"Can I Ask That?": Perspectives on Perinatal Care After Resettlement Among Karen Refugee Women, Medical Providers, and Community-Based Doulas

Journal of Immigrant and Minority Health
Kate LaMancusoMelissa Nothnagle

Abstract

This study characterized the perspectives of Karen refugee women in Buffalo, NY, their medical providers, and Karen interpreters/doulas on perinatal care for Karen women in resettlement. In-depth qualitative interviews with Karen women (14), Karen doulas/interpreters and key informants (8), and medical providers (6) were informed by the social contextual model and focused on women's questions about and opinions of perinatal care in Buffalo and on providers' experiences caring for Karen patients. Karen women expressed gratitude for and understanding of perinatal care in Buffalo, and providers described Karen patients as agreeable but shy. Karen doulas offered an alternative view that exposed women's many questions and concerns, and described how doula training empowered them as patients' advocates. Low self-efficacy, trauma histories, and cultural expectations may contribute to Karen women's seeming agreeability. Doulas/interpreters possess insider knowledge of women's concerns and facilitate communication between patients and the care team.

References

Jan 1, 1996·Health Care for Women International·L R KahlerK Griswold
Jul 12, 2003·Lancet·Francesco ChecchiDominique Legros
Jul 9, 2004·Journal of Midwifery & Women's Health·Naeema Al GasseerNicole Warren
Nov 25, 2004·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Donelle M Barnes, Cara L Harrison
Mar 11, 2005·Health Affairs·Cindy BrachKathy Paez
Apr 5, 2005·Family Practice·Patricia Hudelson
May 17, 2005·Medical Care Research and Review : MCRR·Glenn Flores
Jan 24, 2006·Patient Education and Counseling·Barbara C Schouten, Ludwien Meeuwesen
Mar 6, 2007·Patient Education and Counseling·Jennifer CarrollPascal Jean-Pierre
Aug 26, 2009·Journal of Community Health·Meghan D MorrisKimberly C Brouwer
Jul 27, 2010·Advances in Health Sciences Education : Theory and Practice·Mora ClaramitaCees Van der Vleuten
Feb 15, 2011·Women and Birth : Journal of the Australian College of Midwives·Ignacio Correa-Velez, Jennifer Ryan
Nov 5, 2011·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Nancy HillKristiina Hyrkäs
Nov 17, 2011·Journal of Immigrant and Minority Health·Cheryl M R Sulaiman-Hill, Sandra C Thompson
Aug 16, 2012·Health Care for Women International·Sharareh Akhavan, Dawn Edge
Jan 22, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Kathryn L FalbJay G Silverman
Jul 17, 2013·The Cochrane Database of Systematic Reviews·Ellen D HodnettCarol Sakala
Sep 10, 2013·Medical Anthropology·Sara NinerDenise Cuthbert

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