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      Immigrant women’s experience of labor and birth Translated title: La experiencia de las mujeres inmigrantes en el trabajo de parto y el parto Translated title: Experiência de mulheres imigrantes no processo de parto e nascimento

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          ABSTRACT

          Objective:

          To describe the childbirth experience of immigrant women in maternity hospitals in southern Brazil.

          Method:

          Descriptive, qualitative study, Hybrid Thematic Oral History method, in two public maternity hospitals in Curitiba-PR; semi-structured interviews collected from March to December 2020. Analysis followed the proposed method.

          Results:

          The seven interviewees - collaborators immigrated from Venezuela, Haiti and Tunisia. Relevant themes emerged: 1) Surprises and feelings during the childbirth process, pointing out preferences, unexpected birth outcomes, factors related to the higher incidence of C-section and descriptions of sensations and feelings; 2) The care perceived by women and memories of experiences in the country of origin, with reports of previous childbirth experience, difficulties in the current childbirth and perceptions of the care received.

          Conclusion:

          The childbirth process was experienced with expectation, accessing feelings and memories. The positive childbirth experience was favored by team care, participation in decision-making, well-informed prenatal care, bonding with the care team, effective communication and evidence-based obstetric practices. Challenges were perceived regarding cultural sensitivity in care.

          RESUMO

          Objetivo:

          Descrever a experiência de parto de mulheres imigrantes em maternidades do sul do Brasil.

          Método:

          Estudo descritivo, qualitativo, método História Oral Temática Híbrida, em duas maternidades públicas de Curitiba-PR; entrevistas semiestruturadas coletadas de março a dezembro de 2020. Análise seguiu o método proposto.

          Resultados:

          As sete colaboradoras imigraram da Venezuela, Haiti e Tunísia. Emergiram como temas relevantes: 1) As surpresas e sentimentos durante o processo de parto, apontando preferências, desfechos de parto inesperados, fatores relacionados à maior incidência de cesariana e descrição de sensações e sentimentos; 2) O cuidado percebido pelas mulheres e as memórias de experiências no país de origem, com relatos de experiência prévia de parto, dificuldades no parto atual e percepções do cuidado recebido.

          Conclusão:

          O processo de parto foi experienciado com expectativa, acessando sentimentos e memórias. A experiência positiva de parto foi favorecida pelo cuidado da equipe, participação na tomada de decisão, assistência pré-natal bem-informada, vínculo com equipe assistencial, comunicação efetiva e práticas obstétricas baseadas em evidência. Foram percebidos desafios sobre sensibilidade cultural na assistência.

          RESUMEN

          Objetivo:

          Describir la experiencia del parto de las mujeres inmigrantes en las maternidades del sur de Brasil.

          Método:

          Estudio descriptivo, cualitativo, utilizando el método de Historia Oral Temática Híbrida, en dos maternidades públicas de Curitiba-PR; entrevistas semiestructuradas recogidas de marzo a diciembre de 2020. El análisis siguió el método propuesto.

          Resultados:

          Los siete colaboradores inmigraron de Venezuela, Haití y Túnez. Surgieron como temas relevantes: 1) Sorpresas y sentimientos durante el proceso de parto, señalando preferencias, resultados inesperados del parto, factores relacionados con la mayor incidencia de cesárea y descripción de sensaciones y sentimientos; 2) La atención percibida por las mujeres y recuerdos de experiencias en el país de origen, con experiencia de parto anterior, dificultades en el parto actual y percepción de los cuidados recibidos.

          Conclusión:

          El proceso del parto se vivió con expectación, accediendo a sensaciones y recuerdos. Una experiencia positiva del parto se vio favorecida por la atención en equipo, la participación en la toma de decisiones, una atención prenatal bien informada, el establecimiento de vínculos con el equipo asistencial, la comunicación eficaz y las prácticas obstétricas basadas en pruebas. Se percibieron retos relacionados con la sensibilidad cultural en la atención.

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          Most cited references32

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          Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review

          Background Across Europe there are increasing numbers of migrant women who are of childbearing age. Migrant women are at risk of poorer pregnancy outcomes. Models of maternity care need to be designed to meet the needs of all women in society to ensure equitable access to services and to address health inequalities. Objective To provide up-to-date systematic evidence on migrant women’s experiences of pregnancy, childbirth and maternity care in their destination European country. Search strategy CINAHL, MEDLINE, PubMed, PsycINFO and Scopus were searched for peer-reviewed articles published between 2007 and 2017. Selection criteria Qualitative and mixed-methods studies with a relevant qualitative component were considered for inclusion if they explored any aspect of migrant women's experiences of maternity care in Europe. Data collection and analysis Qualitative data were extracted and analysed using thematic synthesis. Results The search identified 7472 articles, of which 51 were eligible and included. Studies were conducted in 14 European countries and focused on women described as migrants, refugees or asylum seekers. Four overarching themes emerged: ‘Finding the way—the experience of navigating the system in a new place’, ‘We don't understand each other’, ‘The way you treat me matters’, and ‘My needs go beyond being pregnant’. Conclusions Migrant women need culturally-competent healthcare providers who provide equitable, high quality and trauma-informed maternity care, undergirded by interdisciplinary and cross-agency team-working and continuity of care. New models of maternity care are needed which go beyond clinical care and address migrant women's unique socioeconomic and psychosocial needs.
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            Scoping Review on Maternal Health among Immigrant and Refugee Women in Canada: Prenatal, Intrapartum, and Postnatal Care

            The last fifteen years have seen a dramatic increase in both the childbearing age and diversity of women migrating to Canada. The resulting health impact underscores the need to explore access to health services and the related maternal health outcome. This article reports on the results of a scoping review focused on migrant maternal health within the context of accessible and effective health services during pregnancy and following delivery. One hundred and twenty-six articles published between 2000 and 2016 that met our inclusion criteria and related to this group of migrant women, with pregnancy/motherhood status, who were living in Canada, were identified. This review points at complex health outcomes among immigrant and refugee women that occur within the compelling gaps in our knowledge of maternal health during all phases of maternity. Throughout the prenatal, intrapartum, and postnatal periods of maternity, barriers to accessing healthcare services were found to disadvantage immigrant and refugee women putting them at risk for challenging maternal health outcomes. Interactions between the uptake of health information and factors related to the process of immigrant settlement were identified as major barriers. Availability of appropriate services in a country that provides universal healthcare is discussed.
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              Pregnancy, childbirth and motherhood: a meta-synthesis of the lived experiences of immigrant women.

              pregnancy, childbirth and motherhood are natural processes that bring joy to individual women and families. However, for many migrant women, becoming a mother while attempting to settle in a new country where the culture is different, can be a challenge for them.
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                Author and article information

                Journal
                Rev Esc Enferm USP
                Rev Esc Enferm USP
                reeusp
                Revista da Escola de Enfermagem da USP
                Universidade de São Paulo, Escola de Enfermagem
                0080-6234
                1980-220X
                05 January 2024
                2023
                : 57
                : spe
                : e20220444
                Affiliations
                [1 ]Universidade Federal do Paraná, Departamento de Enfermagem, Curitiba, PR, Brazil.
                Author notes
                Corresponding author: Lilian Salem Supimpa, AV. Prefeito Lothario Meissner, 632, Jardim Botânico, 80210-170 – Curitiba, PR, Brazil, liliansalems@ 123456gmail.com

                ASSOCIATE EDITOR: Rosa Maria Godoy Serpa da Fonseca

                Author information
                http://orcid.org/0000-0003-4635-1140
                http://orcid.org/0000-0002-1679-4007
                http://orcid.org/0000-0001-9260-4132
                http://orcid.org/0000-0001-6557-1400
                http://orcid.org/0000-0003-3681-4244
                http://orcid.org/0000-0001-5580-2092
                Article
                00411
                10.1590/1980-220X-REEUSP-2022-0444en
                10781296
                38197678
                762607a8-13f6-44d6-85c1-7597656f658c

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 08 January 2023
                : 03 September 2023
                Page count
                Tables: 02, References: 27
                Categories
                Original Article

                culture,emigrants and immigrants,obstetric nursing,parturition,midwifery,cultura,emigrantes e inmigrantes,enfermería obstétrica,parto,partería,emigrantes e imigrantes,enfermagem obstétrica,tocologia

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