Smith Denise C, Thumm E Brie, Tien Nai Chieh Geri, Kissler Katherine
College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
Asian Pacific Cultural Development and Wellness Center, Aurora Mental Health and Recovery, Aurora, CO, United States.
Front Public Health. 2025 Aug 1;13:1613249. doi: 10.3389/fpubh.2025.1613249. eCollection 2025.
Immigrants and refugees giving birth in the United States face challenges in receiving high-quality maternity care. The purpose of this study was to understand the experiences of recent refugees from ethnic communities displaced from southern Asia and resettled in the United States.
The qualitative study used focus group discussions with three refugee communities who have given birth since resettlement in the United States. Using thematic analysis, we applied the concepts of respectful maternity care to identify themes.
Five themes emerged from the analysis: (1) interpersonal caring, (2) flaws in US maternity care are amplified for refugees, (3) multidimensionality effects knowledge, preferences, and expectations, (4) complexity of the US health system combined with unfamiliarity contributes to lack of confidence, and (5) problems with language interpretation.
The identified themes can inform specific, actionable policies and programs that improve care for immigrant and refugee communities including investment in nursing care, implementation of multilingual doula care, improvements in language services, and robust childbirth education.
在美国分娩的移民和难民在获得高质量产科护理方面面临挑战。本研究的目的是了解近期从南亚流离失所并在美国重新安置的少数族裔社区难民的经历。
这项定性研究采用了焦点小组讨论，对象是三个自在美国重新安置后生育过的难民社区。通过主题分析，我们运用了尊重产科护理的概念来确定主题。
分析得出了五个主题：（1）人际关怀；（2）美国产科护理的缺陷对难民来说被放大了；（3）多维度影响知识、偏好和期望；（4）美国医疗系统的复杂性加上不熟悉导致缺乏信心；（5）语言口译问题。
所确定的主题可为改善移民和难民社区护理的具体、可操作的政策和项目提供参考，包括对护理的投资、实施多语言导乐护理、改善语言服务以及开展有力的分娩教育。
