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Suboptimal care and...
Suboptimal care and maternal mortality among foreign-born women in Sweden : Maternal death audit with application of the 'migration three delays' model
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- Esscher, Annika, 1968- (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa
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- Binder-Finnema, Pauline, 1965- (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Internationell kvinno- och mödrahälsovård och migration/Essén
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- Bødker, Birgit (författare)
- Department of Obstetrics and Gynaecology, Hillerød hospital, Denmark
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visa fler...
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- Högberg, Ulf, 1949- (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Obstetrisk forskning/Högberg
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- Mulic-Lutvica, Ajlana, 1957- (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Obstetrisk forskning/Högberg
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- Essén, Birgitta, 1961- (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Internationell kvinno- och mödrahälsovård och migration/Essén
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(creator_code:org_t)
- 2014-04-12
- 2014
- Engelska.
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Ingår i: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393 .- 1471-2393. ; 14, s. 141-
- Relaterad länk:
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https://uu.diva-port... (primary) (Raw object)
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https://bmcpregnancy...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Several European countries report differences in risk of maternal mortality between immigrants from low- and middle-income countries and host country women. The present study identified suboptimal factors related to care-seeking, accessibility, and quality of care for maternal deaths that occurred in Sweden from 1988-2010. Methods: A subset of maternal death records (n = 75) among foreign-born women from low- and middle-income countries and Swedish-born women were audited using structured implicit review. One case of foreign-born maternal death was matched with two native born Swedish cases of maternal death. An assessment protocol was developed that applied both the 'migration three delays' framework and a modified version of the Confidential Enquiry from the United Kingdom. The main outcomes were major and minor suboptimal factors associated with maternal death in this high-income, low-maternal mortality context. Results: Major and minor suboptimal factors were associated with a majority of maternal deaths and significantly more often to foreign-born women (p = 0.01). The main delays to care-seeking were non-compliance among foreign-born women and communication barriers, such as incongruent language and suboptimal interpreter system or usage. Inadequate care occurred more often among the foreign-born (p = 0.04), whereas delays in consultation/referral and miscommunication between health care providers where equally common between the two groups. Conclusions: Suboptimal care factors, major and minor, were present in more than 2/3 of maternal deaths in this high-income setting. Those related to migration were associated to miscommunication, lack of professional interpreters, and limited knowledge about rare diseases and pregnancy complications. Increased insight into a migration perspective is advocated for maternity clinicians who provide care to foreign-born women.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
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