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Discrimination against childbearing Romani women in maternity care in Europe: a mixed-methods systematic review

机译：在欧洲，在生育护理中对生育罗曼妇女的歧视：一种混合方法的系统评价

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Background Freedom from discrimination is one of the key principles in a human rights-based approach to maternal and newborn health. Objective To review the published evidence on discrimination against Romani women in maternity care in Europe, and on interventions to address this. Search strategy A systematic search of eight electronic databases was undertaken in 2015 using the terms “Roma” and “maternity care”. A broad search for grey literature included the websites of relevant agencies. Data extraction and synthesis Standardised data extraction tables were utilised, quality was formally assessed and a line of argument synthesis was developed and tested against the data from the grey literature. Results Nine hundred papers were identified; three qualitative studies and seven sources of grey literature met the review criteria. These revealed that many Romani women encounter barriers to accessing maternity care. Even when they are able to access care, they can experience discriminatory mistreatment on the basis of their ethnicity, economic status, place of residence or language. The grey literature revealed some health professionals held underlying negative beliefs about Romani women. There were no published research studies examining the effectiveness of interventions to address discrimination against Romani women and their infants in Europe. The Roma Health Mediation Programme is a promising intervention identified in the grey literature. Conclusions There is evidence of discrimination against Romani women in maternity care in Europe. Interventions to address discrimination against childbearing Romani women and underlying health provider prejudice are urgently needed, alongside analysis of factors predicting the success or failure of such initiatives.
机译：背景技术不受歧视是基于人权的孕产妇和新生儿健康方法的主要原则之一。目的回顾已发表的关于在欧洲孕产妇歧视罗姆妇女的证据，以及为解决这一问题所采取的干预措施。检索策略2015年，使用“罗姆人”和“生育保健”一词对八个电子数据库进行了系统检索。对灰色文献的广泛搜索包括相关机构的网站。数据提取和综合利用标准化的数据提取表，对质量进行正式评估，并针对灰色文献中的数据开发并论证了一条论点综合线。结果共鉴定出论文900篇; 3项定性研究和7篇灰色文献资料符合审查标准。这些结果表明，许多罗姆人妇女在获得产妇保健方面遇到障碍。即使他们能够获得护理，他们也可能会因其种族，经济状况，居住地或语言而遭受歧视性虐待。灰色文献显示，一些医疗保健专业人员对罗曼语妇女抱有根本的负面信念。在欧洲，尚无已发表的研究报告来研究干预措施对解决罗曼妇女及其婴儿的歧视的有效性。 《罗姆人健康调解计划》是灰色文献中确定的有前途的干预措施。结论在欧洲，有证据表明在罗姆人妇女的生育保健中存在歧视。迫切需要采取干预措施来解决对育龄罗姆人妇女的歧视和潜在的医疗保健提供者的偏见，同时还需要对预测此类举措成败的因素进行分析。

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