Interventions to improve perinatal outcomes among migrant women in high-income countries: a systematic review protocol.

Interventions to improve perinatal outcomes among migrant women in high-income countries: a systematic review protocol.
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DOI:
10.1136/bmjopen-2023-072090
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发表时间:
2023-08-17
期刊:
影响因子:
2.9
通讯作者:
Aldridge, Robert W.
Aldridge, Robert W.
中科院分区:
医学3区
文献类型:
--
作者:
Stevenson, Kerrie;Ogunlana, K.;Edwards, Samuel;Henderson, William G.;Rayment-Jones, Hannah;McGranahan, Majel;Marti-Castaner, Maria;Fellmeth, Gracia;Luchenski, Serena;Stevenson, Fiona A.;Knight, Marian;Aldridge, Robert W.

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与东道国人口相比,移徙妇女和怀孕或产后妇女面临的围产期结果较差的风险很高,因为她们经历了许多额外的压力,包括社会排斥和语言障碍。高收入国家收容了许多移徙者,包括被迫移徙者,他们在围产期可能面临更多挑战。虽然高收入国家的产妇保健系统往往发展良好,但通常并不适合移徙妇女的需要。主要目标是确定有哪些干预措施可以改善高收入国家移徙妇女的围产期结果。次要目的是通过探讨这些干预措施对围产期结局的影响来探讨其有效性。主要关注的结果将是早产率、出生体重和产前或产后就诊次数。本方案遵循系统性综述和荟萃分析(PRISMA)方案指南的首选报告项目。将检索EMBASE、EMCARE、MEDLINE和PsycINFO、CENTRAL、Scopus、CINAHL Plus和Web of Science以及灰色文献来源,检索时间从开始到2022年12月。我们将包括随机对照试验,准实验性和干预性研究的干预措施,旨在改善围产期结局的任何HIC。没有语言限制。我们将排除仅提供定性结果的研究以及包括移民和非移民妇女混合人口的研究。筛选和数据提取将由两名独立审查员完成,偏倚风险将使用定量研究质量评估工具进行评估。如果检索到一组适当可比的结局,我们将采用随机效应模型进行荟萃分析。结果的展示将遵循科克伦干预措施系统评价手册和PRISMA声明中的指南。不需要伦理批准。研究结果将提交同行评审出版物,并在国家和国际会议上发表。研究结果将为柳叶刀移民欧洲中心的工作提供信息。CRD 42022380678。
Women who are migrants and who are pregnant or postpartum are at high risk of poorer perinatal outcomes compared with host country populations due to experiencing numerous additional stressors including social exclusion and language barriers. High-income countries (HICs) host many migrants, including forced migrants who may face additional challenges in the peripartum period. Although HICs’ maternity care systems are often well developed, they are not routinely tailored to the needs of migrant women. The primary objective will be to determine what interventions exist to improve perinatal outcomes for migrant women in HICs. The secondary objective will be to explore the effectiveness of these interventions by exploring the impact on perinatal outcomes. The main outcomes of interest will be rates of preterm birth, birth weight, and number of antenatal or postnatal appointments attended. This protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Protocols guidelines. EMBASE, EMCARE, MEDLINE and PsycINFO, CENTRAL, Scopus, CINAHL Plus, and Web of Science, as well as grey literature sources will be searched from inception up to December 2022. We will include randomised controlled trials, quasi-experimental and interventional studies of interventions, which aim to improve perinatal outcomes in any HIC. There will be no language restrictions. We will exclude studies presenting only qualitative outcomes and those including mixed populations of migrant and non-migrant women. Screening and data extraction will be completed by two independent reviewers and risk of bias will be assessed using the Quality Assessment Tool for Quantitative Studies. If a collection of suitably comparable outcomes is retrieved, we will perform meta-analysis applying a random effects model. Presentation of results will comply with guidelines in the Cochrane Handbook of Systematic Reviews of Interventions and the PRISMA statement. Ethical approval is not required. Results will be submitted for peer-reviewed publication and presented at national and international conferences. The findings will inform the work of the Lancet Migration European Hub. CRD42022380678.
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影响因子: 4
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发表时间: 2016-10-12
期刊: BMJ (Clinical research ed.)
影响因子: --
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