The need for trust and safety inducing encounters: a qualitative exploration of women's experiences of seeking perinatal care when living as undocumented migrants in Sweden.

Abstract:

BACKGROUND:Studies from around the world have shown that women living as undocumented migrants have limited and deficient access to perinatal care, increasing their risks of both physical and psychological complications during pregnancy and childbirth. Failures to provide equal access to healthcare have been criticized extensively by the United Nations. In 2013, undocumented migrants' rights to healthcare in Sweden were expanded to include full access to perinatal care. Research surrounding clinical encounters involving women living as undocumented migrants remains largely lacking. The present study aimed to provide a composite description of women's experiences of clinical encounters throughout pregnancy and childbirth, when living as undocumented migrants in Sweden. METHODS:Taking an inductive approach, qualitative content analysis was implemented. Thirteen women from ten different countries were interviewed. Meaning-units were extracted from the data collected in order to identify emergent overarching themes. RESULTS:In clinical encounters where healthcare professionals displayed empathic concern and listening behaviours, women felt empowered, acknowledged, and encouraged, leading them to trust clinicians, diminishing fears relating to seeking healthcare services. Conversely, when neglectful behaviour on part of healthcare professionals was perceived in encounters, anxiousness and fear intensified. Vulnerability and distress induced by the women's uncertain living circumstances were apparent across themes, and appeared exacerbated by traumatic memories, difficulties in coping with motherhood, and fears of deportation. CONCLUSION:The present study contributes unique and important knowledge surrounding women's experience of being pregnant and giving birth when living as undocumented migrants. The overarching findings indicated that the needs of undocumented migrant women were largely similar to those of all expectant mothers, but that due to vulnerabilities relating to their circumstances, flexible and informed care provision is essential. Being knowledgeable on undocumented migrants' rights to healthcare is vital, as clinical encounters appeared highly consequential to the women's well-being and help-seeking behaviours. Negative encounters inflicted emotional distress and fear. Contrastingly, positive encounters promoted trust in clinicians, personal empowerment, and relief. Positive clinical encounters could provide rare opportunities to assist an otherwise elusive population at increased risk for both physical and psychological complications, highlighting the crucial need for adherence to ethical principles in clinical practice.

authors

Barkensjö M,Greenbrook JTV,Rosenlundh J,Ascher H,Elden H

doi

10.1186/s12884-018-1851-9

subject

Has Abstract

pub_date

2018-06-07 00:00:00

pages

217

issue

1

issn

1471-2393

pii

10.1186/s12884-018-1851-9

journal_volume

18

pub_type

杂志文章
  • Impact of a nationwide study for surveillance of maternal near-miss on the quality of care provided by participating centers: a quantitative and qualitative approach.

    abstract:BACKGROUND:The Brazilian Network for Surveillance of Severe Maternal Morbidity was established in 27 centers in different regions of Brazil to investigate the frequency of severe maternal morbidity (near-miss and potentially life-threatening conditions) and associated factors, and to create a collaborative network for ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1471-2393-14-122

    authors: Luz AG,Osis MJ,Ribeiro M,Cecatti JG,Amaral E

    更新日期:2014-04-01 00:00:00

  • Burden, associated risk factors and adverse outcomes of gestational diabetes mellitus in twin pregnancies in Al Ain, UAE.

    abstract:BACKGROUND:Gestational diabetes mellitus (GDM) in singleton pregnancies represent a high-risk scenario. The incidence, associated factors and outcomes of GDM in twin pregnancies is not known in the UAE. METHODS:This was five years retrospective analysis of hospital records of twin pregnancies in the city of Al Ain, Ab...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03289-w

    authors: Alkaabi J,Almazrouei R,Zoubeidi T,Alkaabi FM,Alkendi FR,Almiri AE,Sharma C,Souid AK,Ali N,Ahmed LA

    更新日期:2020-10-12 00:00:00

  • Behavioural change in relation to alcohol exposure in early pregnancy and impact on perinatal outcomes--a prospective cohort study.

    abstract:BACKGROUND:There has been limited research addressing whether behavioural change in relation to alcohol exposure in pregnancy results in better perinatal outcomes. METHODS:A cohort study of 6725 women who booked for antenatal care and delivered in a large urban teaching hospital in 2010-2011. A detailed history of alc...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-8

    authors: Murphy DJ,Mullally A,Cleary BJ,Fahey T,Barry J

    更新日期:2013-01-16 00:00:00

  • Understanding delayed access to antenatal care: a qualitative interview study.

    abstract:BACKGROUND:Delayed access to antenatal care ('late booking') has been linked to increased maternal and fetal mortality and morbidity. The aim of this qualitative study was to understand why some women are late to access antenatal care. METHODS:27 women presenting after 19 completed weeks gestation for their first hosp...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-14-207

    authors: Haddrill R,Jones GL,Mitchell CA,Anumba DO

    更新日期:2014-06-16 00:00:00

  • Epidemiology and trends for Caesarean section births in New South Wales, Australia: a population-based study.

    abstract:BACKGROUND:Caesarean section (CS) rates around the world have been increasing and in Australia have reached 30% of all births. Robson's Ten-Group Classification System (10-group classification) provides a clinically relevant classification of CS rates that provides a useful basis for international comparisons and trend...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-11-8

    authors: Stavrou EP,Ford JB,Shand AW,Morris JM,Roberts CL

    更新日期:2011-01-20 00:00:00

  • Utilisation, equity and determinants of full antenatal care in India: analysis from the National Family Health Survey 4.

    abstract:OBJECTIVES:We examined the utilisation, equity and determinants of full antenatal care (ANC), defined as 4 or more antenatal visits, at least one tetanus toxoid (TT) injection and consumption of iron folic acid (IFA) for a minimum of 100 days, in India. METHODS:We analysed a sample of 190,898 women from India's Nation...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2473-6

    authors: Kumar G,Choudhary TS,Srivastava A,Upadhyay RP,Taneja S,Bahl R,Martines J,Bhan MK,Bhandari N,Mazumder S

    更新日期:2019-09-05 00:00:00

  • Perceptions and experiences of using a nipple shield among parents and staff - an ethnographic study in neonatal units.

    abstract:BACKGROUND:Preterm infants have an immature sucking behavior and the capacity to be exclusively breastfed may be reduced for a period of weeks or months, depending on gestational age. Nipple shields have been used, not only as a device to help mothers with sore nipples, but also to facilitate the infant's latch on to t...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1183-6

    authors: Flacking R,Dykes F

    更新日期:2017-01-03 00:00:00

  • PREPARE: protocol for a stepped wedge trial to evaluate whether a risk stratification model can reduce preterm deliveries among women with suspected or confirmed preterm pre-eclampsia.

    abstract:BACKGROUND:Preeclampsia (PE) is a major cause of short and long-term morbidity for affected infants, including consequences of fetal growth restriction and iatrogenic prematurity. In Brazil, this is a special problem as PE accounts for 18% of preterm births (PTB). In the PREPARE (Prematurity REduction by Pre-eclampsia ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12884-019-2445-x

    authors: Dias MAB,De Oliveira L,Jeyabalan A,Payne B,Redman CW,Magee L,Poston L,Chappell L,Seed P,von Dadelszen P,Roberts JM,PREPARE Research Group.

    更新日期:2019-10-07 00:00:00

  • Preterm birth and small for gestational age in relation to alcohol consumption during pregnancy: stronger associations among vulnerable women? Results from two large Western-European studies.

    abstract:BACKGROUND:Inconsistent data on the association between prenatal alcohol exposure and a range of pregnancy outcomes, such as preterm birth (PTB) and small for gestational age (SGA) raise new questions. This study aimed to assess whether the association between low-moderate prenatal alcohol exposure and PTB and SGA diff...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,meta分析

    doi:10.1186/1471-2393-13-49

    authors: Pfinder M,Kunst AE,Feldmann R,van Eijsden M,Vrijkotte TG

    更新日期:2013-02-22 00:00:00

  • Postnatal quality of life in women after normal vaginal delivery and caesarean section.

    abstract:BACKGROUND:Caesarean section might increase the incidence of surgical interventions and problems resulting from hospitalization and thus affecting quality of life in women after delivery. This study aimed to compare quality of life in women after normal delivery and caesarean section. METHODS:This was a prospective st...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-9-4

    authors: Torkan B,Parsay S,Lamyian M,Kazemnejad A,Montazeri A

    更新日期:2009-01-30 00:00:00

  • Specialist antenatal clinics for women at high risk of preterm birth: a systematic review of qualitative and quantitative research.

    abstract:BACKGROUND:Preterm birth (PTB) is the leading cause of perinatal morbidity and mortality. Women with previous prenatal loss are at higher risk of preterm birth. A specialist antenatal clinic is considered as one approach to improve maternity and pregnancy outcomes. METHODS:A systematic review of quantitative, qualitat...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,评审

    doi:10.1186/s12884-017-1232-9

    authors: Malouf R,Redshaw M

    更新日期:2017-02-02 00:00:00

  • Incidence and determinants of severe maternal morbidity: a transversal study in a referral hospital in Teresina, Piaui, Brazil.

    abstract:BACKGROUND:Maternal near miss (MNM) investigation is a useful tool for monitoring standards for obstetric care. This study evaluated the prevalence and the determinants of severe maternal morbidity (SMM) and MNM in a tertiary referral hospital in Teresina, Piauí, Brazil. METHODS:A transversal and prospective study was...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0648-3

    authors: Madeiro AP,Rufino AC,Lacerda ÉZ,Brasil LG

    更新日期:2015-09-07 00:00:00

  • Sources of information on Gestational Diabetes Mellitus, satisfaction with diagnostic process and information provision.

    abstract:BACKGROUND:This study aimed to investigate the percentage of the needs and expectations of pregnant women with Gestational Diabetes Mellitus (GDM) about the best sources of information on GDM, their satisfaction with the diagnostic process and information provision. METHODS:Questionnaires were completed by 116 pregnan...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1067-9

    authors: Sayakhot P,Carolan-Olah M

    更新日期:2016-09-29 00:00:00

  • Clean birth kits to improve birth practices: development and testing of a country level decision support tool.

    abstract:BACKGROUND:Clean birth practices can prevent sepsis, one of the leading causes of both maternal and newborn mortality. Evidence suggests that clean birth kits (CBKs), as part of package that includes education, are associated with a reduction in newborn mortality, omphalitis, and puerperal sepsis. However, questions re...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-12-158

    authors: Hundley VA,Avan BI,Ahmed H,Graham WJ,Birth Kit Working Group.

    更新日期:2012-12-19 00:00:00

  • Constructing maternal morbidity - towards a standard tool to measure and monitor maternal health beyond mortality.

    abstract:BACKGROUND:Maternal morbidity is a complex entity and its presentation and severity are on a spectrum. This paper describes the conceptualization and development of a definition for maternal morbidity, and the framework for its measurement: the maternal morbidity matrix, which is the foundation for measuring maternal m...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0789-4

    authors: Chou D,Tunçalp Ö,Firoz T,Barreix M,Filippi V,von Dadelszen P,van den Broek N,Cecatti JG,Say L,Maternal Morbidity Working Group.

    更新日期:2016-03-02 00:00:00

  • Increasing uptake of influenza vaccine by pregnant women post H1N1 pandemic: a longitudinal study in Melbourne, Australia, 2010 to 2014.

    abstract:BACKGROUND:A Melbourne (Australia) university affiliated, tertiary obstetric hospital provides lay and professional education about influenza vaccine in pregnancy annually each March, early in the local influenza season. Responding to a 2011 survey of new mothers' opinions, the hospital made influenza vaccine freely av...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-015-0486-3

    authors: McCarthy EA,Pollock WE,Tapper L,Sommerville M,McDonald S

    更新日期:2015-03-05 00:00:00

  • Low dose aspirin in the prevention of recurrent spontaneous preterm labour - the APRIL study: a multicenter randomized placebo controlled trial.

    abstract:BACKGROUND:Preterm birth (birth before 37 weeks of gestation) is a major problem in obstetrics and affects an estimated 15 million pregnancies worldwide annually. A history of previous preterm birth is the strongest risk factor for preterm birth, and recurrent spontaneous preterm birth affects more than 2.5 million pre...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12884-017-1338-0

    authors: Visser L,de Boer MA,de Groot CJM,Nijman TAJ,Hemels MAC,Bloemenkamp KWM,Bosmans JE,Kok M,van Laar JO,Sueters M,Scheepers H,van Drongelen J,Franssen MTM,Sikkema JM,Duvekot HJJ,Bekker MN,van der Post JAM,Naaktgeboren C,M

    更新日期:2017-07-14 00:00:00

  • Socioeconomic and physical distance to the maternity hospital as predictors for place of delivery: an observation study from Nepal.

    abstract::BACKGROUND: Although the debate on the safety and women's right of choice to a home delivery vs. hospital delivery continues in the developed countries, an undesirable outcome of home delivery, such as high maternal and perinatal mortality, is documented in developing countries. The objective was to study whether soci...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-4-8

    authors: Wagle RR,Sabroe S,Nielsen BB

    更新日期:2004-05-22 00:00:00

  • The value of non-invasive prenatal testing: preferences of Canadian pregnant women, their partners, and health professionals regarding NIPT use and access.

    abstract:BACKGROUND:Canadian policies regarding the implementation and public coverage of non-invasive prenatal testing (NIPT) are heterogeneous and shifting, with NIPT being publicly covered for high-risk pregnancies in some provinces, but not others. Such a diverse and evolving policy landscape provides fertile ground for exa...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-018-2153-y

    authors: Birko S,Ravitsky V,Dupras C,Le Clerc-Blain J,Lemoine ME,Affdal AO,Haidar H,Laberge AM

    更新日期:2019-01-10 00:00:00

  • Prevalence, related factors and maternal outcomes of primary postpartum haemorrhage in governmental hospitals in Kabul-Afghanistan.

    abstract:BACKGROUND:To determine the prevalence, related factors and maternal outcomes of primary PPH in governmental hospitals in Kabul Afghanistan. METHODS:An observational study was designed to determine the prevalence, related factors and maternal outcomes of primary PPH in governmental hospitals in Kabul-Afghanistan. The ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03123-3

    authors: Shahbazi Sighaldeh S,Nazari A,Maasoumi R,Kazemnejad A,Mazari Z

    更新日期:2020-07-28 00:00:00

  • Conditional cash transfers to prevent mother-to-child transmission in low facility-delivery settings: evidence from a randomised controlled trial in Nigeria.

    abstract:BACKGROUND:Nigeria suffers from the highest burden of mother-to-child transmission worldwide. To increase retention in care and prevention programmes, we piloted and evaluated a conditional cash transfer (CCT) programme for preventing mother-to-child transmission (PMTCT) in Akwa Ibom, Nigeria. METHODS:In a randomised ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12884-019-2172-3

    authors: Liu JX,Shen J,Wilson N,Janumpalli S,Stadler P,Padian N

    更新日期:2019-01-16 00:00:00

  • Timing of cesarean and its impact on labor duration and genital tract trauma at the first subsequent vaginal birth: a retrospective cohort study.

    abstract:BACKGROUND:The objectives of this study were to explore the course of labor and the risk of obstetric anal sphincter injury at the first vaginal birth after cesarean section (fVBAC) in comparison to primiparous vaginal birth (PVB) in women without epidural analgesia and to assess if laboring before the previous cesarea...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-019-2359-7

    authors: Rusavy Z,Francova E,Paymova L,Ismail KM,Kalis V

    更新日期:2019-06-20 00:00:00

  • Preferences for birth center care in the Netherlands: an exploration of ethnic differences.

    abstract:BACKGROUND:To examine the preferences for comprehensive services and facilities in a new proposed birth center which will be established in a large Dutch city, specifically among pregnant women from different ethnic backgrounds. METHODS:The analyses of this study were based on a survey among 200 pregnant women living ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1254-3

    authors: Lescure D,Schepman S,Batenburg R,Wiegers TA,Verbakel E

    更新日期:2017-03-06 00:00:00

  • Severe hydronephrosis secondary to uterine artery pseudoaneurysm in the early second trimester of pregnancy: A case report.

    abstract:BACKGROUND:Uterine artery pseudoaneurysm (UAP) normally presents genital bleeding in the puerperal period, and severe hydronephrosis rarely presents during pregnancy. We report a rare case of severe ureteral obstruction accompanied by uterine artery pseudoaneurysm in the early second trimester of pregnancy, which was s...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-017-1529-8

    authors: Amano T,Tokoro S,Tsuji S,Inoue T,Kimura F,Murakami T

    更新日期:2017-09-25 00:00:00

  • Inadequate fetal heart rate monitoring and poor use of partogram associated with intrapartum stillbirth: a case-referent study in Nepal.

    abstract:BACKGROUND:Newborns are at the greatest risk for dying during the intrapartum period, including labor and delivery, and the first day of life. Fetal heart rate monitoring (FHRM) and partogram use to track labor progress are evidence-based techniques that can help to identify maternal and fetal risk factors so that thes...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-016-1034-5

    authors: Kc A,Wrammert J,Clark RB,Ewald U,Målqvist M

    更新日期:2016-08-19 00:00:00

  • Why do women assume a supine position when giving birth? The perceptions and experiences of postnatal mothers and nurse-midwives in Tanzania.

    abstract:BACKGROUND:Before the advent of Western medicine in Tanzania, women gave birth in an upright position either by sitting, squatting or kneeling. Birthing women would hold ropes or trees as a way of gaining strength and stability in order to push the baby with sufficient force. Despite the evidence supporting the upright...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-2726-4

    authors: Mselle LT,Eustace L

    更新日期:2020-01-13 00:00:00

  • The impact of tubal ectopic pregnancy in Papua New Guinea--a retrospective case review.

    abstract:BACKGROUND:Ectopic pregnancy (EP) is an important cause of morbidity and mortality amongst women of reproductive age. Tubal EP is well described in industrialised countries, but less is known about its impact in low-resource countries, in particular in the South Pacific Region. METHODS:We undertook a retrospective rev...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-86

    authors: Hamura NN,Bolnga JW,Wangnapi R,Horne AW,Rogerson SJ,Unger HW

    更新日期:2013-04-04 00:00:00

  • Does domestic violence during pregnancy influence the beginning of complementary feeding?

    abstract:BACKGROUND:This study investigate the influence of domestic violence against pregnant women on early complementary feeding and associated factors. METHODS:A longitudinal observational study was conducted with a convenience sample recruited from three public hospitals in Porto Alegre, Rio Grande do Sul, Brazil. Data on...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/s12884-020-03144-y

    authors: Caprara GL,Bernardi JR,Bosa VL,da Silva CH,Goldani MZ

    更新日期:2020-08-05 00:00:00

  • Risk adapted transmission prophylaxis to prevent vertical HIV-1 transmission: effectiveness and safety of an abbreviated regimen of postnatal oral zidovudine.

    abstract:BACKGROUND:Antiretroviral drugs including zidovudine (ZDV) are effective in reducing HIV mother to child transmission (MTCT), however safety concern remains. The optimal duration of postnatal ZDV has not been established in clinical studies and there is a lack of consensus regarding optimal management. The objective of...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-13-22

    authors: Neubert J,Pfeffer M,Borkhardt A,Niehues T,Adams O,Bolten M,Reuter S,Stannigel H,Laws HJ

    更新日期:2013-01-24 00:00:00

  • A criterion audit of women's awareness of blood transfusion in pregnancy.

    abstract::BACKGROUND: In the Confidential Enquiry into Maternal Deaths (CEMD) Report, the very high risk of mortality in women who refuse blood transfusions is highlighted. The objectives were to establish current knowledge about, and views of transfusion in our pregnant population and to establish the level of compliance with ...

    journal_title:BMC pregnancy and childbirth

    pub_type: 杂志文章

    doi:10.1186/1471-2393-2-7

    authors: Khadra M,Rigby C,Warren P,Leighton N,Johanson R

    更新日期:2002-09-25 00:00:00