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dc.contributor.advisorHaith-Cooper, Melanie
dc.contributor.advisorHart, Andrew
dc.contributor.advisorDickerson, J.
dc.contributor.authorFirth, Amanda
dc.date.accessioned2024-06-27T14:48:07Z
dc.date.available2024-06-27T14:48:07Z
dc.date.issued2022
dc.identifier.urihttp://hdl.handle.net/10454/19913
dc.description.abstractBackground: Perinatal depression disproportionately affects asylum seeking and refugee (AS&R) women, but they are less likely to receive support than other women. There is no published research which considers the assessment and support for symptoms of perinatal depression provided by midwives for AS&R women navigating England’s maternity services. Aim: To investigate how midwifery practice can be developed to support asylum seeking and refugee women with symptoms of perinatal depression. Methods: A post-colonial feminist inquiry consisting of a scoping survey (study one) and a qualitative research study (study two) using remote interviews with AS&R women and midwives. Qualitative data was analysed using reflexive thematic analysis. Findings: Study one demonstrated that midwives who care for AS&R women work within diverse roles and service structures across England. Study two identified that midwives lack the resources and support structures required to effectively recognise and support symptoms of perinatal depression in AS&R women. These factors were sometimes invisible to AS&R women, but still negatively affected their ability to effectively discuss perinatal depression with a midwife and access help for any symptoms. The lack of appropriate resources was harmful to both AS&R women and midwives. Conclusion: AS&R women and midwives who care for them navigate an inequitable maternity system in England. Midwives do not have the appropriate resources to provide a level of care which is equitable to women in the general maternity population. This leaves AS&R women’s perinatal mental health needs unrecognised and unmet, acting as a barrier to receiving effective support.en_US
dc.description.sponsorshipMary Seacole research development scholarshipen_US
dc.language.isoenen_US
dc.rights<a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>.eng
dc.subjectPerinatal mental healthen_US
dc.subjectPerinatal depressionen_US
dc.subjectRefugeeen_US
dc.subjectAsylum seekeren_US
dc.subjectMigrant womenen_US
dc.subjectHealth inequalitiesen_US
dc.subjectMidwivesen_US
dc.subjectMidwifeen_US
dc.subjectMaternity servicesen_US
dc.titleAddressing inequitable maternity service provision in England for asylum seeking and refugee women who present with symptoms of perinatal depression. A post-colonial feminist inquiry into the experiences of asylum seeking and refugee women and the midwives who care for themen_US
dc.type.qualificationleveldoctoralen_US
dc.publisher.institutionUniversity of Bradfordeng
dc.publisher.departmentFaculty of Health Studieen_US
dc.typeThesiseng
dc.type.qualificationnamePhDen_US
dc.date.awarded2022
refterms.dateFOA2024-06-27T14:48:07Z


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