References

Allsopp J, Sogona N, Phillimore J. Poverty among refugees and asylum seekers in the UK. An evidence and policy review.Birmingham: University of Birmingham; 2014a

Allsopp J, Sigona N, Phillimore J. Poverty among refugees and asylum seekers in the UK An evidence and policy review. IRIS Working paper series.Birmingham: University of Birmingham; 2014b

Asif S, Baugh A, Jones N. The obstetric care of asylum seekers and refugee women in the UK. The Obstetrician & Gynaecologist. 2015; 17:223-231 https://doi.org/10.1111/tog.12224

Aspinall P, Watters C. Refugees and Asylum Seekers. A Review From an Equality and Human Rights Perspective.Manchester: Equality and Human Rights Commission; 2010

Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006; 3:77-101 https://doi.org/10.1191/1478088706qp063oa

Red Cross figures reveal new mums and pregnant women left destitute by admin delays. 2017. http://blogs.redcross.org.uk/refugeesservices/2017/05/red-cross-figures-reveal-new-mums-pregnant-women-left-destitute-admin-delays/ (accessed 30 March 2018)

Downe S, Finlayson K, Walsh D, Lavender T. “Weighing up and balancing out”: a meta-synthesis of barriers to antenatal care for marginalised women in high-income countries. British Journal of Obstetrics and Gynaecology. 2009; 116:518-529 https://doi.org/10.1111/j.1471-0528.2008.02067.x

Dudhia P. Will I ever be safe? Asylum seeking made destitute in the UK.London: Women for Refugee Women; 2020

European Commission. Migration and Home Affairs. 2020. https://ec.europa.eu/home-affairs/what-we-do/networks/european_migration_network/glossary_search/forced-migrant_en (accessed 28 March 2020)

Fair F, Raben L, Watson H, Vivilaki V, Van Den Muijsenbergh M, Soltani HEA. Migrant women's experiences of pregnancy, childbirth and maternity care in European countries: A systematic review. Plos ONE. 2020; 15 https://doi.org/10.1371/journal.pone.0228378

Feldman R. When maternity doesn't matter: Dispersing pregnant women seeking asylum. British Journal of Midwifery. 2014; 22:22-28 https://doi.org/10.12968/bjom.2014.22.1.23

Fitzpatrick S, Bramley G, Sosenko F Destitution in the UK.London: Joseph Rowntree Foundation; 2016

Gaillard A, Le Strat Y, Mandelbrot L, Keïta H, Dubertret C. Predictors of postpartum depression: Prospective study of 264 women followed during pregnancy and postpartum. Psychiatry Research. 2014; 215:341-346 https://doi.org/10.1016/j.psychres.2013.10.003

Haith-Cooper M, Bradshaw G. Meeting the health and social care needs of pregnant asylum seekers; midwifery students' perspectives: Part 3; “The pregnant woman within the global context” an inclusive model for midwifery education to address the needs of asylum seeking women in the UK. Nurse Education Today. 2013; 33:1045-1050 https://doi.org/10.1016/j.nedt.2012.04.016

Higginbottom G, Evans C, Morgan M, Bharj K, Eldridge A, Hussain B. Experience of and access to maternity care in the UK by immigrant women: a narrative synthesis. BMJ Open. 2019; 9:(12) https://doi.org/10.1136/bmjopen-2019-029478

Jacobsen K. Health Research Methods, a Practical Guide.USA: Jones and Bartlett; 2017

Knight M, Bunch K, Tuffnell D Saving Lives, Improving Mothers' Care. Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2015-17.Oxford: National Perinatal Epidemiology Unit; 2019

Lephard E, Haith-Cooper M. Pregnant and seeking asylum; exploring experiences ‘from booking to baby’. British Journal of Midwifery. 2016; 24:130-136 https://doi.org/10.12968/bjom.2016.24.2.130

Merry L, Pelaez S, Edwards N. Refugees, asylum-seekers and undocumented migrants and the experience of parenthood: a synthesis of the qualitative literature. Globalization and Health. 2017; 13:(1) https://doi.org/10.1186/s12992-017-0299–4

Pregnancy and complex social factors. A model for service provision for pregnant women with complex social factors.London: National Institute for Health and Care Excellence; 2010

Nyiri P, Eling J. A specialist clinic for destitute asylum seekers and refugees in London. British Journal of General Practice. 2012; 62:599-600 https://doi.org/10.3399/bjgp12X658386

Petch H, Perry J, Lukes S. How to improve support and services for destitute migrants.London: Joseph Rowntree Foundation; 2015

Ramakrishnan U, Grant F, Goldenberg T, Zongrone A, Martorell R. Effect of Women's Nutrition before and during Early Pregnancy on Maternal and Infant Outcomes: A Systematic Review. Paediatric and Perinatal Epidemiology. 2012; 26:285-301 https://doi.org/10.1111/j.1365-3016.2012.01281.x

Shortall C, Mcmorran J, Taylor K Experiences of Pregnant Migrant Women receiving Ante/Peri and Postnatal care in the UK. A Doctors of the World Report on the Experiences of Attendees at their London Drop in Clinic.London: Doctors of the World; 2015

Stanevaa A, Bogossian F, Pritchard M, Wittkowskid A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review. Women and Birth. 2015; 28:179-193 https://doi.org/10.1016/j.wombi.2015.02.003

Todres L, Holloway I. Phenomenological Research, 6th edn. In: Gerrish K, Lacey A (eds). Chichester: Wiley-Blackwell; 2011

Healthcare Needs and Pregnancy Dispersal Policy, 3 ed. London: Home Office; 2016

Ukoko F. Childbearing women with no recourse to public funds: the health and social implications. MIDIRS Midwifery Digest. 2007; 17:585-587

Zimmerman C, Hossain M, Kiss L Asylum-Seeking Women, Violence and Health: Results from a Pilot Study in Scotland and Belgium.London: London School of Hygiene & Tropical Medicine and Scottish Refugee Council; 2009

Destitution in pregnancy: forced migrant women's lived experiences

02 November 2020
Volume 28 · Issue 11

Abstract

Background

Forced migrant women are increasingly becoming destitute whilst pregnant. Destitution may exacerbate their poor underlying physical and mental health. There is little published research that examines this, and studies are needed to ensure midwifery care addresses the specific needs of these women. This study aimed to explore vulnerable migrant women's lived experience of being pregnant and destitute.

Methods

Six in-depth individual interviews with forced migrant women who had been destitute during their pregnancy were conducted over one year.

Results

A lack of food and being homeless impacted on women's physical and mental health. Women relied on support from the voluntary sector to fill the gaps in services not provided by their local authorities. Although midwives were generally kind and helpful, there was a limit to how they could support the women.

Conclusions

There is a gap in support provided by local authorities working to government policies and destitute migrant pregnant women should not have to wait until 34 weeks gestation before they can apply for support. Home office policy needs to change to ensure pregnant migrant women receive support throughout their pregnancy.

Evidence suggests that across the UK, forced pregnant migrant women are increasingly becoming destitute (Carter, 2017; Petch et al, 2015). Forced migrants are people who have been coerced or forced to leave their home country for reasons including, but not limited to, a threat to life or livelihood, such as war, conflict, or natural disaster. Forced migrants include persons seeking asylum, refugees and people who have been trafficked (European Commission, 2020). Pregnant migrant women who are destitute are not able to work, legally, and do not receive financial support from the government (Dudhia, 2020). Forced migrants are sometimes living in poverty so acute that they cannot provide for themselves (Carter, 2017). Consequently, they often rely on charities, faith-based organisations or the goodwill of friends to offer them support. In extreme cases, they may become homeless. Many are also at risk of exploitation by traffickers or unscrupulous employers, including in the sex industry (Petch et al, 2015; Ukoko, 2007).

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