Use of antenatal and postnatal care by migrant women in the Netherlands: reasons for inadequate use, 2010-2012

Since the last decennia maternity care in the Netherlands has to deal with an increasing ethnic diversity among its clients. It is therefore important to get insight in the functioning and quality of maternity care and to explore to what extent it answers needs and care demands from migrant as well as native clients in the Netherlands. Ethnic and cultural diversity results in differences in perinatal outcomes. Studies have shown that migrant women start antenatal care relatively late and use it less frequently than native women. Known risk factors as language proficiency, lower education, larger families, etc. partly explain these differences, but not for all ethnic groups. Thorough research about motives and explanations for the ethnic differences in the use of midwifery care and maternity care assistance between and within ethnic groups is still lacking. Specific bottle-necks such as approach and differences in expectations might influence the health care process and the workload of midwives.

This research will study in depth reasons for inadequate use of midwifery care and maternity care assistance by migrant women through in depth interviews and focus groups among maternity care clients from the major migrant groups in the Netherlands.

This study will be executed within the frame of the national study DELIVER; within 20 midwifery practices in the Netherlands data from all clients will be collected during one year through registries and questionnaires. This study among migrant women will combine findings from the qualitative part with the quantitative data collected in the overall DELIVER study.

PhD with 5 scientific papers
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