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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

Costa, Raquel ; Rodrigues, Carina ; Dias, Heloísa ; Covi, Benedetta ; Mariani, Ilaria ; Valente, Emanuelle Pessa ; Zaigham, Mehreen LU orcid ; Vik, Eline Skirnisdottir ; Grylka-Baeschlin, Susanne and Arendt, Maryse , et al. (2022) In International Journal of Gynecology & Obstetrics 159(S1). p.39-53
Abstract

OBJECTIVE: To describe the perception of quality of maternal and newborn care (QMNC) around the time of childbirth among migrant and nonmigrant women in Europe.

METHODS: Women who gave birth at a health facility in 11 countries of the WHO European Region from March 2020 to July 2021 were invited to answer an online questionnaire including demographics and childbirth experience. Data were analyzed and compared for 1781 migrant and 20 653 nonmigrant women.

RESULTS: Migrant women who experienced labor perceived slightly more difficulties in attending routine antenatal visits (41.2% vs 39.4%; P = 0.001), more barriers in accessing facilities (32.9% vs 29.9%; P = 0.001), lack of timely care (14.7% vs 13.0%; P = 0.025), inadequate... (More)

OBJECTIVE: To describe the perception of quality of maternal and newborn care (QMNC) around the time of childbirth among migrant and nonmigrant women in Europe.

METHODS: Women who gave birth at a health facility in 11 countries of the WHO European Region from March 2020 to July 2021 were invited to answer an online questionnaire including demographics and childbirth experience. Data were analyzed and compared for 1781 migrant and 20 653 nonmigrant women.

RESULTS: Migrant women who experienced labor perceived slightly more difficulties in attending routine antenatal visits (41.2% vs 39.4%; P = 0.001), more barriers in accessing facilities (32.9% vs 29.9%; P = 0.001), lack of timely care (14.7% vs 13.0%; P = 0.025), inadequate room comfort and equipment (9.2% vs 8.5%; P = 0.004), inadequate number of women per room (9.4% vs 8.6%; P = 0.039), being prevented from staying with their baby as they wished (7.8% vs 6.9%; P = 0.011), or suffering abuse (14.5% vs 12.7%; P = 0.022) compared with nonmigrant women. For women who had a prelabor cesarean, migrant women were more likely not to receive pain relief after birth (16.8% vs.13.5%; P = 0.039) and less likely to provide informal payment (1.8% vs 4.4%; P = 0.005) compared with nonmigrant women. Overall, the QMNC index was not significantly different for migrant compared with nonmigrant women.

CONCLUSION: Gaps in overall QMNC were reported by both migrant and nonmigrant women, with improvements to healthcare necessary for all.

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author collaboration
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Infant, Newborn, Female, Pregnancy, Humans, Transients and Migrants, Pandemics, COVID-19, Parturition, World Health Organization, European People
in
International Journal of Gynecology & Obstetrics
volume
159
issue
S1
pages
39 - 53
publisher
Wiley-Blackwell
external identifiers
  • pmid:36530012
  • scopus:85144416963
ISSN
1879-3479
DOI
10.1002/ijgo.14472
language
English
LU publication?
yes
additional info
© 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
id
bc5b1e38-2569-4522-b36f-568bdc3dc8d6
date added to LUP
2022-12-24 10:03:03
date last changed
2024-06-14 15:30:23
@article{bc5b1e38-2569-4522-b36f-568bdc3dc8d6,
  abstract     = {{<p>OBJECTIVE: To describe the perception of quality of maternal and newborn care (QMNC) around the time of childbirth among migrant and nonmigrant women in Europe.</p><p>METHODS: Women who gave birth at a health facility in 11 countries of the WHO European Region from March 2020 to July 2021 were invited to answer an online questionnaire including demographics and childbirth experience. Data were analyzed and compared for 1781 migrant and 20 653 nonmigrant women.</p><p>RESULTS: Migrant women who experienced labor perceived slightly more difficulties in attending routine antenatal visits (41.2% vs 39.4%; P = 0.001), more barriers in accessing facilities (32.9% vs 29.9%; P = 0.001), lack of timely care (14.7% vs 13.0%; P = 0.025), inadequate room comfort and equipment (9.2% vs 8.5%; P = 0.004), inadequate number of women per room (9.4% vs 8.6%; P = 0.039), being prevented from staying with their baby as they wished (7.8% vs 6.9%; P = 0.011), or suffering abuse (14.5% vs 12.7%; P = 0.022) compared with nonmigrant women. For women who had a prelabor cesarean, migrant women were more likely not to receive pain relief after birth (16.8% vs.13.5%; P = 0.039) and less likely to provide informal payment (1.8% vs 4.4%; P = 0.005) compared with nonmigrant women. Overall, the QMNC index was not significantly different for migrant compared with nonmigrant women.</p><p>CONCLUSION: Gaps in overall QMNC were reported by both migrant and nonmigrant women, with improvements to healthcare necessary for all.</p>}},
  author       = {{Costa, Raquel and Rodrigues, Carina and Dias, Heloísa and Covi, Benedetta and Mariani, Ilaria and Valente, Emanuelle Pessa and Zaigham, Mehreen and Vik, Eline Skirnisdottir and Grylka-Baeschlin, Susanne and Arendt, Maryse and Santos, Teresa and Wandschneider, Lisa and Drglin, Zalka and Drandić, Daniela and Radetic, Jelena and Rozée, Virginie and Elden, Helen and Mueller, Antonia N and Barata, Catarina and Miani, Céline and Bohinec, Anja and Ruzicic, Jovana and de La Rochebrochard, Elise and Linden, Karolina and Geremia, Sara and de Labrusse, Claire and Batram-Zantvoort, Stephanie and Ponikvar, Barbara Mihevc and Sacks, Emma and Lazzerini, Marzia}},
  issn         = {{1879-3479}},
  keywords     = {{Infant, Newborn; Female; Pregnancy; Humans; Transients and Migrants; Pandemics; COVID-19; Parturition; World Health Organization; European People}},
  language     = {{eng}},
  number       = {{S1}},
  pages        = {{39--53}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{International Journal of Gynecology & Obstetrics}},
  title        = {{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}},
  url          = {{http://dx.doi.org/10.1002/ijgo.14472}},
  doi          = {{10.1002/ijgo.14472}},
  volume       = {{159}},
  year         = {{2022}},
}