How have interventions targeting pregnant women from refugee, migrant and culturally and linguistically diverse backgrounds living in high-income countries been developed or tailored to meet community needs? A systematic scoping review of stillbirth-related literature
Abstract Background People from migrant, refugee and culturally and linguistically diverse backgrounds experience significant disparities in pregnancy outcomes compared to the general population, including a higher risk of stillbirth. This study aimed to identify stillbirth-related programs or inter...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-024-07091-w |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832571250402131968 |
|---|---|
| author | Sweekriti Sharma Gayathri Jegadeesh Camille Raynes-Greenow Adrienne Gordon Gayani Gunawardhana Danielle Marie Muscat |
| author_facet | Sweekriti Sharma Gayathri Jegadeesh Camille Raynes-Greenow Adrienne Gordon Gayani Gunawardhana Danielle Marie Muscat |
| author_sort | Sweekriti Sharma |
| collection | DOAJ |
| description | Abstract Background People from migrant, refugee and culturally and linguistically diverse backgrounds experience significant disparities in pregnancy outcomes compared to the general population, including a higher risk of stillbirth. This study aimed to identify stillbirth-related programs or interventions for pregnant women from culturally and linguistically diverse backgrounds and explore how these interventions have been developed and/or tailored for culturally and linguistically diverse women. Methods We searched MEDLINE, CINAHL, Embase, and Scopus for articles published from inception to 12 Jan 2023. We included studies that report on the development and/or evaluation of a program or intervention to reduce the risk of stillbirth which has been specifically developed or tailored for pregnant women from culturally and linguistically diverse backgrounds living in high-income countries. Two independent reviewers conducted screening of the articles, data extraction, and quality appraisal. We first summarized the descriptive information of eligible studies using text and tables and then thematically grouped interventions based on approaches to meet community needs and synthesized data qualitatively. Results We identified 1999 studies from the database search. After removing duplicates and screening for eligibility, 9 studies met our inclusion criteria and were included in the review. Studies were conducted in Australia, the UK, US and Denmark between 1986 and 2021, with multi-ethnic populations (n = 6) or specific cultural and language groups (n = 3) (e.g. Pakistani and Indian women; African American and Hispanic population groups). Approaches to tailoring included the use of interpreters and translated materials, linking women to existing community resources and networks and community outreach delivered to women outside of hospital settings. Training of staff in cultural competence and multi-component, multiagency interventions addressing the wider social determinants of health and system-based approaches to facilitate access to language services were also identified. Conclusion While there are currently few targeted interventions for pregnant women from migrant, refugee and culturally and linguistically diverse backgrounds, approaches to cultural tailoring identified in this review can be used as a starting point for effectiveness testing and wider application. Ongoing work is needed to continue to address significant disparities in pregnancy outcomes for minoritised community groups. Protocol registration The protocol for this review was registered in PROSPERO (CRD42021289321). |
| format | Article |
| id | doaj-art-90233edfeff7481aabb0a060af1e139d |
| institution | Kabale University |
| issn | 1471-2393 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj-art-90233edfeff7481aabb0a060af1e139d2025-02-02T12:46:43ZengBMCBMC Pregnancy and Childbirth1471-23932025-01-0125111110.1186/s12884-024-07091-wHow have interventions targeting pregnant women from refugee, migrant and culturally and linguistically diverse backgrounds living in high-income countries been developed or tailored to meet community needs? A systematic scoping review of stillbirth-related literatureSweekriti Sharma0Gayathri Jegadeesh1Camille Raynes-Greenow2Adrienne Gordon3Gayani Gunawardhana4Danielle Marie Muscat5The University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney Health Literacy LabConsumer RepresentativeThe University of Sydney, Faculty of Medicine and Health, Sydney School of Public HealthThe University of Sydney, Faculty of Medicine and Health, Central Clinical School, Discipline of Obstetrics, Gynaecology and Neonatology, University of SydneyThe University of Sydney, Faculty of Medicine and Health, Sydney School of Public HealthThe University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney Health Literacy LabAbstract Background People from migrant, refugee and culturally and linguistically diverse backgrounds experience significant disparities in pregnancy outcomes compared to the general population, including a higher risk of stillbirth. This study aimed to identify stillbirth-related programs or interventions for pregnant women from culturally and linguistically diverse backgrounds and explore how these interventions have been developed and/or tailored for culturally and linguistically diverse women. Methods We searched MEDLINE, CINAHL, Embase, and Scopus for articles published from inception to 12 Jan 2023. We included studies that report on the development and/or evaluation of a program or intervention to reduce the risk of stillbirth which has been specifically developed or tailored for pregnant women from culturally and linguistically diverse backgrounds living in high-income countries. Two independent reviewers conducted screening of the articles, data extraction, and quality appraisal. We first summarized the descriptive information of eligible studies using text and tables and then thematically grouped interventions based on approaches to meet community needs and synthesized data qualitatively. Results We identified 1999 studies from the database search. After removing duplicates and screening for eligibility, 9 studies met our inclusion criteria and were included in the review. Studies were conducted in Australia, the UK, US and Denmark between 1986 and 2021, with multi-ethnic populations (n = 6) or specific cultural and language groups (n = 3) (e.g. Pakistani and Indian women; African American and Hispanic population groups). Approaches to tailoring included the use of interpreters and translated materials, linking women to existing community resources and networks and community outreach delivered to women outside of hospital settings. Training of staff in cultural competence and multi-component, multiagency interventions addressing the wider social determinants of health and system-based approaches to facilitate access to language services were also identified. Conclusion While there are currently few targeted interventions for pregnant women from migrant, refugee and culturally and linguistically diverse backgrounds, approaches to cultural tailoring identified in this review can be used as a starting point for effectiveness testing and wider application. Ongoing work is needed to continue to address significant disparities in pregnancy outcomes for minoritised community groups. Protocol registration The protocol for this review was registered in PROSPERO (CRD42021289321).https://doi.org/10.1186/s12884-024-07091-wPregnancyStillbirthCulturally competent careRefugeeMigrantSystematic review |
| spellingShingle | Sweekriti Sharma Gayathri Jegadeesh Camille Raynes-Greenow Adrienne Gordon Gayani Gunawardhana Danielle Marie Muscat How have interventions targeting pregnant women from refugee, migrant and culturally and linguistically diverse backgrounds living in high-income countries been developed or tailored to meet community needs? A systematic scoping review of stillbirth-related literature BMC Pregnancy and Childbirth Pregnancy Stillbirth Culturally competent care Refugee Migrant Systematic review |
| title | How have interventions targeting pregnant women from refugee, migrant and culturally and linguistically diverse backgrounds living in high-income countries been developed or tailored to meet community needs? A systematic scoping review of stillbirth-related literature |
| title_full | How have interventions targeting pregnant women from refugee, migrant and culturally and linguistically diverse backgrounds living in high-income countries been developed or tailored to meet community needs? A systematic scoping review of stillbirth-related literature |
| title_fullStr | How have interventions targeting pregnant women from refugee, migrant and culturally and linguistically diverse backgrounds living in high-income countries been developed or tailored to meet community needs? A systematic scoping review of stillbirth-related literature |
| title_full_unstemmed | How have interventions targeting pregnant women from refugee, migrant and culturally and linguistically diverse backgrounds living in high-income countries been developed or tailored to meet community needs? A systematic scoping review of stillbirth-related literature |
| title_short | How have interventions targeting pregnant women from refugee, migrant and culturally and linguistically diverse backgrounds living in high-income countries been developed or tailored to meet community needs? A systematic scoping review of stillbirth-related literature |
| title_sort | how have interventions targeting pregnant women from refugee migrant and culturally and linguistically diverse backgrounds living in high income countries been developed or tailored to meet community needs a systematic scoping review of stillbirth related literature |
| topic | Pregnancy Stillbirth Culturally competent care Refugee Migrant Systematic review |
| url | https://doi.org/10.1186/s12884-024-07091-w |
| work_keys_str_mv | AT sweekritisharma howhaveinterventionstargetingpregnantwomenfromrefugeemigrantandculturallyandlinguisticallydiversebackgroundslivinginhighincomecountriesbeendevelopedortailoredtomeetcommunityneedsasystematicscopingreviewofstillbirthrelatedliterature AT gayathrijegadeesh howhaveinterventionstargetingpregnantwomenfromrefugeemigrantandculturallyandlinguisticallydiversebackgroundslivinginhighincomecountriesbeendevelopedortailoredtomeetcommunityneedsasystematicscopingreviewofstillbirthrelatedliterature AT camilleraynesgreenow howhaveinterventionstargetingpregnantwomenfromrefugeemigrantandculturallyandlinguisticallydiversebackgroundslivinginhighincomecountriesbeendevelopedortailoredtomeetcommunityneedsasystematicscopingreviewofstillbirthrelatedliterature AT adriennegordon howhaveinterventionstargetingpregnantwomenfromrefugeemigrantandculturallyandlinguisticallydiversebackgroundslivinginhighincomecountriesbeendevelopedortailoredtomeetcommunityneedsasystematicscopingreviewofstillbirthrelatedliterature AT gayanigunawardhana howhaveinterventionstargetingpregnantwomenfromrefugeemigrantandculturallyandlinguisticallydiversebackgroundslivinginhighincomecountriesbeendevelopedortailoredtomeetcommunityneedsasystematicscopingreviewofstillbirthrelatedliterature AT daniellemariemuscat howhaveinterventionstargetingpregnantwomenfromrefugeemigrantandculturallyandlinguisticallydiversebackgroundslivinginhighincomecountriesbeendevelopedortailoredtomeetcommunityneedsasystematicscopingreviewofstillbirthrelatedliterature |