Added: Felisa Bloodworth - Date: 28.12.2021 11:02 - Views: 47971 - Clicks: 5772
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. Inundocumented 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. : 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. Keywords: Clinical encounters; Cultural competence; Human rights; Migrant health; Perinatal care; Pregnancy and childbirth; Psychological trauma; Social vulnerability; Undocumented migrant women; Vulnerable patients.
All women who decided to participate in the study provided written consent to participate. The authors declare that they have no competing interests. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. Search: Search. Advanced Clipboard.
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Conflict of interest statement Ethics approval and consent to participate All women who decided to participate in the study provided written consent to participate. Competing interests The authors declare that they have no competing interests. Similar articles The delivery room: is it a safe place? A hermeneutic analysis of women's negative birth experiences. Nilsson C.
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See all similar articles. Ramos-Roure F, et al. Maternal health care utilization and the obstetric outcomes of undocumented women in Finland - a retrospective register-based study. Tasa J, et al. Funge JK, et al. Transnationalism and care of migrant families during pregnancy, postpartum and early-childhood: an integrative review.
Merry L, et al. Counting the non-existing: causes of death of undocumented migrants in Brussels-Capital Region Belgium Lafaut D, et al. Arch Public Health. See all "Cited by" articles. References Cuadra CB. Right of access to healthcare for undocumented migrants in EU: a comparative study of national policies. Eur J Pub Health. Ethnicity and globalization. London: SAGE; State Public Reports. Stockholm: Fritze; Accessed 19 Mar Swedish Migration Agency. Applications for asylum received Migrationsverket; Accessed 22 Mar Show all 63 references.
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