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Evaluating Birth Outcomes From a Community-Based Pregnancy Support Program for Refugee Women in Georgia
Refugee women face numerous and unique barriers to sexual and reproductive healthcare and can experience worse pregnancy-related outcomes compared with U.S.-born and other immigrant women. Community-based, culturally tailored programs like Embrace Refugee Birth Support may improve refugee access to...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8593936/ https://www.ncbi.nlm.nih.gov/pubmed/34816209 http://dx.doi.org/10.3389/fgwh.2021.655409 |
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author | Mosley, Elizabeth A. Pratt, Michelle Besera, Ghenet Clarke, Lasha S. Miller, Heidi Noland, Tracy Whaley, Bridget Cochran, Jennifer Mack, Amber Higgins, Melinda |
author_facet | Mosley, Elizabeth A. Pratt, Michelle Besera, Ghenet Clarke, Lasha S. Miller, Heidi Noland, Tracy Whaley, Bridget Cochran, Jennifer Mack, Amber Higgins, Melinda |
author_sort | Mosley, Elizabeth A. |
collection | PubMed |
description | Refugee women face numerous and unique barriers to sexual and reproductive healthcare and can experience worse pregnancy-related outcomes compared with U.S.-born and other immigrant women. Community-based, culturally tailored programs like Embrace Refugee Birth Support may improve refugee access to healthcare and health outcomes, but empirical study is needed to evaluate programmatic benefits. This community-engaged research study is led by the Georgia Doula Access Working Group, including a partnership between academic researchers, Emory Decatur Hospital nurses, and Embrace. We analyzed hospital clinical records (N = 9,136) from 2016 to 2018 to assess pregnancy-related outcomes of Embrace participants (n = 113) and a comparison group of women from the same community and racial/ethnic backgrounds (n = 9,023). We controlled for race, language, maternal age, parity, insurance status, preeclampsia, and diabetes. Embrace participation was significantly associated with 48% lower odds of labor induction (OR = 0.52, p = 0.025) and 65% higher odds of exclusive breastfeeding intentions (OR = 1.65, p = 0.028). Embrace showed positive but non-significant trends for reduced cesarean delivery (OR = 0.83, p = 0.411), higher full-term gestational age (OR = 1.49, p = 0.329), and reduced low birthweight (OR = 0.77, p = 0.55). We conclude that community-based, culturally tailored pregnancy support programs like Embrace can meet the complex needs of refugee women. Additionally, community-engaged, cross-sector research approaches could ensure the inclusion of both community and clinical perspectives in research design, implementation, and dissemination. |
format | Online Article Text |
id | pubmed-8593936 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-85939362021-11-22 Evaluating Birth Outcomes From a Community-Based Pregnancy Support Program for Refugee Women in Georgia Mosley, Elizabeth A. Pratt, Michelle Besera, Ghenet Clarke, Lasha S. Miller, Heidi Noland, Tracy Whaley, Bridget Cochran, Jennifer Mack, Amber Higgins, Melinda Front Glob Womens Health Global Women's Health Refugee women face numerous and unique barriers to sexual and reproductive healthcare and can experience worse pregnancy-related outcomes compared with U.S.-born and other immigrant women. Community-based, culturally tailored programs like Embrace Refugee Birth Support may improve refugee access to healthcare and health outcomes, but empirical study is needed to evaluate programmatic benefits. This community-engaged research study is led by the Georgia Doula Access Working Group, including a partnership between academic researchers, Emory Decatur Hospital nurses, and Embrace. We analyzed hospital clinical records (N = 9,136) from 2016 to 2018 to assess pregnancy-related outcomes of Embrace participants (n = 113) and a comparison group of women from the same community and racial/ethnic backgrounds (n = 9,023). We controlled for race, language, maternal age, parity, insurance status, preeclampsia, and diabetes. Embrace participation was significantly associated with 48% lower odds of labor induction (OR = 0.52, p = 0.025) and 65% higher odds of exclusive breastfeeding intentions (OR = 1.65, p = 0.028). Embrace showed positive but non-significant trends for reduced cesarean delivery (OR = 0.83, p = 0.411), higher full-term gestational age (OR = 1.49, p = 0.329), and reduced low birthweight (OR = 0.77, p = 0.55). We conclude that community-based, culturally tailored pregnancy support programs like Embrace can meet the complex needs of refugee women. Additionally, community-engaged, cross-sector research approaches could ensure the inclusion of both community and clinical perspectives in research design, implementation, and dissemination. Frontiers Media S.A. 2021-06-17 /pmc/articles/PMC8593936/ /pubmed/34816209 http://dx.doi.org/10.3389/fgwh.2021.655409 Text en Copyright © 2021 Mosley, Pratt, Besera, Clarke, Miller, Noland, Whaley, Cochran, Mack and Higgins. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Global Women's Health Mosley, Elizabeth A. Pratt, Michelle Besera, Ghenet Clarke, Lasha S. Miller, Heidi Noland, Tracy Whaley, Bridget Cochran, Jennifer Mack, Amber Higgins, Melinda Evaluating Birth Outcomes From a Community-Based Pregnancy Support Program for Refugee Women in Georgia |
title | Evaluating Birth Outcomes From a Community-Based Pregnancy Support Program for Refugee Women in Georgia |
title_full | Evaluating Birth Outcomes From a Community-Based Pregnancy Support Program for Refugee Women in Georgia |
title_fullStr | Evaluating Birth Outcomes From a Community-Based Pregnancy Support Program for Refugee Women in Georgia |
title_full_unstemmed | Evaluating Birth Outcomes From a Community-Based Pregnancy Support Program for Refugee Women in Georgia |
title_short | Evaluating Birth Outcomes From a Community-Based Pregnancy Support Program for Refugee Women in Georgia |
title_sort | evaluating birth outcomes from a community-based pregnancy support program for refugee women in georgia |
topic | Global Women's Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8593936/ https://www.ncbi.nlm.nih.gov/pubmed/34816209 http://dx.doi.org/10.3389/fgwh.2021.655409 |
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