与同一环境中的非移民女性相比，美国的移民女性往往有更差的母婴健康结局，且在孕产护理方面的体验也不尽如人意。本研究的目的是探索阿肯色州社区导乐与移民客户及孕产妇保健提供者合作的经历。采用了描述性定性设计。在三个类别中出现了一些主题：1）与移民客户合作的经历；2）与孕产妇保健提供者合作的经历；3）改善对移民客户支持的建议。在第一个主题中，出现了三个子主题：1）语言障碍；2）交通；3）获得食物和住房的机会。在第二个主题中，出现了两个子主题：1）轻视；2）建立融洽关系需要时间。在第三个主题中，出现了两个子主题：1）倾听客户意见并改善沟通；2）增加社区导乐。社区导乐项目可能有助于解决移民女性面临的较差健康结局问题。
