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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Refugee and migrant women's views of antenatal ultrasound on the thai burmese border: A mixed methods study
PLoS ONE, Volume 7, No. 4, Article e34018, Year 2012
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Description
Background: Antenatal ultrasound suits developing countries by virtue of its versatility, relatively low cost and safety, but little is known about women's or local provider's perspectives of this upcoming technology in such settings. This study was undertaken to better understand how routine obstetric ultrasound is experienced in a displaced Burmese population and identify barriers to its acceptance by local patients and providers. Methodology/Principal Findings: Qualitative (30 observations, 19 interviews, seven focus group discussions) and quantitative methods (questionnaire survey with 644 pregnant women) were used to provide a comprehensive understanding along four major themes: safety, emotions, information and communication, and unintended consequences of antenatal ultrasound in refugee and migrant clinics on the Thai Burmese border. One of the main concerns expressed by women was the danger of childbirth which they mainly attributed to fetal malposition. Both providers and patients recognized ultrasound as a technology improving the safety of pregnancy and delivery. A minority of patients experienced transitory shyness or anxiety before the ultrasound, but reported that these feelings could be ameliorated with improved patient information and staff communication. Unintended consequences of overuse and gender selective abortions in this population were not common. Conclusions/Significance: The results of this study are being used to improve local practice and allow development of explanatory materials for this population with low literacy. We strongly encourage facilities introducing new technology in resource poor settings to assess acceptability through similar inquiry. © 2012 This is an open-access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3325974/bin/pone.0034018.s001.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC3325974/bin/pone.0034018.s002.doc
Authors & Co-Authors
Rijken, Marcus J.
Thailand, Mae Sod
Shoklo Malaria Research Unit
Gilder, Mary Ellen T.
Thailand, Mae Sod
Shoklo Malaria Research Unit
Thwin, May Myo
Thailand, Mae Sod
Shoklo Malaria Research Unit
Kajeechewa, Honey Moon Ladda
Thailand, Mae Sod
Shoklo Malaria Research Unit
Wiladphaingern, Jacher
Thailand, Mae Sod
Shoklo Malaria Research Unit
Lwin, K. M.
Thailand, Mae Sod
Shoklo Malaria Research Unit
Jones, Caroline O.H.
Kenya, Kilifi
Kenyan Medical Research Institute-wellcome Trust
United Kingdom, Oxford
University of Oxford
United Kingdom, Oxford
Nuffield Department of Medicine
Nosten, François Henry
Thailand, Mae Sod
Shoklo Malaria Research Unit
United Kingdom, Oxford
Nuffield Department of Medicine
Thailand, Nakhon Pathom
Mahidol University
McGready, R. M.
Thailand, Mae Sod
Shoklo Malaria Research Unit
United Kingdom, Oxford
Nuffield Department of Medicine
Thailand, Nakhon Pathom
Mahidol University
Statistics
Citations: 22
Authors: 9
Affiliations: 5
Identifiers
Doi:
10.1371/journal.pone.0034018
e-ISSN:
19326203
Research Areas
Health System And Policy
Maternal And Child Health
Mental Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Qualitative
Quantitative
Mixed-methods
Participants Gender
Female