Maternity care experiences and health needs of migrant women from female genital mutilation–practicing countries in high-income contexts: A systematic review and meta-synthesis

Turkmani, S; Homer, CSE; Dawson, A

Maternity care experiences and health needs of migrant women from female genital mutilation–practicing countries in high-income contexts: A systematic review and meta-synthesis

Turkmani, S

Homer, CSE

Dawson, A

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Publication Type:: Journal Article
Citation:: Birth, 2019, 46 (1), pp. 3 - 14
Issue Date:: 2019-03-01

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Field	Value	Language
dc.contributor.author	Turkmani, S https://orcid.org/0000-0001-7819-5061	en_US
dc.contributor.author	Homer, CSE https://orcid.org/0000-0002-7454-3011	en_US
dc.contributor.author	Dawson, A https://orcid.org/0000-0003-0926-2202	en_US
dc.date.available	2020-05-25T19:17:41Z
dc.date.issued	2019-03-01	en_US
dc.identifier.citation	Birth, 2019, 46 (1), pp. 3 - 14	en_US
dc.identifier.issn	0730-7659	en_US
dc.identifier.uri	http://hdl.handle.net/10453/135578
dc.description.abstract	© 2018 Wiley Periodicals, Inc. Background: Female genital mutilation (FGM) is a cultural practice defined as the partial or total removal of the external female genitalia for nontherapeutic indications. Due to changing patterns of migration, clinicians in high-income countries are seeing more women from countries where the practice is prevalent. This review aims to understand the sociocultural and health needs of these women and identify opportunities to improve the quality of maternity care for women with FGM. Methods: We undertook a systematic review and meta-synthesis of peer-reviewed primary qualitative research to explore the experience and needs of migrant women with FGM receiving maternity care. A structured search of nine databases was undertaken, screened papers appraised, and a thematic analysis undertaken on data extracted from the findings and discussion sections of included papers. Results: Sixteen peer-reviewed studies were included in the systematic review. Four major themes were revealed: Living with fear, stigma, and anxiety; Feelings of vulnerability, distrust, and discrimination; Dealing with past and present ways of life after resettlement; and Seeking support and involvement in health care. Conclusions: The findings suggest that future actions for improving maternity care quality should be focused on woman-centered practice, demonstrating cultural safety and developing mutual trust between a woman and her care providers. Meaningful consultation with women affected by FGM in high-income settings requires cultural sensitivity and acknowledgment of their specific circumstances. This can be achieved by engaging women affected by FGM in service design to provide quality care and ensure woman-focused policy is developed and implemented.	en_US
dc.relation.ispartof	Birth	en_US
dc.relation.isbasedon	10.1111/birt.12367	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Circumcision, Female	en_US
dc.subject.mesh	Health Knowledge, Attitudes, Practice	en_US
dc.subject.mesh	Obstetrics	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Developed Countries	en_US
dc.subject.mesh	Clinical Competence	en_US
dc.subject.mesh	Needs Assessment	en_US
dc.subject.mesh	Transients and Migrants	en_US
dc.subject.mesh	Delivery of Health Care	en_US
dc.subject.mesh	Patient Acceptance of Health Care	en_US
dc.subject.mesh	Female	en_US
dc.title	Maternity care experiences and health needs of migrant women from female genital mutilation–practicing countries in high-income contexts: A systematic review and meta-synthesis	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	46	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	11 Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (Research)
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	open_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	46	en_US

Abstract:

© 2018 Wiley Periodicals, Inc. Background: Female genital mutilation (FGM) is a cultural practice defined as the partial or total removal of the external female genitalia for nontherapeutic indications. Due to changing patterns of migration, clinicians in high-income countries are seeing more women from countries where the practice is prevalent. This review aims to understand the sociocultural and health needs of these women and identify opportunities to improve the quality of maternity care for women with FGM. Methods: We undertook a systematic review and meta-synthesis of peer-reviewed primary qualitative research to explore the experience and needs of migrant women with FGM receiving maternity care. A structured search of nine databases was undertaken, screened papers appraised, and a thematic analysis undertaken on data extracted from the findings and discussion sections of included papers. Results: Sixteen peer-reviewed studies were included in the systematic review. Four major themes were revealed: Living with fear, stigma, and anxiety; Feelings of vulnerability, distrust, and discrimination; Dealing with past and present ways of life after resettlement; and Seeking support and involvement in health care. Conclusions: The findings suggest that future actions for improving maternity care quality should be focused on woman-centered practice, demonstrating cultural safety and developing mutual trust between a woman and her care providers. Meaningful consultation with women affected by FGM in high-income settings requires cultural sensitivity and acknowledgment of their specific circumstances. This can be achieved by engaging women affected by FGM in service design to provide quality care and ensure woman-focused policy is developed and implemented.

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http://hdl.handle.net/10453/135578