Experiences of Antenatal Care Among Women Who Are Socioeconomically Deprived in High-Income Industrialized Countries: An Integrative Review.

Origlia Ikhilor, Paola; Jevitt, Cecilia; zu Sayn-Wittgenstein, Friederike; Cignacco Müller, Eva (2017). Experiences of Antenatal Care Among Women Who Are Socioeconomically Deprived in High-Income Industrialized Countries: An Integrative Review. Journal of Midwifery & Women’s Health, 62(5), pp. 589-598. Wiley-Blackwell 10.1111/jmwh.12627

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Introduction Socioeconomic deprivation in high‐income industrialized countries is a key factor in poor perinatal outcomes. Limited access, utilization, and quality of antenatal care seem to play an important role in poor perinatal outcomes. Methods This integrative review aimed to explore experiences of antenatal care among women who are socioeconomically deprived in high‐income industrialized countries. A search was conducted using 5 databases for articles published from 2004 to 2014. Six qualitative and 3 quantitative articles were selected. These were systematically appraised for quality independently by 3 researchers. Relevant themes were identified and organized into categories. Results The disadvantages experienced in antenatal care by women who are socioeconomically deprived start before the first contact with health care services and are notable throughout the entire pregnancy. There is disparity in choice of medical or midwifery service provision models. Six categories emerged during review: choice of service provision model, feeling valued, various types of discrimination, structural and interpersonal accessibility, comprehensibility and trustworthiness of information, and engagement and sense of responsibility. Categories underscored the importance of the woman's relationship with the antenatal care provider. Discussion Antenatal care models with women‐centered approaches and continuity of care, such as midwifery models, have potential to increase the satisfaction of women with low socioeconomic status with care; this may increase antenatal care utilization and improve perinatal outcomes.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions
Name:	Origlia Ikhilor, Paola0000-0002-7140-7559; Jevitt, Cecilia; zu Sayn-Wittgenstein, Friederike and Cignacco Müller, Eva0000-0001-6773-4015
ISSN:	1542-2011
Publisher:	Wiley-Blackwell
Language:	English
Submitter:	Service Account
Date Deposited:	17 Dec 2019 11:12
Last Modified:	18 Dec 2020 13:28
Publisher DOI:	10.1111/jmwh.12627
ARBOR DOI:	10.24451/arbor.6086
URI:	https://arbor.bfh.ch/id/eprint/6086