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A qualitative review of migrant women\u27s perceptions of their needs and experiences related to pregnancy and childbirth

Aim A synthesis of the evidence of migrant women\u27s perceptions of their needs and experiences in relation to pregnancy and childbirth. Background Despite the fact that all European Union member states have ratified human rights-based resolutions aimed at non-discrimination, there is a relationship between social inequality and access to pre-, intra-, and postpartum care. Design A qualitative systematic review of studies from European countries. Data sources A search was made for relevant articles published between January 1996-June 2010. Review methods Data were analysed by means of thematic synthesis. Results Sixteen articles were selected, analysed, and synthesized. One overall theme; \u27Preserving one\u27s integrity in the new country\u27 revealed two key aspects; \u27Struggling to find meaning\u27 and \u27Caring relationships\u27. \u27Struggling to find meaning\u27 comprised four sub-themes; \u27Communication and connection\u27, \u27Striving to cope and manage\u27, \u27Struggling to achieve a safe pregnancy and childbirth\u27, and \u27Maintaining bodily integrity\u27. \u27Caring relationships\u27 was based on the following three sub-themes: \u27Sources of strength\u27, \u27Organizational barriers to maternity care\u27, and \u27The nature and quality of caring relationships\u27. Conclusion The results of this review demonstrate that migrant women are in a vulnerable situation when pregnant and giving birth and that their access to health services must be improved to better meet their needs. Research is required to develop continuity of care and improve integrated maternal care

A qualitative review of migrant women's perceptions of their needs and experiences related to pregnancy and childbirth

Aim : A synthesis of the evidence of migrant women's perceptions of their needs and experiences in relation to pregnancy and childbirth. Background : Despite the fact that all European Union member states have ratified human rights-based resolutions aimed at non-discrimination, there is a relationship between social inequality and access to pre-, intra-, and postpartum care. Design : A qualitative systematic review of studies from European countries. Data sources : A search was made for relevant articles published between January 1996–June 2010. Review methods : Data were analysed by means of thematic synthesis. Results : Sixteen articles were selected, analysed, and synthesized. One overall theme; ‘Preserving one's integrity in the new country’ revealed two key aspects; ‘Struggling to find meaning’ and ‘Caring relationships’. ‘Struggling to find meaning’ comprised four sub-themes; ‘Communication and connection’, ‘Striving to cope and manage’, ‘Struggling to achieve a safe pregnancy and childbirth’, and ‘Maintaining bodily integrity’. ‘Caring relationships’ was based on the following three sub-themes: ‘Sources of strength’, ‘Organizational barriers to maternity care’, and ‘The nature and quality of caring relationships’. Conclusion : The results of this review demonstrate that migrant women are in a vulnerable situation when pregnant and giving birth and that their access to health services must be improved to better meet their needs. Research is required to develop continuity of care and improve integrated maternal care