Percorrer por autor "Muralova, Ana"
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- Maternal care, pregnancy complications and birth outcomes among native and migrant women in PortugalPublication . Teixeira, Cristina; Muralova, Ana; Cancela, Marilyne; Barros, HenriqueMigrants can experience inequalities in care and health outcomes even in countries with universal access to care, regardless of legal status, as it is the case in Portugal. Thus, we assessed the prevalence of late antenatal care, pregnancy complications, obstetric interventions and birth outcomes considering the country of origin of women delivering in Portugal Methods: As part of an ongoing population-based study, enrolling native and foreign-born women recruited in 32 Portuguese public hospitals at delivery, 3884 women were classified in groups according to their country of origin and native country language as Portuguese (PT), Portuguese speaking Latin American Countries (BR), Portuguese speaking African countries (PALOP) and other countries (PNSC) Results: The prevalence (%) varies for late antenatal care (p<0.001), from 14.5 (PT) to 29.8 (PALOP); pre-eclampsia/eclampsia (p = 0.031), from 0.8 (BR) to 2.4 (PALOP); instrumental vaginal birth (p<0.001), from 8.6 (PALOP) to 18.1 (PNSC); C-section before labour (p<0.001), from 11.5 (PNSC) to 15.2 (BR); and C-section during labour (p<0.001), from 15.5 (PNSC) to 21.7 (PALOP). No differences were found for twin pregnancy (p = 0.128), gestational diabetes (p = 0.283), placental disorders (p = 0.743), induced labour (p = 0.138), preterm delivery (p = 0.897) or admission to Neonatal Intensive Care Unit (p = 0.918). Conclusions: Health inequalities in care of migrant pregnant women are particularly evident for those born in African countries with Portuguese as the official language. Key messages: In Portugal women coming from different countries converge in regards to indicators of perinatal health. Speaking the language of the host country does not overcome inequalities of care among migrants.
- Satisfaction with maternal care in migrants and natives: a population-based study from PortugalPublication . Muralova, Ana; Teixeira, Cristina; Barros, HenriqueWomen’s satisfaction is an indicator of maternal healthcare quality. As migrant population contributed for 8.8% of births in Portugal in 2016, maternal care providers should evaluate the effect of multicultural diversity in women’s satisfaction. The aim of this paper is to assess the degree of maternal satisfaction with care during labour and delivery by migrant groups in Portugal. Methods: This is a part of the baMBINO project, an ongoing populationbased study enrolling native and foreign-born women recruited in 32 Portuguese public hospitals during admission for delivery. For this analysis, foreign-born women (n = 1385) were classified into long-term (LT, >8 years) and recent (RM) migrants from Portuguese Speaking African Countries (PSAC), Brazil (B) and Non-Portuguese Speaking Countries (NPSC). Such groups were compared with native women (n = 1167) for the prevalence of satisfaction with healthcare received, time spent by the professionals in providing explanations, how professionals were respectful, helpful and encouraging. Multivariate logistic regression models were used. Results: There was variation between groups for the prevalence of satisfaction with healthcare received (p<0.001) from 90.8% (B-RM) to 98.1% (PSAC-RM); time spent by professionals to provide explanations (p<0.004) from 88,3%(NPSC-RM) to 93,2% (PSAC-RM); how professionals were helpful (p = 0.035) from 94,3% (B-RM) to 98,6% (B-LTM), respectful (p = 0.038) from 93.6% (B-RM) to 98.4% (NPSC-LT) and encouraging (p = 0.002) from 88.7% (B-RM) to 96.5% (BLT). Differences remained after adjusting for maternal age, educational level, mode of delivery and complications. Conclusions: Although the prevalence of satisfied women is high, there is heterogeneity in the satisfaction with some aspects of maternal care between groups of migrant women. Key messages: Professionals should be aware about the effect of cultural background in women’s satisfaction with care. It is important to consider significance of determinants of satisfaction to improve care for migrants.