Evidence map›Paper›PMID 33383485›Full record

ArticleSocial science & medicine (1982)2021

"It's a life you're playing with": A qualitative study on experiences of NHS maternity services among undocumented migrant women in England.

Laura B Nellums, Jaynaide Powis, Lucy Jones, Anna Miller, Kieran Rustage, Neal Russell, Jon S Friedland, Sally Hargreaves

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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

8 authors.

Laura B NellumsDivision of Epidemiology and Public Health, School of Medicine, University of Nottingham, Clinical Sciences Building, Hucknall Road, NG5 1PB, UK; Institute for Infection and Immunity, St. George's, University of London, Cranmer Terrace, SW17 0RE, UK. Electronic address: laura.nellums@nottingham.ac.uk.
Jaynaide PowisInfectious Diseases & Immunity, Imperial College London, Hammersmith Hospital, Du Cane Road, London, W12 ONN, UK.
Lucy JonesDoctors of the World UK (Médecins du Monde), 29th Floor, One Canada Square, London, E14 5AA, UK.
Anna MillerDoctors of the World UK (Médecins du Monde), 29th Floor, One Canada Square, London, E14 5AA, UK.
Kieran RustageInstitute for Infection and Immunity, St. George's, University of London, Cranmer Terrace, SW17 0RE, UK.
Neal RussellInstitute for Infection and Immunity, St. George's, University of London, Cranmer Terrace, SW17 0RE, UK.
Jon S FriedlandInstitute for Infection and Immunity, St. George's, University of London, Cranmer Terrace, SW17 0RE, UK.
Sally HargreavesInstitute for Infection and Immunity, St. George's, University of London, Cranmer Terrace, SW17 0RE, UK. Electronic address: s.hargreaves@sgul.ac.uk.

Funding

Department of Health NIHR300072Medical Research Council MR/T046732/1Medical Research Council MR/V027549/1
6 · The paper itself

Abstract

backgroundUndocumented migrant women experience complex barriers to maternity services, are less likely to receive the recommended level of maternity care, and have poorer obstetric outcomes than non-migrant women. There are concerns increasing restrictions on entitlement to health services have a detrimental impact on access to services and obstetric outcomes, particularly among undocumented migrant women. The study aimed to investigate the experiences of undocumented migrant women who have been pregnant in England, and factors affecting access to care and health outcomes.

methodsWe conducted in-depth semi-structured interviews June-December 2017 with a purposive sample of migrant women born outside the UK (aged>18) who had experiences of pregnancy and undocumented status (without permission to reside) in the UK, recruited through Doctors of the World (DOTW) UK. Interpreting services were used on request. Interviews were recorded, transcribed, and analysed using thematic analysis. Ethical approval: Imperial College London Research Ethics Committee (ICREC reference: 17IC3924).

resultsSemi-structured interviews were conducted with 20 participants, 10 of whom had their first antenatal appointment after the national target of 13 weeks, and nine of whom reported complications. Themes defining women's experiences of pregnancy included: restricted agency, intersecting stressors, and an ongoing cycle of precarity, defined by legal status, social isolation, and economic status.

conclusionsThis study provides new evidence of women's experiences of pregnancy in the UK in the context of increasingly restrictive health policies including charging and data sharing. Six recommendations are made to ensure the UK and other migrant receiving countries work towards reducing inequalities and achieving national and global targets for maternal and child health and universal health coverage.

Indexed as

Maternal Health ServicesTransients and MigrantsAdolescentChildEnglandFemaleHealth Services AccessibilityHumansLondonPregnancyQualitative ResearchState MedicineHealth inequalitiesMaternal healthMigrant healthRefugeesUndocumented migrants

Identifiers

PMID33383485
PMCPMC7895812

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.