Migrant Women Research Articles

Stakeholders’ perspectives on informed decision-making for migrant women in CC prevention programs

Abstract Background This study gathered the perspectives of stakeholders regarding participation in cervical cancer (CC) screening and human papilloma virus (HPV) vaccination among migrant women in the Netherlands. Considering their perspectives by developing interventions that are tailored to migrant women’s information needs regarding CC screening and HPV vaccination will support informed decision-making. Methods In total five focus group discussions were held with community leaders, healthcare professionals and communication experts separately. The focus group discussions were transcribed verbatim in Dutch, and analyzed thematically according to the Grounded Theory. Results The analysis resulted in six themes. The first theme describes the existing views and misconceptions regarding CC (screening) and HPV vaccination in the target population according to the stakeholders. The second theme is about the current approach of informing about these health programs, and its belonging barriers. Theme three dives into the differences within the target population, such as generations and level of language. Theme four describes the conditions to which interventions should adhere. In theme five and six suggestions for interventions were introduced, focused on the target population and their (social) network respectively. Conclusions The results of this study showed that stakeholders are willing to play a role to support informed decision-making regarding CC (screening) and HPV vaccination among migrant women, but they need more training to support. Community leaders express a need for training to gather more medical knowledge of CC and its prevention programs. Healthcare professionals expressed a need for more insight into the practical, cultural, religious and emotional aspects that play a role within this target population. Communication experts emphasize the need for customized information materials and a more district-oriented approach. Key messages • Stakeholders operating at different levels are willing to play a role in increasing informed decision-making regarding CC screening and HPV vaccination. • Migrant women’s (social) network need more training and support to be able to provide tailored information regarding CC screening and HPV vaccination.

Co-creating the intervention ‘MAMAACT’ for improved care for pregnant migrant women in Denmark

Abstract Background The MAMAACT intervention was developed as a response to documentation of ethnic and social inequities in stillbirth in Denmark, despite free and universal access to antenatal care. The MAMAACT intervention aimed to reduce stillbirth in migrant families by improving communication about pregnancy complication during antenatal care. Methods The intervention consisted of a training program for midwives and health education materials. It was implemented at a structural level (training of midwives) and, through strengthened needs-based communication during antenatal care, the aim was to improve the health literacy of the women. 19 of the 20 Danish maternity wards participated in the study in 2018-19 and a comprehensive evaluation was conducted. The intervention was co-created with midwifery managers, midwives, and migrant women. Results The management and selected clinical midwives participated in the design of the midwifery training and the health education material as well as the intervention’s implementation and recruitment strategies for the evaluation. As representatives of the target group, a partnership with the non-profit organization Bydelsmødre was initiated. Bydelsmødre trains migrant mothers living in socially deprived areas to help vulnerable migrant women. Evening sessions were conducted with a specific group of women in their community, where the intervention components, the recruitment to the evaluation, and the interpretation of evaluation findings were discussed. A significant contribution was a video explaining the migrant experiences of becoming a mother in Denmark used in the midwifery training. MAMAACT researchers were invited to present the evaluation at the annual assembly for Bydelsmødre organization in 2019. Conclusions The partnership with Bydelsmødre provided a strong voice for migrant women, enhancing engagement with the intervention, recruitment for the trial, and its real-world relevance.

Civic participation and self-reported health: An intersectional comparative study in Europe

Abstract Background Civic participation has been associated with better self-reported health (SRH). However, how does the association between civic participation and SRH vary by sex and migration status? This study aims to examine the association between social and political determinants of health and SRH in an intersectional perspective. Methods We use data from 26 countries in the 2022 EU Statistics on Income and Living Conditions (EU-SILC) (n = 425,178, 18-80 y.o.), following an intercategorical approach. Eight intersectional groups are created based on sex, migration status and being socially/politically active (participation in activities related to active citizenship or in formal/informal voluntary activities). Multilevel (ML) logistic regression models are employed to assess the association between these groups and SRH, controlling for age and educational level. Results 24.6% of the sample indicate to be socially or politically active, with significant differences between sexes and migration status. A higher proportion of non-migrant active men report good SRH compared to the other intersectional groups (95.2%). Preliminary results from the ML logistic models show that being active increases the likelihood of good SRH (OR = 1.77, 95% CI 1.72-1.83). Migrant active women report better SRH than their non-active counterparts (OR = 1.27, 95% CI 1.12-1.44). Conclusions Findings suggest that being socially/politically active has a positive impact on SRH, especially among foreign women living in European countries. The study highlights the importance of considering civic (both political and social) participation as health determinant and the need of investing in social capital as a way of health promotion, tackling health inequalities and the marginalisation of at-risk groups. Key messages • Civic participation might strengthen individuals’ health, including among migrant women. • Public health policies should consider civic participation as significant determinant of individuals’ health, as well as a way of tackling health inequalities.

Health information seeking and health literacy in midwife-led care and the modern information environment

Abstract Background This review reports on how midwives are affected by the modern digital information environment, including health misinformation, and how their knowledge or competencies assist them in navigating this for themselves and their clients, especially those who are more vulnerable and experience inequities in healthcare. Methods Leveraging a PRISMA-based systematic review, the project identifies the facilitators and barriers that the modern digital information environment poses to midwives and the care they provide to their clients. The search strategy of the peer-reviewed literature examines articles related to midwives and misinformation, social media, information environment, digital health, health information, migrant women and other related keywords that surface in searches. The timeframe from which published articles will be identified for possible inclusion are from Jan 1, 2020 to March 31, 2024. Results Both midwives and the clients they care for experience challenges in navigating the digital information environment and addressing health-related misinformation on reproductive health and pregnancy-related topics. Conclusions Midwives should receive strengthened training on digital literacy to improve the care they provide to clients and help their clients navigate a confusing and rapidly evolving information environment. Through digital and in-person interactions with their clients, midwives can improve their clients’ digital information, and health literacies.

Shifting focus - the need to prioritise an inclusive public health approach to trauma

Abstract Since 2017, the Welsh government has prioritised the development of a Public Health Approach to understanding the impact of Adverse Childhood Experiences. Taking the work of Bellis et al, and the population level research to understand the prevalence of ACEs, and associated risks (Bellis etc al, 2015), the ACE Hub Wales was established to coordinate a multi-agency, cross sector approach to preventing, tackling and mitigating the impact of adversity in childhood. The Hub developed its approach to advocate for more public awareness of the life course risks to health if the right support was not accessed or available to children, such as poor mental health and chronic conditions such as type 2 diabetes and heart disease in adulthood. From 2021 there has been a dramatic shift to attempting to understand the experiences, and unmet needs, of children and people who have come to Wales to seek sanctuary, migrant women who have no recourse to public funds, and people experiencing racism and discrimination. In 2021, the ACE Hub Wales co-produced a Wales national trauma-informed practice framework including a set of principles placing inclusion at the heart of the approach in Wales; shining a light on the need to have a cultural, intergenerational and gender-based understanding of adversity and trauma which links directly to, informs and supports the government’s ambitions to be a nation of sanctuary and to be anti racist by 2030. To continue to ignore the experiences of adversity and trauma by people of colour, and Gypsy, Roma and Traveller people; is to perpetuate the health inequity experienced in healthcare, and justice systems. Wales has committed to developing wisdom, not just knowledge, that means that a public health approach is inclusive of all of our communities in Wales. Key messages • The experiences of racialised ad minoritised communities from population studies of adversity and trauma is traumatizing. • Understanding the life course impact of adversity and trauma must include the experiences of racism and discrimination to be inclusive and trauma-informed.

Polish midwives’ experiences of providing maternity care to Ukrainian women in Poland

Abstract Background Migrants’ health has attracted the attention of researchers for many years, particularly from the perspective of barriers in access to healthcare systems. Providing high quality care to migrants and refugees, especially in contexts of significant and sudden arrivals, may be particularly challenging. Aim The aim of our research was to learn about the experiences and strategies of midwives providing maternity care for Ukrainian migrant women in Poland after the outbreak of the full-scale war in Ukraine. Methods Five focus group interviews with 32 midwives providing maternity care in Poland were conducted. The interviews were thematically analysed. Results Healthcare personnel experiences a number of barriers to the provision of high-quality care to the migrant population. Polish midwives expressed mainly experience of two groups of barriers on: (1) individual and interpersonal, (2) management and organization levels. Firstly, at the individual and interpersonal level midwives experienced: fear for life and well-being related to the threat of war in a neighbouring country, depleting resources and post-pandemic fatigue, language barriers, lack of knowledge on caring for woman fleeing the war. Secondly, at the management and organizational level midwives experienced: lack of organizational support, interpreting services and documentation in any other language than Polish. In the first months after the outbreak of the full-scale war in Ukraine, most strategies to improve the provision of maternity care for women fleeing the war took the form of grassroots initiatives by the staff of individual care units. Conclusions The Polish health care services need systemic solutions prepared jointly by state and local authorities and considering the voices of midwives to support the provision of high-quality care to migrant population. Key messages • Midwives were left to their own devices. • Midwives need better preparation for providing high-quality care to migrant population.

Migration and mental health: the case of postpartum depressive symptoms in Portugal

Abstract Background Postpartum depression (PPD) affects about 17% of healthy mothers within one year of childbirth. The etiology remains unknown, but PPD is influenced by a combination of genetic, physical, psychosocial, and obstetric factors, migration could influence the risk. Methods We analyzed data collected within the scope of baMBINO (Perinatal Health in Migrants: Barriers, Incentives, and Outcomes), a Portuguese prospective cohort study, aimed to investigate the maternity experiences and outcomes of migrant women, defined as foreign-born women, and compared to native women. Among the 5431 women enrolled at delivery, 3006 (55%) were considered eligible for this study and interviewed in their preferred language, within six months of recruitment. The Edinburgh Postnatal Depression Scale (EPDS) was administered during this interview, along with the Migrant-Friendly Maternity Care Questionnaire (MFMCQ). Results 2890 (96%) women were included in the analytical sample for this study. Among women included, 1475 (51%) were migrants or refugees. The proportions of women having EPDS scores ≥ 10 were overall greater among migrants than among native women (7.2% vs. 12.4%, p < 0.001) and the risk remained higher after multiple adjustment models. Conclusions Migration status, poor experience with maternal care and language proficiency increased the risk of PPDS and should be carefully addressed as part of perinatal care.

Navigating the COVID-19 crisis: exploring care arrangements and gendered inequalities for migrant women in transnational families in Berlin

ABSTRACT The COVID-19 pandemic has precipitated a notable shift in care responsibilities, transferring them from institutions to families, with a pronounced impact on migrant women in transnational families who navigate both local and transnational care arrangements. This study explored how the pandemic affected women's care arrangements and exacerbated existing inequalities at the intersection of labour, migration, and welfare regimes. Following a qualitative methodology based on grounded theory and ethnography, this study analysed interviews with migrant women, their family members, and experts to understand their experiences with caregiving and transnational family dynamics during the pandemic, the costs and coping strategies related to gendered aspects of care, and the changing landscape of migration and care policies during the pandemic. This study scrutinised the intricate web of local and transnational caregiving structures, emphasising women's agency in negotiating care needs amid pandemic restrictions and constraints on access to formal social protection.

Materiality of Memorialisation: Mapping Migrant Women's Landmarks in Europe

This article investigates the memorialization of migrant women across transcultural landscapes, and analyses results from the Register of Migrant Women Landmarks in Europe (hereinafter RMWLE), central to the European Cooperation in Science and Technology (COST) action project “Women on the Move” (CA19112 – WEMov). It serves as reference for subsequent research based on data from this Register, for which data collection is continuing. The RMWLE registers toponyms, such as monuments, plaques, streets and other infrastructures named after women with a significant history of migration. It honours aspects rarely prioritized in memorialisation agendas, which are skewed towards men’s stories, and towards the more linear biographies of sedentary figures whose European, national, and regional memorialisation have remained uncomplicated by migration. This Deep Data study reveals recurring patterns at the level of Europe in the memorialisation of these women migrants. The diversity of stories, the richness and the prominence of landmarks devoted to men compared to women is a subject well-covered in memorialisation studies. This unbalance is compounded by the data from our register which shows landmarks on women migrants that are sometime tokenized, often marginalized, and which reproduce the bias towards nurture and care that have besieged the memorialisation of women in general. It further shows that the memorialisation process and the political and cultural mechanisms of official celebration often work against the recognition of cross-border careers and stories. The intersectionality of the project, highlighting both gender and migration, uncovers a political landscape of toponyms – and we reflect on how this register can help combat cultural prejudice by recovering migration episodes. The RMWLE helps us reflect on the defining impact of migration episodes, a reality rarely underlined in the biographies of famous women. This article favours a storytelling approach, to counter dominant cultural narratives and knowledge practices.

Fortaleza femenina en ruta: explorando los recursos psicológicos y la discriminación percibida, un estudio de caso

The present work is a case study of a migrant woman from Guatemala, which was developed through a mixed method to know what psychological resources she implements in the face of the discrimination she perceives. The Psychological Resources Scale (PRS) was administered to her, as well as an in-depth interview with a phenomenological approach to learn about her life history, in addition a qualitative technique to assess the discrimination she perceives. She has strong religious beliefs and social skills, but experiences self-reproach and difficulties in dealing with sadness. She perceives more discrimination in places such as the street, by the authorities and possesses skills that allow her to overcome rejection and exclusion through optimism and her religious beliefs; she normalizes the occurrence of this phenomenon and finds it difficult to recognize some segregationist actions.

Peruvian Migration and Community Organisation in Argentina: Transnational and Intergenerational Knowledge in the Social Production of Habitat

This paper analyses the transnational and intergenerational knowledge that Peruvian migrant women bring to the social production of habitat in Argentinean cities. In a context of increasing difficulties for Peruvian families to access urban space, this study highlights migrant women's capacity for agency through community organisation. Based on a combination of qualitative and quantitative data collected from research carried out in a neighbourhood built by migrants in the city of Cordoba, the article shows that urban experiences of Peruvian women reveal not only spatial segregation, but also a subaltern urbanism that attempts to ensure the sustainability of life.

The Glaring Gap: Undervalued and Unrecognized Knowledges and Expertise in International Migration Research

As we reach the 60th anniversary of the International Migration Review, a key question for those engaged in migration research remains: has migration studies become more inclusive of knowledges and expertise outside the Global North? In short, the answer is no, and both the passage of time and the persistent awareness of this inequality require urgent and immediate action. In this article, we draw on our experiences as first- and second-generation migrant women, and as practitioner-researchers working in the humanitarian sector, to reflect on the significance of undervalued and unrecognized knowledges and expertise on migration research. We share insights from our recent work with the Red Cross Red Crescent Global Migration Lab, an initiative established to conduct migration research that informs humanitarian operations and advocacy, and we reflect on key opportunities and challenges that have impacted our efforts to generate knowledge that is more inclusive of migrants, and of practitioners and researchers from the Global South. In doing so, we highlight the possibility—even if still limited—of doing research that engages more ethically and meaningfully with those whose knowledge and expertise has long been excluded from dominant debates. We do this with a sense of hope and urgency that, by the 70th anniversary of this journal, the landscape of migration research will have changed—as a result of a concerted investment of time, resources and new ways of working—to broaden the questions asked, the objects of study and the methodologies adopted.

Backlash or victims? ‘Victimised Korean husbands’ of migrant wives and problematic norms on sexual relations in South Korea

Violence against marriage migrants became a critical social issue in South Korea in the late 2000s, and the government instituted various measures in response, partially adopting civil society organisations’ demands to protect migrant women. However, men’s rights groups also mobilised shortly after to advocate for the rights of citizen-husbands under the slogan of ‘male victims of international marriages’. Their campaigns targeted both the unscrupulous commercial matchmakers and their deceitful migrant wives. This article situates the victimised men discourse as a backlash against violence against women campaigns to reverse policy gains in the protection of women’s rights. The article argues that government policies have legitimised such discourse and used flawed ‘data’ to justify their policies. This article uses as data complaints submitted to the Korea Consumer Agency, a government regulator for consumer disputes, about international marriages and focuses on their mentioning of sexual relations, intimacy and sexuality. By doing so, this article demonstrates that men’s rights as consumers of marriage brokerage services are behind their claims of victimhood, and the victimhood discourse undermines the safety and human rights of migrant women. Moreover, a close look at the database about ‘male victimhood’ reveals severe human rights violations against migrant women.

Gender Differences in the Migration Process: A Narrative Literature Review

AbstractMigration scholars agree that migration is a highly gendered process. While the literature on this topic is increasing, the knowledge produced remains fragmentary and has not been synthesized systematically yet. This literature review aims at summarizing the current findings of quantitative migration research comparing migration patterns between genders and highlighting gaps and patterns in the literature over time. Following a reproducible and systematic approach, 6032 articles have been scanned and 170 were considered for in‐depth content analysis. The review of the literature revealed that women have a lower propensity than men to realize their migration aspirations conditional on migration intentions. Moreover, many articles analyzing migration flows by gender do not support the common narrative of a feminization of migration. Finally, evidence from the migration literature supports the assumption that migrant women experience a double burden of discrimination in the destination country labor market based on their gender and their migration status. It becomes apparent that gender‐based comparisons between migration outcomes have received the most attention in the literature followed by the comparison of determinants. The stage of the journey received only little attention. This literature review also focuses on the data sources used to produce our knowledge on gender differences in the migration process. Thereby, it stands out that the majority of papers rely on survey data for the analysis. Digital trace data are a promising source for gender‐disaggregated data and can potentially complement the scarce aggregate migration data landscape.

Barriers and enablers that influence the uptake of HIV testing among heterosexual migrants in the Netherlands.

Heterosexual migrant men and women in the Netherlands often face barriers to accessing health services, including HIV testing, that may lead to late-stage HIV diagnoses. This study explored factors of influence in the usage of HIV testing among heterosexual migrants. Qualitative evaluation with semi-structured interviews at the Amsterdam-based AIDS Healthcare Foundation (AHF) Checkpoint and one focus group discussion (FGD) conducted during June-July 2023 with 19 participants: interviews with 12 heterosexual migrants from low- or middle-income countries (LMICs) and FGD (n = 5) and interviews (n = 2) with 7 key informants from the (public) health sector. Recorded interviews were transcribed and thematically analyzed, using the framework of Andersen's Expanded Behavioral Model of Health Services Use. In total, 55 themes emerged from the interviews and the FGD. Examples include insufficient availability of information on HIV and testing services, and difficulty in accessing these services (e.g. the barrier of the online appointment system of the Centre for Sexual Health (CSH)). HIV test participants expressed free, rapid testing, no appointment required, and a positive experience during their HIV test as enablers to test in the future. Results from key informants showed that poor health literacy and lack of clarity on the healthcare system's guidelines were barriers for heterosexual migrants in accessing information on HIV and testing services. It also revealed past initiatives and interventions that were successful in reaching at-risk groups such as the integration of HIV testing into sexually transmitted infection (STI) testing, but that were subsequently discontinued due to financial constraints. Factors contributing to a low HIV test uptake were participants' perception of limited accessibility of CSH facilities, insufficient available information on HIV (testing) services, and low perception of HIV risk. Unclear policies on accessing HIV/STI testing services at CSHs, and potential missed opportunities for HIV testing at general practitioners were contributing factors identified by key informants.

The continuum of gender-based violence experienced by migrant and refugee women in Canada: perspectives from key informants.

Little research has been done on conceptualizing gender-based violence (GBV) against immigrant and refugee women as a continuum of violence. The objective of the larger study was to understand gender-based violence in migration and analyze the ways in which discriminations and inequalities interact to increase vulnerability and decrease access to supports and services for some women. Using (a) the concept of continuum of [sexual] violence and (b) intersectionality, we demonstrate the need to both document the range of violence in women's lives and the tactics of victimization among immigrant and refugee women and show how they are different than the cumulated literature showing victimization tactics against the Canadian-born population. Using semi-structured interviews via phone or video, we asked professionals (N = 43) who worked with migrant women across Canada about forms of GBV experienced in the immigrant and refugee populations they worked with. Participants reported that non-physical forms of violence are more normalized, but also more commonly experienced than physical forms of violence in Canada. Additionally, intersecting social identities impact both the distinct and amplified forms of GBV immigrant and refugee women experienced. Results contribute theoretically and empirically to the conceptualization of the GBV experiences by immigrant and refugee women in Canada.

Adverse pregnancy outcomes attributable to overweight and obesity across maternal birth regions: a Swedish population-based cohort study

Whether there are differences in the contribution of overweight and obesity to adverse pregnancy outcomes between migrant and non-migrant women in high-income countries, which might increase health inequalities, remains unclear. Therefore, in this study, we aimed to estimate the contribution (including the proportion and number of attributable cases) of overweight and obesity to a wide range of adverse pregnancy outcomes in Swedish-born and migrant women. This population-based cohort study used nationwide population registries in Sweden. All outcomes and covariates were collected from the Medical Birth Register (delivery and maternal characteristics), National Patient Register (inpatient and specialised outpatient care), the Cause of Death Register (all deaths in Sweden), the Longitudinal Integrated Database for Health Insurance and Labour Market Studies (socioeconomic data), and the Total Population Register (maternal birth country data). Women with missing records of BMI at the first antenatal visit, country of birth, or covariates, were excluded from the study. BMI was measured during the first antenatal visit. Maternal country of birth was categorised into Sweden and seven super-regions. The proportion (ie, population attributable fractions [PAFs]) and the number of adverse pregnancy outcomes attributable to overweight and obesity were calculated, adjusting for maternal age, gestational age at first antenatal visit, maternal parity, smoking status, maternal somatic conditions, child's sex, socioeconomic and demographic variables. We identified 2 228 416 singleton pregnancies between Jan 1, 2000, and Dec 31, 2020 of 1 245 273 women. 254 778 (11·4%) pregnancies with missing records of BMI at the first antenatal visit, country of birth, or covariates were excluded, which resulted in a final analytical cohort of 1 973 638 pregnancies carried by 1 164 783 women. The overall mean maternal age of the study population was 30·8 years (SD 5·1). As estimated by PAFs, overweight and obesity contributed to a large proportion of adverse pregnancy outcomes: gestational diabetes (52·1% [95% CI 51·0-53·2]), large-for-gestational age (36·9% [36·2-37·6]), pre-eclampsia (26·5% [25·7-27·3]), low Apgar score (14·7% [13·5-15·9]), infant mortality (12·7% [9·8-15·7]), severe maternal morbidity (henceforth referred to as a near-miss event; 8·5% [6·0-11·0]), and preterm birth (5·0% [4·4-5·7]) in the total study population. PAFs varied between maternal birth regions. Interventions to reduce overweight and obesity have the potential to mitigate the burden of adverse pregnancy outcomes and possibly reduce inequalities in reproductive health. Therefore, public health practice and policy should prioritise efforts to prevent overweight and obesity among women of childbearing age. Swedish Research Council.

The Journey of a Living Statue: Structural Violence and a Honduran Migrant Woman’s Pathway Toward Asylum and Wellbeing

Approximately half of the world’s displaced migrant population are women, yet gender-specific analyses are often lacking. Such analyses are crucial for understanding migrant women’s unique experiences and informing policies that address their health and broader needs. This paper integrates the concept of structural violence with person-centered ethnography to examine women’s physical and mental health in contexts of displacement and migration. Using the triple trauma framework, we offer a holistic, temporal-spatial analysis of the health experiences and exposures faced by asylum-seeking women across three stages: places of origin, travel, and destination. Through the representative case of Anahi, a Honduran woman who fled to the US with her family in 2019, we identify four key themes: the persistence of structural violence and its constraints on health decisions and outcomes, the losses and suffering associated with women’s triple roles, the harms of racism and xenophobia, and the health implications of inadequate information on asylum and immigration procedures. We conclude with policy recommendations to reduce health inequities among migrant women. This study advances understanding by providing a comprehensive, gendered analysis of the structural forces shaping health outcomes for migrant women, offering insights that extend beyond a narrow focus on reproductive issues to address their physical, mental, and social well-being.

Women's use of Swedish health care during the postpartum period in relation to maternal country of birth-A population-based study.

Migrant women are a heterogenous group with both higher and lower risk for pregnancy complications and adverse birth outcomes compared with women in the receiving countries. This study aimed to investigate women's use of Swedish healthcare postpartum, in terms of hospital stay >48 h, readmission to hospital, and specialized out-patient clinic visits, in relation to maternal country of birth. A population-based register study including 278 219 primiparous and 367 776 multiparous women in Sweden (2014-2019) using data from Swedish Pregnancy Register, National Patient Register and Statistics Sweden. Multivariable logistic regression analyses were used to estimate associations between maternal country of birth and outcomes, adjusting for year of birth, maternal age, education, pre-gestational hypertension and diabetes, and healthcare region, presented as crude and adjusted odds ratios (aOR) with 95% confidence interval (CI) with Swedish-born women as reference. Subgroups of migrant women had higher odds of postpartum hospital stays > 48 h, particularly women from Eritrea (primiparous aOR 2.80, CI 2.49-3.15; multiparous aOR 2.78, CI 2.59-2.98), Somalia (primiparous aOR 2.61, CI 2.34-2.92; multiparous aOR 1.87, CI 1.79-1.97), and India (primiparous aOR 2.52, CI 2.14-2.97; multiparous aOR 2.61, CI 2.33-2.93), compared to Swedish-born women. Primiparous women from Afghanistan (aOR 1.32, CI 1.08-1.6), Iraq (aOR 1.30, CI 1.16-1.46), and Iran (aOR 1.23, CI 1.04-1.45) had slightly higher odds of hospital readmission, along with multiparous women from India (aOR 1.34, CI 1.02-1.76) and Somalia (aOR 1.24, CI 1.11-1.38). Specialized out-patient clinic visits were most common in primiparous women from Somalia (aOR 1.47, CI 1.35-1.59), Iran (aOR 1.31, CI 1.22-1.42) and Afghanistan (aOR 1.31, CI 1.18-1.46), and in multiparous women from Iran (aOR 1.30, CI 1.20-1.41) and Iraq (aOR 1.15, CI 1.11-1.20), however less common in women from some other countries. The use of Swedish health care during the postpartum period varied among women, depending on their country of birth. Women from certain countries had particularly high odds of postpartum hospital stays exceeding 48 h, compared to Swedish-born women, regardless of parity and pre-gestational medical disorders. Further studies are needed to determine whether the individual needs of migrant women are being met during the postpartum period or not.

Ukrainian women's maternity care strategies in Poland after the outbreak of the full-scale war: Understanding unequal access to quality care

The outbreak of the full-scale war launched by Russia against Ukraine and, following it, significant migrations have not only increased the diversity of the Ukrainian migrant population in Poland, but also added to the complexity of their health needs and strategies. This study seeks to explore Ukrainian migrant women's experiences and practices related to the use of maternity care services. The article is based on fieldwork conducted between February and October 2023 and included 23 semi-structured interviews with Ukrainian migrant women who gave birth in Poland after February 24, 2022. To understand Ukrainian women's pathways to maternity care in Poland and unpack the differences in experiences within this group of migrants, we explore participants' healthcare strategies against the background of existing inequalities in access to quality care in Poland and Ukraine, in particularly the division between private and public services. We consider the role of financial, social and cultural resources and distinguish for this purpose between three groups of permanent, circular and wartime migrants. We show the decisive role of economic resources, nonetheless in articulation with the creation and mobilisation of social networks and time spent in Poland, which play a role in shaping migrant women's capacity to access better maternity care.