Transnational prenatal care among migrant women from low-and-middle-income countries who gave birth in Montreal, Canada
| dc.contributor.author | Merry, Lisa | |
| dc.contributor.author | Kim, Ye N. | |
| dc.contributor.author | Urquia, Marcelo L. | |
| dc.contributor.author | Goulet, Julie | |
| dc.contributor.author | Villadsen, Sarah F. | |
| dc.contributor.author | Gagnon, Anita | |
| dc.date.accessioned | 2023-05-01T15:22:26Z | |
| dc.date.available | 2023-05-01T15:22:26Z | |
| dc.date.issued | 2023-04-26 | |
| dc.date.updated | 2023-05-01T03:10:53Z | |
| dc.description.abstract | Abstract Objectives There is little research examining transnational prenatal care (TPC) (i.e., prenatal care in more than one country) among migrant women. Using data from the Migrant-Friendly Maternity Care (MFMC) - Montreal project, we aimed to: (1) Estimate the prevalence of TPC, including TPC-arrived during pregnancy and TPC-arrived pre-pregnancy, among recently-arrived migrant women from low- and middle-income countries (LMICs) who gave birth in Montreal, Canada; (2) Describe and compare the socio-demographic, migration and health profiles and perceptions of care during pregnancy in Canada between these two groups and migrant women who received no TPC (i.e., only received prenatal care in Canada); and (3) Identify predictors of TPC-arrived pre-pregnancy vs. No-TPC. Methods The MFMC study used a cross-sectional design. Data were gathered from recently-arrived (< 8 years) migrant women from LMICs via medical record review and interview-administration of the MFMC questionnaire postpartum during the period of March 2014-January 2015 in three hospitals, and February-June 2015 in one hospital. We conducted a secondary analysis (n = 2595 women); descriptive analyses (objectives 1 & 2) and multivariable logistic regression (objective 3). Results Ten percent of women received TPC; 6% arrived during pregnancy and 4% were in Canada pre-pregnancy. The women who received TPC and arrived during pregnancy were disadvantaged compared to women in the other two groups (TPC-arrived pre-pregnancy and No-TPC women), in terms of income level, migration status, French and English language abilities, access barriers to care and healthcare coverage. However, they also had a higher proportion of economic migrants and they were generally healthier compared to No-TPC women. Predictors of TPC-arrived pre-pregnancy included: ‘Not living with the father of the baby’ (AOR = 4.8, 95%CI 2.4, 9.8), ‘having negative perceptions of pregnancy care in Canada (general experiences)’ (AOR = 1.2, 95%CI 1.1, 1.3) and younger maternal age (AOR = 1.1, 95%CI 1.0, 1.1). Conclusion Women with more capacity may self-select to migrate during pregnancy which results in TPC; these women, however, are disadvantaged upon arrival, and may need additional care. Already-migrated women may use TPC due to a need for family and social support and/or because they prefer the healthcare in their home country. | en_US |
| dc.identifier.citation | BMC Pregnancy and Childbirth. 2023 Apr 26;23(1):292 | |
| dc.identifier.citation | BMC Pregnancy and Childbirth. 2023 Apr 26;23(1):292 | |
| dc.identifier.uri | https://doi.org/10.1186/s12884-023-05582-w | |
| dc.identifier.uri | http://hdl.handle.net/1993/37312 | |
| dc.language.iso | eng | en_US |
| dc.language.rfc3066 | en | |
| dc.publisher | BioMed Central (BMC) | en_US |
| dc.rights | open access | en_US |
| dc.rights.holder | The Author(s) | |
| dc.title | Transnational prenatal care among migrant women from low-and-middle-income countries who gave birth in Montreal, Canada | en_US |
| dc.type | journal article | en_US |
| local.author.affiliation | Rady Faculty of Health Sciences::Max Rady College of Medicine::Department of Community Health Sciences | en_US |
| oaire.citation.issue | 1 | en_US |
| oaire.citation.startPage | 292 | en_US |
| oaire.citation.title | BMC Pregnancy and Childbirth | en_US |
| oaire.citation.volume | 23 | en_US |