AI Article Synopsis
- Pregnant migrant women are seen as a vulnerable group in maternity care, and their experiential knowledge is often overlooked in midwifery practice and research.
- A study in the Netherlands used surveys and focus groups to analyze the vulnerability experiences of 89 pregnant migrant women, revealing significant correlations between their self-reported vulnerability and established criteria for vulnerability.
- Five key themes emerged from discussions, highlighting the importance of understanding migrant women's true experiences and fostering a respectful, honest relationship between women and midwives.
Article Abstract
Problem: Within maternity care policies and practice, pregnant migrant women are regarded as a vulnerable population.
Background: Women's experiential knowledge is a key element of woman-centred care but is insufficiently addressed in midwifery practice and research that involves migrant women.
Aim: To examine if pregnant migrant women's experiential knowledge of vulnerability corresponds with sets of criteria of vulnerability, and to explore how migrant women make sense of vulnerability during pregnancy.
Methods: A sequential two-phased mixed-methods study, conducted in the Netherlands, integrating survey data of 89 pregnant migrant women and focus group data obtained from 25 migrant mothers - living in deprived areas according to the Dutch socio-economic index.
Results: Criteria associated with vulnerability were reported by 65.2% of the participants and 62.9% of the participants reported adverse childhood experiences. On a Visual Analogue Scale, ranging from 0 (not vulnerable) to 10 (very vulnerable), participants self-reported sense of vulnerability showed a mean score of 4.2 (±2.56). Women's experiential knowledge of vulnerability significantly correlated with the mean sum score of clinical criteria of vulnerability (r .46, p .002) and with the mean sum score of adverse childhood experiences (r .48, p<.001). Five themes emerged from the focus group discussions: "Look beyond who you think I am and see and treat me for who I really am", "Ownership of truth and knowledge", "Don't punish me for being honest", "Projection of fear" and "Coping with labelling".
Conclusion: Pregnant migrant women's experiential knowledge of vulnerability is congruent with the criteria. Calling upon experiential knowledge is an attribute of the humane woman-midwife relationship.
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| http://dx.doi.org/10.1016/j.wombi.2021.03.004 | DOI Listing |
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