Women from refugee backgrounds and their experiences of attending a specialist antenatal clinic: narratives from an Australian setting

Stapleton, Helen, Murphy, Rebecca, Correa-Velez, Ingacio, Steel, Michelle and Kildea, Sue (2013) Women from refugee backgrounds and their experiences of attending a specialist antenatal clinic: narratives from an Australian setting. Women and Birth, 26 4: 260-266. doi:10.1016/j.wombi.2013.07.004


Author Stapleton, Helen
Murphy, Rebecca
Correa-Velez, Ingacio
Steel, Michelle
Kildea, Sue
Title Women from refugee backgrounds and their experiences of attending a specialist antenatal clinic: narratives from an Australian setting
Journal name Women and Birth   Check publisher's open access policy
ISSN 1871-5192
1878-1799
Publication date 2013-12
Sub-type Article (original research)
DOI 10.1016/j.wombi.2013.07.004
Open Access Status
Volume 26
Issue 4
Start page 260
End page 266
Total pages 7
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Language eng
Formatted abstract
Problem
In response to an identified need, a specialist antenatal clinic for women from refugee backgrounds was introduced in 2008, with an evaluation planned and completed in 2010.

Question
Can maternity care experiences for women from refugee backgrounds, attending a specialist antenatal clinic in a tertiary Australian public hospital, be improved?

Methods
The evaluation employed mixed methods, generating qualitative and quantitative data from two hospital databases, a chart audit, surveys and interviews with service users, providers and stakeholders. Contributions were received from 202 participants.

Findings
The clinic was highly regarded by all participants. Continuity of care throughout the antenatal period was particularly valued by newly arrived women as it afforded them security and support to negotiate an unfamiliar Western maternity system. Positive experiences decreased however; as women transitioned from the clinic to labour and postnatal wards where they reported that their traditional birthing and recuperative practices were often interrupted by the imposition of Western biomedical notions of appropriate care. The centrally located clinic was problematic, frequently requiring complex travel arrangements. Appointment schedules often impacted negatively on traditional spousal and family obligations.

Conclusions
Providing comprehensive and culturally responsive maternity care for women from refugee backgrounds is achievable, however it is also resource intensive. The production of translated information which is high quality in terms of production and content, whilst also taking account of languages which are only rarely encountered, is problematic. Cultural competency programmes for staff, ideally online, require regular updating in light of new knowledge and changing political sensitivities.
Keyword Refugess (MeSH)
Midwifery (MeSH)
Evaluation (MeSH)
Interpreter
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Tue, 26 Aug 2014, 13:26:41 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work