Work Package 2: Healthy Reproduction among Migrants – University of Copenhagen

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Work Package 2

Healthy Reproduction among Migrants

Work Package 2 was headed by Professor Anne-Marie Nybo Andersen

Other staff: Grete Skøtt Pedersen, Anna Gundlund Lorentzen, Nazila Kivi, Cecilie Hjorth, Sarah Fredsted Villadsen and Laust Hvas Mortensen.

The objective of work package 2 was to increase the understanding of the mechanisms behind the increased risk of fetal and infant death seen among some migrant groups in Denmark, and to develop an intervention for improved reproductive health in these groups.

WP2 used epidemiological and qualitative methods. The need assessment phase encompassed a registry-based study on social and migrant characteristics, prenatal health services and birth outcomes. These results was combined with qualitative perspectives including interviews with migrant women and health professionals (midwives, GPs, and obstetricians) as well as observations at antenatal care visit at the general practitioner and midwife. The objective with the qualitative aspects was to explore attitudes and norms regarding consanguine relations, reproductive health and use of antenatal care to ensure that the intervention was based on the target groups' own needs and priorities. The perspectives of the health professionals was elucidated in order to identify key persons and procedures in antenatal care system that the intervention was based on.

The intervention study was developed in collaboration with the department of Gynaecology and Obstetrics at Hvidovre Hospital and was implemented in the midwife based antenatal care. The study was called MAMAACT and the objective was to strengthen the ability of pregnant women to communicate and act on body signals which are of importance for ensuring the health of the woman as well as the child. The intervention was evaluated by measuring women’s knowledge about body signals before and after the intervention and included an intervention and a control group. The intervention study was conducted during 2014.

You can read more about the project in Tidsskrift for Jordemødre (danish only) here.