Abstract
Making a difference (Department of Health, 1999) called for an enhanced midwifery role in maximizing women's health and in contributing to public health targets. The Sure Start programme is now working in areas of deprivation right across the country. It is now recognized that improving maternity services is a vital step in tackling health inequalities. This is why some Sure Start programmes employ midwives to provide midwifery care in innovative ways for disadvantaged or isolated mothers. A Sure Start midwife with a special interest in refugees and asylum seekers presents the findings of an on-site antenatal service for pregnant asylum seekers living in emergency accommodation and awaiting dispersal. This article, in presenting some of the issues relating to the care of pregnant asylum seekers urges midwives to increase their knowledge and understanding of the health needs and cultural issues that affect this group of women in order to deliver appropriate care.
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