Maternal Healthcare in Migrants: A Systematic Review
- 3.3k Downloads
Pregnancy is a period of increased vulnerability for migrant women, and access to healthcare, use and quality of care provided during this period are important aspects to characterize the support provided to this population. A systematic review of the scientific literature contained in the MEDLINE and SCOPUS databases was carried out, searching for population based studies published between 1990 and 2012 and reporting on maternal healthcare in immigrant populations. A total of 854 articles were retrieved and 30 publications met the inclusion criteria, being included in the final evaluation. The majority of studies point to a higher health risk profile in immigrants, with an increased incidence of co-morbidity in some populations, reduced access to health facilities particularly in illegal immigrants, poor communication between women and caregivers, a lower rate of obstetrical interventions, a higher incidence of stillbirth and early neonatal death, an increased risk of maternal death, and a higher incidence of postpartum depression. Incidences vary widely among different population groups. Some migrant populations are at a higher risk of serious complications during pregnancy, for reasons that include reduced access and use of healthcare facilities, as well as less optimal care, resulting in a higher incidence of adverse outcomes. Tackling these problems and achieving equality of care for all is a challenging aim for public healthcare services.
KeywordsMigrants Access, Utilization and quality of care Maternal and child health
This research was funded by FCT, Fundação para a Ciência e Tecnologia, under the scope of the research project “Health and Citizenship: Gaps and needs in intercultural health care to immigrant mothers”. The authors would like to thank the authors that provided their papers: John Eastwood, Andrea Thurman, Sonja Merten, Anita Gagnon and Lisa Merry, Anita Stewart, Heide Castaneda, Cecilia Ékeus, Elena Fuentes-Afflick, Annunziata Lapolla, Jane Bray, Cheryl Beck, Simone Buechi, Pilar Serrano Gallardo, Ann Treacy, Rebecca Bixby and Phyllis A. Nsiah-Kumi.
- 1.Fernandes, A., & Miguel, J. (2009). Health and migration in the European Union: Better health for all in an Inclusive Society. Lisboa: Instituto Nacional de Saúde Doutor Ricardo Jorge.Google Scholar
- 4.Rumbold, A., Bailie, R., Si, D., Dowden, M., Kennedy, C., et al. (2011). Delivery of maternal health care in Indigenous primary care services: Baseline data for an ongoing quality improvement initiative. BMC Pregnancy & Childbirth, 11, 16.Google Scholar
- 5.Eastwood, J. G., Phung, H., & Barnett, B. (2011). Postnatal depression and socio-demographic risk: Factors associated with Edinburgh Depression Scale scores in a metropolitan area of New South Wales, Australia. Australian and New Zealand Journal of Psychiatry, 45, 1040–1046.CrossRefPubMedGoogle Scholar
- 7.Dias, S., Severo, M., & Barros, H. (2008). Determinants of health care utilization by immigrants in Portugal. BMC Health Services Research, 8, 207.Google Scholar
- 10.Merry, L., Gagnon, A. J., Hemlin, I., Clarke, H., & Hickey, J. (2011). Cross-border movement and women’s health: How to capture the data. International Journal for Equity in Health, 10, 56.Google Scholar
- 14.Chote, A. A., Koopmans, G. T., Redekop, W. K., de Groot, C. J., Hoefman, R. J., et al. (2011). Explaining ethnic differences in late antenatal care entry by predisposing, enabling and need factors in The Netherlands. The Generation R Study. Maternal and Child Health Journal, 15, 689–699.CrossRefPubMedGoogle Scholar
- 32.Stewart, D. E., Gagnon, A., Saucier, J. F., Wahoush, O., & Dougherty, G. (2008). Postpartum depression symptoms in newcomers. Canadian Journal of Psychiatry, 53, 121–124.Google Scholar
- 41.Essen, B., Bodker, B., Sjoberg, N. O., Langhoff-Roos, J., Greisen, G., et al. (2002). Are some perinatal deaths in immigrant groups linked to suboptimal perinatal care services? British Journal of Obstetrics and Gynaecology, 109, 677–682.Google Scholar