尼日利亚怀孕难民妇女在德国寻求庇护的经历和关切——定性分析。

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-02-01 DOI:10.1016/j.midw.2024.104255

Nina Lindermaier, Irja Rzepka, Catharina Zehetmair, Claudia Kaufmann, Hans-Christoph Friederich, Christoph Nikendei

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引用次数: 0

摘要

问题：对在德国寻求庇护的孕妇的经验的了解和数据在很大程度上是缺乏的。背景：由于多重压力因素，怀孕难民被认为是弱势群体。不同性别的飞行原因、飞行期间的创伤经历以及各自东道国的众多压力因素对妇女的健康产生决定性影响，并影响到怀孕和分娩。目的：本研究旨在评估来自尼日利亚的怀孕难民妇女的观点和需求，这些妇女居住在德国的一个初步接待中心。方法：由三名心理学家用英语进行半结构化访谈，评估N = 20名来自尼日利亚的怀孕难民妇女与怀孕和临产有关的经历和担忧。研究结果：研究结果强调，由于多重压力源和部分缺乏社会支持，特别是单身女性，需要持续的医疗和心理治疗护理。参与者描述了他们的担忧，特别是与他们个人和家庭的健康、即将出生、他们对育儿经历的乐观态度以及对德国医疗保健的信心有关的担忧。她们的愿望主要与照顾子女所需的物品、有关怀孕和分娩过程的信息以及子女融入社会的信息有关。资源的利用和积极的活动是怀孕难民妇女适应应对方式和恢复力因素的指示。结论：本研究强调了情境敏感的医疗和心理治疗护理对妊娠期和分娩前后妇女充分支持的重要性。此外，研究还表明，有必要消除这些经历对他们及其子女健康的负面影响。

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Experiences and concerns of pregnant refugee women from Nigeria seeking for asylum in Germany - A qualitative analysis

Problem

Insights into and data of the experiences of pregnant women seeking asylum in Germany are largely lacking.

Background

Due to multiple stress factors, pregnant refugees are considered a vulnerable group. Gender-specific causes of flight, traumatic experiences during flight, and numerous stressors in the respective host country have a decisive impact on the health of women and affect pregnancy and childbirth.

Aim

This study aims to assess the perspectives and needs of pregnant refugee women from Nigeria, that are residing in an initial reception center in Germany.

Methods

Experiences and concerns of N = 20 pregnant refugee women from Nigeria relating to pregnancy and impending childbirth were assessed in semi-structured interviews, conducted by three psychologists in English.

Findings

Findings emphasize the need for continuous medical and psychotherapeutic care due to the multiple stressors and the partial lack of social support, especially for single women. The participants described their concerns particularly related to their personal and their family's health, as well as their impending birth, their optimistic attitude about the parenting experience, and confidence in medical care in Germany. Their wishes were predominantly related to items necessary for the care of their children, information about the pregnancy and birth process as well as for their integration. Utilization of resources and positive activities were indicative of adapting coping styles and resilience factors of pregnant refugee women.

Conclusion

This study highlights the importance of the context-sensitive medical and psychotherapeutic care to adequately support the women during pregnancy and around childbirth. Furthermore, the study demonstrates the necessity of counteracting the negative effects of experiences on their health and that of their children.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.