Journal of Obstetrics and Gynaecology Canada
Volume 39, Issue 7, 2017, Pages 567-577

Gender of Provider—Barrier to Immigrant Women's Obstetrical Care: A Narrative Review (Review)

Aubrey C. , Chari R. , Mitchell B.F.P. , Mumtaz Z.*
  • a Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB, Canada
  • b Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB, Canada
  • c Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB, Canada
  • d School of Public Health, University of Alberta, Edmonton, AB, Canada

Abstract

Objective To explore the preference for female obstetrician/gynaecologists among immigrant women, and providers' understandings of these preferences, to identify challenges and potential solutions. Methods Five databases (Medline, Embase, CINAHL, Global Health, and Scopus) were searched using combinations of search terms related to immigrant, refugee, or Muslim women and obstetrics or gynaecological provider gender preference. Study Selection Peer reviewed, English-language articles were included if they discussed either patient or provider perspectives of women's preference for female obstetrics or gynaecological care provider among immigrant women in Western and non-western settings. After screening, 54 met inclusion criteria and were reviewed. Data Extraction Studies were divided first into those specifically focusing on gender of provider, and those in which it was one variable addressed. Each category was then divided into those describing immigrant women, and those conducted in a non-Western settings. The research question, study population, methods, results, and reasons given for preferences in each article were then examined and recorded. Conclusion Preference for female obstetricians/gynaecologists was demonstrated. Although many will accept a male provider, psychological stress, delays, or avoidance in seeking care may result. Providers' views were captured in only eight articles, with conflicting perspectives on responding to preferences and the health system impact. © 2017 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada

Author Keywords

immigrants Women physicians patient preference Emigrants

Index Keywords

doctor patient relation Physician-Patient Relations immigrant narrative Embase refugee emigrant English (language) Cinahl human statistics and numerical data mental stress Medline gynecologist screening obstetrician Muslim Humans migrant avoidance behavior gynecologic care male Emigrants and Immigrants female Scopus verbal communication pregnancy Narration women's health doctor patient relationship gender human experiment sex factor Sex Factors global health patient attitude Patient Acceptance of Health Care obstetric procedure patient preference Health Services Accessibility obstetrics health care delivery data extraction

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020920964&doi=10.1016%2fj.jogc.2017.01.013&partnerID=40&md5=5effaf6f40097cc3d7fb94df8a4639ac

DOI: 10.1016/j.jogc.2017.01.013
ISSN: 17012163
Cited by: 3
Original Language: English