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Christine Kurtz Landy , RN, PhD March 7, 2014

Birthing experiences of immigrant and refugee women in Canada Immigrant and Refugee Women’s Health Project (IRWHP) Knowledge Mobilization on Maternal and Child Health Workshop jointly organized by: York University and McMaster University. Christine Kurtz Landy , RN, PhD March 7, 2014.

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Christine Kurtz Landy , RN, PhD March 7, 2014

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  1. Birthing experiences of immigrant and refugee women in CanadaImmigrant and Refugee Women’s Health Project (IRWHP)Knowledge Mobilization on Maternal and Child Health Workshop jointly organized by:York University and McMaster University Christine Kurtz Landy, RN, PhD March 7, 2014

  2. Objectives • Summarize findings from studies done in Hamilton and the GTA re immigrant and refugee birthing experiences • Discuss implications of findings

  3. Immigrant women • Increased risk for poorer over health status • Increased risk for postpartum depression • Less prenatal care • Suboptimal prenatal and postnatal suboptimal care • Barriers to receiving maternity care, e.g. transport, scheduling, lack of qualified interpreters • Low SES – large proportion are immigrant in GTA and Hamilton (55%)

  4. Immigrant women during childbearing • Language, culture and ethnicity are important factors that influence immigrants’ choice of health care provider and health management strategies in the host country • beliefs about health, health care and illness were strongly associated with access to and utilization of health services • mistrust in Western health care affected utilization of health care • need for maternity care providers and services to accommodate cultural, religious and ethnic diversity may not only be important to pregnant immigrants who are new to their country of residences but also to immigrants who appear acculturated in the host country • immigrant women returned to many of their traditional practices once pregnant no matter how long they had lived in their host country

  5. Findings study of Chinese women in Toronto • preference for language and culturally competent obstetricians over midwives, • strategies to deal with the inconvenience of the Canadian healthcare system • multiple resources to obtain pregnancy information • the merits of the Canadian healthcare system • Structural barriers that undermine social support for immigrant women • the emergence of alternative supports and the use of private services e.g. ZuoYue Zicentres, ‘Yue-Sao’ (Lee et al. in press)

  6. Thank You Contact : kurtzlcm@yorku.ca

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