With the numbers of refugees gradually increasing over the years1, the challenges faced by midwives working with refugees are various and complex. Midwives are required to provide care in difficult, limited resourced environments, frequently working with women who have experienced traumatic events, speak different languages, and come from various cultural backgrounds. For these challenges to be addressed, a multi-faceted approach with the involvement of policymakers, healthcare organizations, and the midwives is required.
The role of the midwives in ensuring safe childbirth and maternal health is vital. However, one of the most significant obstacles they face is the limited resources and lack of infrastructure to provide the necessary care. Women that give birth in refugee camps are at higher risk of complications, including infection, hemorrhage, and obstructed labor, due to limited access to skilled healthcare professionals and basic medical supplies and equipment2.
Another challenge is the absence of specialized training for midwives working with refugees. Refugees frequently originate from regions with a high incidence of contagious illnesses and could have been subjected to traumatic experiences and violence. Midwives working with these women must have specialized training in the unique health challenges faced by refugees, including the provision of mental health support for trauma survivors and navigation of cultural differences that may impact the provision of healthcare. Midwives must be sensitive to these variations and work collaboratively with women to establish culturally appropriate care plans3-5.
The language barrier is another significant obstacle faced by midwives providing care to refugee women. Refugee women may not speak the same language as the midwives, which can lead to miscommunication resulting in errors in treatment that can cause adverse outcomes for the health of the mother and child5.
To conclude, midwives face numerous challenges when providing care to refugee women. These challenges include inadequate resources, lack of specialized training, and language barriers. It is essential for policymakers and healthcare organizations to make the health needs of refugees a priority and enable the provision of the necessary resources and training to midwives working with refugee women. Only by addressing these challenges can we ensure that not only all women, regardless of their circumstances, receive the maternal healthcare they need and deserve, but also that midwives are working in safe and enabling environments, to their full scope of practice6.
CONFLICTS OF INTEREST
The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
FUNDING
There was no source of funding for this research.
ETHICAL APPROVAL AND INFORMED CONSENT
Ethical approval and informed consent were not required for this study.
DATA AVAILABILITY
Data sharing is not applicable to this article as no new data were created.
PROVENANCE AND PEER REVIEW
Not commissioned; internally peer reviewed.
DISCLAIMER
The views and opinions expressed in this article are those of the authors.
REFERENCES
- 1.Refugee Data Finder. UNHCR; Accessed May 10, 2023. https://www.unhcr.org/refugee-statistics/download/?url=2bxU2f. [Google Scholar]
- 2.UNFPA, WHO, ICM THE STATE OF THE World's Midwifery 2021: Supplements. 2021. Accessed May 9, 2023. https://www.unfpa.org/sites/default/files/resource-pdf/SoWMy_2021_supplements_final_v2.pdf.
- 3.Petelos E, Vivilaki V, Papadakaki M, Sioti E, Triantafyllou E. Training development in the ORAMMA (Operational Refugee and Migrant Maternal Approach) project. Eur J Public Health. 2019;29(suppl 4):401. doi: 10.1093/eurpub/ckz186.049. [DOI] [Google Scholar]
- 4.Fair F, Soltani H, Raben L, et al. Midwives' experiences of cultural competency training and providing perinatal care for migrant women a mixed methods study: Operational Refugee and Migrant Maternal Approach (ORAMMA) project. BMC Pregnancy Childbirth. 2021;21(1):340. doi: 10.1186/s12884-021-03799-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Kasper A, Mohwinkel LM, Nowak AC, Kolip P. Maternal health care for refugee women - A qualitative review. Midwifery. 2022;104:103157. doi: 10.1016/j.midw.2021.103157. [DOI] [PubMed] [Google Scholar]
- 6.International Confederation of Midwives . BUILDING THE ENABLING ENVIRONMENT FOR MIDWIVES: A CALL TO ACTION FOR POLICYMAKERS. International Confederation of Midwives; 2021. Accessed May 5, 2023. www.internationalmidwives.org/assets/files/general-files/2021/07/11061-eng_icm-enabling-environment-policy-brief_v1.1_20210629.pdf. [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
Data sharing is not applicable to this article as no new data were created.
