Print Email Facebook Twitter Limited midwifery care for undocumented women in the Netherlands Title Limited midwifery care for undocumented women in the Netherlands Author de Jonge, A. Rijnders, M. Agyemang, C. van der Stouwe, R. van den Muijsenbergh, M.E.T.C. Buitendijk, S. Publication year 2011 Abstract Background: Ethnic minority women in Western countries have poorer pregnancy outcomes compared to majority populations, and undocumented women are particularly vulnerable. We intended to assess whether midwives adjust their care if women are undocumented and have no health insurance. Methods: A retrospective matched cohort study in primary midwifery care practices in Amsterdam and Rotterdam, the Netherlands. Undocumented, uninsured women (N=141) were matched with documented, insured ethnic minority women (N=141). Information was extracted from patient records. Results: Undocumented women attended their first prenatal visit 5 weeks later in their pregnancy and received care elsewhere or disappeared from care more frequently (59.6 versus 34.3%). They frequently have an excess of 110% of the number of expected antenatal visits (32.4% versus 16.9%) and had a preterm birth more frequently (OR 4.59, 95% CI 1.43 to 14.72). Midwives were equally likely to follow referral guidelines in both groups. Undocumented women were more likely to give birth at home (OR 2.14, 95% CI 1.074.28) and less likely to receive maternity home care assistance (56.0 versus 79.7%). Conclusion: Although referral guidelines are generally followed by midwives, undocumented women are more at risk of adverse perinatal outcomes and inadequate care than documented ethnic minority women. © 2011 Informa UK, Ltd. Subject HumanCH - Child HealthBSS - Behavioural and Societal SciencesHealthEthnic groupsIllegal migrantsMidwiferyPregnancy outcome To reference this document use: http://resolver.tudelft.nl/uuid:d77fb89c-b28c-42fb-8a30-3b57b25a5c7f DOI https://doi.org/10.3109/0167482x.2011.589016 TNO identifier 442931 ISSN 0167-482X Source Journal of Psychosomatic Obstetrics and Gynecology, 32 (4), 182-188 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.