
AbstractIn obstetric clinics in Berlin, Germany, more than half of the women are immigrants. The main objective of the qualitative study was to explore the staff’s experiences with obstetric care for immigrants and juxtapose it with the immigrants’ comments on their birth experiences. We analyze potential differences along the framework of a cultural health capital (CHC). Between May and August 2017, semi-structured interviews were carried out with 17 obstetricians and 17 midwives at four obstetric clinics in Berlin. The verbally transcribed interview material was subjected to a qualitative content analysis according to Mayring. Furthermore, a secondary data from an interview study was analyzed in the purpose of providing some insight into the practitioner study participant perspective. Between January and May 2017, in the postpartum ward at the Berlin Charité Campus Virchow Clinic, an interview study guided by the migrant-friendly maternity care questionnaire was conducted among 410 migrant and non-migrant women. For this study, the free-text comments on the pregnancy care were analyzed. The staff interviewees identified language barrier and legal status as risk factors for the late onset of obstetric care. CHC functioning potentially as alternatives to the established health care structures were voiced. Strong family ties among immigrant families bear a high potential for support. Gratefulness was voiced by the staff and immigrant patients as a source of satisfaction with care. Our study shows that obstetric care for immigrant women remains a challenge. CHC of immigrant women might partially compensate for exclusion.
Adult, Communication Barriers, Emigrants and Immigrants, Midwifery, Culturally Competent Care, Article, Berlin, Obstetrics, Pregnancy, Humans, Female, Maternal Health Services, Qualitative Research, Communication Barriers [MeSH] ; Female [MeSH] ; Adult [MeSH] ; Humans [MeSH] ; Obstetrics [MeSH] ; Culture ; Professional-Patient Relations ; Culturally Competent Care/standards [MeSH] ; Healthcare Disparities ; Emigrants and Immigrants/statistics ; Article ; Qualitative Research [MeSH] ; Immigrant health ; Midwifery [MeSH] ; Cultural Competency ; Emigrants and Immigrants/psychology [MeSH] ; Berlin [MeSH] ; Maternal Health Services/standards [MeSH] ; Pregnancy [MeSH]
Adult, Communication Barriers, Emigrants and Immigrants, Midwifery, Culturally Competent Care, Article, Berlin, Obstetrics, Pregnancy, Humans, Female, Maternal Health Services, Qualitative Research, Communication Barriers [MeSH] ; Female [MeSH] ; Adult [MeSH] ; Humans [MeSH] ; Obstetrics [MeSH] ; Culture ; Professional-Patient Relations ; Culturally Competent Care/standards [MeSH] ; Healthcare Disparities ; Emigrants and Immigrants/statistics ; Article ; Qualitative Research [MeSH] ; Immigrant health ; Midwifery [MeSH] ; Cultural Competency ; Emigrants and Immigrants/psychology [MeSH] ; Berlin [MeSH] ; Maternal Health Services/standards [MeSH] ; Pregnancy [MeSH]
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 2 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
