Examining perinatal healthcare process among refugee women resettled in the US

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Kunga L. Denzongpa (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/
Tracy Nichols

Abstract: Maternal mortality is a global public health concern. At present, the US reports the highest number of maternal deaths among all Global North countries. Research shows disparities in maternal care access and outcomes by race, ethnicity, and country of origin. Refugee women are one of the most vulnerable groups who are disproportionately disadvantaged due to their social positioning. Their disposition in the global world is quickly emerging to be a major global public health crisis. They are also 20 times more likely to die from pregnancy related factors compared to their native counterparts. However, maternal research on refugee women is limited. Study aimed to examine Bhutanese refugee women’s maternal care process and experience when receiving perinatal care in the US and explored provider’s perspectives on providing care to various groups of refugee women. Care process was examined using a constructivist grounded theory model through an inductive constant comparative analysis using semi-structured interviews with Bhutanese refugee women (n=15), field observation notes from a larger CBPR study (n=28), and semi-structured interviews with providers (n=11) such as healthcare practitioners (n=6), medical interpreters (n=4), and resettlement official (n=1). Two major thematic findings that impacted refugee women’s care interaction process were care continuity and health history. These findings were grounded in the experiences of Bhutanese refugee women and various providers who shared their experiences giving care to refugee women. These thematic findings highlight the need for a cultural understanding of refugee women’s pre-resettlement experience that is unique to each refugee subgroup and addressing structural challenges to adequate care giving through a culturally responsive approach.

Additional Information

Language: English
Date: 2022
Grounded theory, Healthcare interaction, Maternal health, Perinatal care, Refugee maternal health, Refugee women
Women refugees $x Medical care $z United States
Bhutanese people $x Medical care $z United States
Transcultural medical care $z United States
Maternal health services $z United States

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