Evaluating Birth Outcomes From a Community-Based Pregnancy Support Program for Refugee Women in Georgia.

Autor:	Mosley EA; Georgia State University School of Public Health, Atlanta, GA, United States.; Emory University Rollins School of Public Health, Atlanta, GA, United States., Pratt M; Emory Decatur Hospital, Decatur, GA, United States., Besera G; Emory University Rollins School of Public Health, Atlanta, GA, United States., Clarke LS; Emory University Rollins School of Public Health, Atlanta, GA, United States., Miller H; Embrace Refugee Birth Support, Clarkston, GA, United States., Noland T; Embrace Refugee Birth Support, Clarkston, GA, United States., Whaley B; Emory University Rollins School of Public Health, Atlanta, GA, United States., Cochran J; Embrace Refugee Birth Support, Clarkston, GA, United States., Mack A; Healthy Mothers, Healthy Babies Coalition of Georgia, Atlanta, GA, United States., Higgins M; Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in global women's health [Front Glob Womens Health] 2021 Jun 17; Vol. 2, pp. 655409. Date of Electronic Publication: 2021 Jun 17 (Print Publication: 2021).
DOI:	10.3389/fgwh.2021.655409
Abstrakt:	Refugee women face numerous and unique barriers to sexual and reproductive healthcare and can experience worse pregnancy-related outcomes compared with U.S.-born and other immigrant women. Community-based, culturally tailored programs like Embrace Refugee Birth Support may improve refugee access to healthcare and health outcomes, but empirical study is needed to evaluate programmatic benefits. This community-engaged research study is led by the Georgia Doula Access Working Group, including a partnership between academic researchers, Emory Decatur Hospital nurses, and Embrace. We analyzed hospital clinical records ( N = 9,136) from 2016 to 2018 to assess pregnancy-related outcomes of Embrace participants ( n = 113) and a comparison group of women from the same community and racial/ethnic backgrounds ( n = 9,023). We controlled for race, language, maternal age, parity, insurance status, preeclampsia, and diabetes. Embrace participation was significantly associated with 48% lower odds of labor induction (OR = 0.52, p = 0.025) and 65% higher odds of exclusive breastfeeding intentions (OR = 1.65, p = 0.028). Embrace showed positive but non-significant trends for reduced cesarean delivery (OR = 0.83, p = 0.411), higher full-term gestational age (OR = 1.49, p = 0.329), and reduced low birthweight (OR = 0.77, p = 0.55). We conclude that community-based, culturally tailored pregnancy support programs like Embrace can meet the complex needs of refugee women. Additionally, community-engaged, cross-sector research approaches could ensure the inclusion of both community and clinical perspectives in research design, implementation, and dissemination. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Mosley, Pratt, Besera, Clarke, Miller, Noland, Whaley, Cochran, Mack and Higgins.)
Databáze:	MEDLINE
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