Migrant and nonmigrant women report gaps in overall quality of maternal and newborn care Childbirth Coronavirus COVID WomensHealth IMAgiNEEUROstudy maternalhealth neonatal pregnancy IJGOLive
By Dr. Liji Thomas, MDDec 21 2022Reviewed by Benedette Cuffari, M.Sc. The coronavirus disease 2019 pandemic affected healthcare in multiple areas, including obstetric and neonatal care. A recent study published in the International Journal of Gynecology & Obstetrics examines how obstetric healthcare services differed between women considered to be natives of Europe as compared to migrants.
Migrants are typically less healthy than residents, with pregnant women and their newborns at even greater risk in this regard. Complicated pregnancies, postpartum depression, and neonatal complications lead to higher maternal and infant mortality rates in this patient population. Data was acquired from the IMAgiNE EURO study that uses 40 World Health Organization standards, among others, to describe how mothers felt about QMNC in the peripartum period. The study covered 11 European countries, with results stratified by country and social and demographic factors.
Birth assistance by a healthcare professional other than a midwife was more common among migrants, while there was a slight increase in midwife-assisted deliveries among residents. Overall, these differences were minor. Routine antenatal care was more challenging to access among migrants at about 41% compared to 39% among residents.
When different domains of QMNC were compared, Portugal and Croatia were perceived as providing fewer human and physical resources essential during childbirth for migrants as compared to nonmigrants. However, the opposite was true in Luxembourg. Furthermore, the provision of care index was lower for migrant women in Sweden and Slovenia.
A gap was observed in pain relief following elective Cesarean sections for migrant mothers. This may be due to inadequate communication or disrespect linked to a low socioeconomic classification. This has been previously reported for first- but not second-generation migrants, when the former were uneducated and/or employed in unskilled or low-skilled occupations.
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