Evidence map›Paper›PMID 31331344›Full record

ArticleReproductive health2019

Giving birth in Switzerland: a qualitative study exploring migrant women's experiences during pregnancy and childbirth in Geneva and Zurich using focus groups.

J Sami, K C Quack Lötscher, I Eperon, L Gonik, B Martinez de Tejada, M Epiney, N C Schmidt

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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  18. Quality of maternal and newborn care around the time of childbirth for migrant versus nonmigrant women during the COVID-19 pandemic: Results of the IMAgiNE EURO study in 11 countries of the WHO European region.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

J SamiFaculty of Medicine, University of Geneva, Geneva, Switzerland.
K C Quack LötscherClinic of Obstetrics, University Hospital Zurich, Zurich, Switzerland.
I EperonObstetrics Unit Department of Obstetrics and Gynecology, Geneva University Hospitals, Geneva, Switzerland.
L GonikObstetrics Unit Department of Obstetrics and Gynecology, Geneva University Hospitals, Geneva, Switzerland.
B Martinez de TejadaFaculty of Medicine, University of Geneva, Geneva, Switzerland.
M EpineyFaculty of Medicine, University of Geneva, Geneva, Switzerland.
N C SchmidtObstetrics Unit Department of Obstetrics and Gynecology, Geneva University Hospitals, Geneva, Switzerland. nicole.ch.schmidt@gmail.com.
University Hospital of Geneva · CHUniversity of Geneva · CHUniversity Hospital of Zurich · CH

Funding

Bundesamt für Gesundheit N.A.Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung PMPDP3_145471
6 · The paper itself

Abstract

backgroundMigrant mothers in high-income countries often encounter more complications during pregnancy, delivery, and the postpartum period. To enlighten health care providers concerning potential barriers, the objective of this study was to explore positive and negative experiences with maternal health services in the University Hospitals of Geneva and Zurich and to describe barriers to maternity services from a qualitative perspective.

methodsIn this qualitative study, six focus groups (FGs) were conducted involving 33 women aged 21 to 40 years. All FG discussions were audio-recorded and later transcribed. Data were analysed using a thematic analysis approach assisted by the Atlas.ti qualitative data management software.

resultsPositive experiences included not only the availability of maternity services, especially during emergency situations and the postpartum period, but also the availability of specific maternity services for undocumented migrants in Geneva. Negative experiences were classified into either personal or structural barriers. On the personal level, the main barriers were a lack of social support and a lack of health literacy, whereas the main themes on the structural level were language barriers and a lack of information.

conclusionStructural adaptation is necessary to meet the needs of the extremely diverse population. The needs include (1) the provision of specific information for migrant women in multiple languages, (2) the availability of trained interpreters who are easily accessible to health care providers, (3) specifically trained nurses or social assistance providers to guide migrants through the health system, and (4) a cultural competence-training programme for health care providers.

Indexed as

Communication BarriersHealth Knowledge, Attitudes, PracticeAdultCultural CompetencyFemaleFocus GroupsHealth PersonnelHealth Services AccessibilityHumansMaternal Health ServicesMothersParturitionPostpartum PeriodPregnancyQualitative ResearchSwitzerlandFocus groupMaternal healthMigrant womanPregnancyQualitative study

Identifiers

PMID31331344
PMCPMC6647303
OpenAlexW2962740701

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.