Maternal birthplace and experiences of perinatal healthcare in Belgium: Evidence from a cross-sectional survey.

Autor: Schönborn C; Research Centre in Social Approaches to Health, School of Public Health, Université libre de Bruxelles, Brussels, Belgium; Research Centre in Health Systems and Policies, School of Public Health, Université libre de Bruxelles, Brussels, Belgium. Electronic address: claudia.schoenborn@ulb.be., Castetbon K; Research Centre in Epidemiology, Biostatistics and Clinical Research, School of Public Health, Université libre de Bruxelles, Brussels, Belgium., De Spiegelaere M; Research Centre in Social Approaches to Health, School of Public Health, Université libre de Bruxelles, Brussels, Belgium; Research Centre in Health Systems and Policies, School of Public Health, Université libre de Bruxelles, Brussels, Belgium.
Jazyk: angličtina
Zdroj: Midwifery [Midwifery] 2024 Nov; Vol. 138, pp. 104139. Date of Electronic Publication: 2024 Aug 08.
DOI: 10.1016/j.midw.2024.104139
Abstrakt: Background: Patient experience is an important part of perinatal care quality. Migrant women in high-income countries often report more negative experiences than non-migrants, but evidence in Europe is patchy. In this study, we compared the experiences of two migrant populations with non-migrants, taking into account socioeconomic characteristics.
Methods: We surveyed mothers born in Belgium, North-Africa, and Sub-Saharan Africa (n = 877) using an adapted version of the Migrant-Friendly Maternity Care Questionnaire. Two patient experience scores were created using multiple correspondence analyses: a) information and communication with healthcare professionals and overall satisfaction with pregnancy care, and b) patient-centred aspects and satisfaction with delivery care. Through descriptive analyses and multivariable logistic regressions we estimated the associations of maternal characteristics with each score.
Results: Overall, positive experiences were reported in terms of communication (83 %) and patient-centred care (86 %). North African immigrants with low language proficiency had higher odds of negative communication experience (especially problems understanding information) (ORa: 2.30, 95 %CI 1.17-4.50), regardless of socioeconomic position. Among women with language barriers, 88 % were never offered a professional interpreter, relying on family members for translation. Patient-centred care was not associated with maternal birth region but was rated more negatively by older mothers, those with longer residence in Belgium, and higher majority-language proficiency.
Conclusion: In Belgium, perinatal care experiences were generally positive, although communication with immigrants was suboptimal. Language barriers, single motherhood, and unstable housing increased communication issues. Our findings underline the necessity to improve information-exchange with immigrants and socioeconomically vulnerable women.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Ltd.)
Databáze: MEDLINE
Externí odkaz: