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Introduction <p>Migration is a worldwide phenomenon leading to challenges for the health care system. There is conflicting evidence on the effect of migration on satisfaction with obstetric care. Our hypothesis was that satisfaction with obstetric care was lower in immigrant women or women with self-defined (sd) refugee status than in non-immigrant women.</p> Method <p>In the Pregnancy and Obstetric Care for Refugees (PROREF)-study, funded by the Germany Research Council (DFG), between June 2020 and April 2022 in three hospitals of tertiary care in Berlin women were interviewed 1–3&#xa0;days after giving birth with the <i>Migrant Friendly Maternity Care Questionnaire</i> (MFMCQ). The interview data was linked to the routine perinatal data of the hospital charts. Descriptive analysis and logistic regression analysis were performed to identify factors influencing satisfaction with obstetric care.</p> Results <p>A total of 3420 women could be included in the study, with an overall response rate of 77.5%. Satisfaction measured generally high with over 80% of women being satisfied with obstetric care at all three time points: during pregnancy, during labor and birth and after giving birth. We identified two factors associated with an increased chance of being satisfied with obstetric care: sd refugee status (OR 2.57, 95% Cl 1.48–4.44, p-value 0.0008) and being multipara (OR 1.40, 95% CI 1.18–1.67, <i>p</i>-value 0.000).</p> Conclusion <p>Efforts on improving birth experience should focus on primipara. The reasons for non-immigrant women being less satisfied with care than women with sd refugee status are not fully understood.</p>

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Satisfaction with Maternity Care Among Immigrant Women, Refugee Women and Non-immigrant Women: Results of the Pregnancy and Obstetric Care for Refugees (PROREF) Cross-Sectional Study

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  • 发表日期：

    2025年7月2日

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  • Vera Seidel,
  • Louise Teschemacher,
  • Jürgen Breckenkamp,
  • Theda Borde,
  • Matthias David,
  • Michael Abou-Dakn,
  • Wolfgang Henrich

摘要

Introduction

Migration is a worldwide phenomenon leading to challenges for the health care system. There is conflicting evidence on the effect of migration on satisfaction with obstetric care. Our hypothesis was that satisfaction with obstetric care was lower in immigrant women or women with self-defined (sd) refugee status than in non-immigrant women.

Method

In the Pregnancy and Obstetric Care for Refugees (PROREF)-study, funded by the Germany Research Council (DFG), between June 2020 and April 2022 in three hospitals of tertiary care in Berlin women were interviewed 1–3 days after giving birth with the Migrant Friendly Maternity Care Questionnaire (MFMCQ). The interview data was linked to the routine perinatal data of the hospital charts. Descriptive analysis and logistic regression analysis were performed to identify factors influencing satisfaction with obstetric care.

Results

A total of 3420 women could be included in the study, with an overall response rate of 77.5%. Satisfaction measured generally high with over 80% of women being satisfied with obstetric care at all three time points: during pregnancy, during labor and birth and after giving birth. We identified two factors associated with an increased chance of being satisfied with obstetric care: sd refugee status (OR 2.57, 95% Cl 1.48–4.44, p-value 0.0008) and being multipara (OR 1.40, 95% CI 1.18–1.67, p-value 0.000).

Conclusion

Efforts on improving birth experience should focus on primipara. The reasons for non-immigrant women being less satisfied with care than women with sd refugee status are not fully understood.