Evidence map›Paper›PMID 34620114›Full record

ArticleBMC pregnancy and childbirth2021

Challenges and barriers to optimal maternity care for recently migrated women - a mixed-method study in Norway.

Sukhjeet Bains, Susanne Skråning, Johanne Sundby, Siri Vangen, Ingvil K Sørbye, Benedikte V Lindskog

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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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

6 authors at 6 institutions in 1 country.

Sukhjeet BainsDepartment of Obstetrics and Gynecology, Norwegian Research Centre for Women's Health, Oslo University Hospital, Rikshospitalet; PO box 4950 Nydalen, 0424, Oslo, Norway. sukhjeetkb@gmail.com.
Susanne SkråningDepartment of labour, Welfare and Local Communites, Stovner District, City of Oslo, Oslo, Norway.
Johanne SundbyDepartment of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Oslo, Norway.
Siri VangenDepartment of Obstetrics and Gynecology, Norwegian Research Centre for Women's Health, Oslo University Hospital, Rikshospitalet; PO box 4950 Nydalen, 0424, Oslo, Norway.
Ingvil K SørbyeDepartment of Obstetrics and Gynecology, Norwegian Research Centre for Women's Health, Oslo University Hospital, Rikshospitalet; PO box 4950 Nydalen, 0424, Oslo, Norway.
Benedikte V LindskogDepartment of Social Work, Child Welfare and Social Policy, Oslo Metropolitan University, Oslo, Norway.
657 Oslo · NONORCE Norwegian Research Centre · NONorwegian Labour and Welfare Administration · NOOsloMet – Oslo Metropolitan University · NOOslo University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMigrant women are at increased risk for complications related to  pregnancy and childbirth, possibly due to inadequate access and utilisation of healthcare. Recently migrated women are considered a vulnerable group who may experience challenges in adapting to a new country. We aimed to identify challenges and barriers recently migrated women face in accessing and utilising maternity healthcare services.

methodsIn the mixed-method MiPreg-study, we included recently migrated (≤ five years) pregnant women born in low- or middle-income countries and healthcare personnel. First, we conducted 20 in-depth interviews with migrant women at Maternal and Child Health Centres (MCHC) and seven in-depth interviews with midwives working at either the hospital or the MCHCs in Oslo. Afterwards, we triangulated our findings with 401 face-to-face questionnaires post-partum at hospitals among migrant women. The data were thematically analysed by grouping codes after careful consideration and consensus between the researchers.

resultsFour main themes of challenges and barriers faced by the migrant women were identified: (1) Navigating the healthcare system, (2) Language, (3) Psychosocial and structural factors, and (4) Expectations of care. Within the four themes we identified a range of individual and structural challenges, such as limited knowledge about available healthcare services, unmet needs for interpreter use, limited social support and conflicting recommendations for pregnancy-related care. The majority of migrant women (83.6%) initiated antenatal care in the first trimester. Several of the challenges were associated with vulnerabilities not directly related to maternal health.

conclusionA combination of individual, structural and institutional barriers hinder recently migrated women in achieving optimal maternal healthcare. Suggested strategies to address the challenges include improved provision of information about healthcare structure to migrant women, increased use of interpreter services, appropriate psychosocial support and strengthening diversity- and intercultural competence training among healthcare personnel.

Indexed as

AdultCommunication BarriersCulturally Competent CareFemaleHealth PersonnelHealth Services AccessibilityHumansMaternal Health ServicesMotivationNorwayPregnancyPregnant PeoplePrenatal CarePsychosocial Support SystemsTransients and MigrantsAntenatalBarriersMaternityMigrantMigrationNorwayQualitativeQuestionnaireVulnerability

Identifiers

PMID34620114
PMCPMC8495671
OpenAlexW3201828021

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.