Evaluating Birth Outcomes From a Community-Based Pregnancy Support Program for Refugee Women in Georgia
| Autor: | Michelle Pratt, Jennifer Cochran, Heidi Miller, Lasha S. Clarke, Amber Mack, Tracy Noland, Melinda Higgins, Elizabeth A Mosley, Bridget Whaley, Ghenet Besera |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Research design
medicine.medical_specialty perinatal health Women. Feminism media_common.quotation_subject Refugee Immigration Ethnic group Breastfeeding pregnancy support community-based research Global Women's Health 03 medical and health sciences 0302 clinical medicine doulas Health care medicine 030212 general & internal medicine Original Research media_common Pregnancy 030219 obstetrics & reproductive medicine business.industry birth outcomes HQ1101-2030.7 Gynecology and obstetrics refugees medicine.disease Family medicine RG1-991 Psychology business Inclusion (education) |
| Zdroj: | Frontiers in Global Women's Health Frontiers in Global Women's Health, Vol 2 (2021) |
| ISSN: | 2673-5059 |
| DOI: | 10.3389/fgwh.2021.655409 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|