Greece (N = 23) | Netherlands (N = 7) | UK (N = 5) | Overall pre-post | |||||||
---|---|---|---|---|---|---|---|---|---|---|
Pre | Post) | p value | Pre | Post | p value | Pre | Post | p value | P value | |
Knowledge on: (Median [IQR]) a | ||||||||||
Medical aspects (max score 12) | 6.5 [5–8.25] | 9.0 [7–10] | 0.007** | 9 [6–11] | 10 [10–11] | 0.041* | 8 [4–10] | 11 [10–11.5] | 0.068 | 0.000*** |
Interpretation services (max score 5) | 1.5 [1–2] | 2 [1–2.5] | 0.454 | 1 [1–2] | 2 [1–2] | 0.157 | 2.5 [1.3–4.5] | 2.5 [2–3] | 0.854 | 0.404 |
National legislation (max score 3) | 2 [2–3] | 2 [2–3] | 0.480 | 2 [2–3] | 2 [2–3] | 0.564 | 2 [2–3] | 3 [2.5–3] | 0.157 | 0.405 |
Ethnic minority patients (max score 8) | 7 [6–7] | 7 [6–7] | 0.435 | 7 [6–8] | 7 [7–8] | 0.157 | 8 [7–8] | 7 [6–8] | 0.180 | 0.569 |
Attitude - (Yes %) b | ||||||||||
I respect her choice to become pregnant | 52.2% | 65.2% | 0.250 | 42.9% | 57.1% | 1.000 | 40.0% | 100% | 0.250 | 0.016* |
I understand why scheduled appointments are hard | 56.5% | 73.9% | 0.125 | 85.7% | 71.4% | 1.000 | 40.0% | 100% | 0.250 | 0.070 |
I feel irritated when she fails to attend twice c | 4.3% | 4.3% | 1.000 | 71.4% | 28.6% | 0.250 | 0% | 0% | – | 0.250 |
I cannot understand why she would bring a child into the world in her situation c | 0% | 0% | – | 14.3% | 14.3% | 1.000 | 0% | 0% | – | 1.000 |
I feel empathy for her | 4.3% | 8.7% | 1.000 | 42.9% | 57.1% | 1.000 | 60.0% | 100% | 0.500 | 0.219 |
I’m worried about her | 73.9% | 82.6% | 0.625 | 100% | 100% | – | 80.0% | 100% | 1.000 | 0.375 |
I’m worried about her child | 56.5% | 52.2% | 1.000 | 100% | 85.7% | 1.000 | 80.0% | 100% | 1.000 | 1.000 |
I feel desperate as I have no idea how to help c | 4.3% | 4.3% | 1.000 | 28.6% | 0% | 0.500 | 0% | 0% | – | 0.625 |
I’m glad I will be able to help her | 56.5% | 52.2% | 1.000 | 28.6% | 85.7% | 0.123 | 80.0% | 100% | 1.000 | 0.344 |
I’m considering informing child protection c | 39.1% | 47.8% | 0.625 | 0% | 0% | – | 20.0% | 20.0% | 1.000 | 0.625 |
I feel I need to consult more experienced colleagues | 69.6% | 43.5% | 0.031* | 42.9% | 42.9% | 1.000 | 60.0% | 60.0% | 1.000 | 0.109 |
Skills (Yes - %) b | ||||||||||
I will end my care as usual in my country c | 8.7% | 8.7% | 1.000 | 57.1% | 42.9% | 1.000 | 20.0% | 20.0% | 1.000 | 1.000 |
I will approach different organisations for support | 78.3% | 73.9% | 1.000 | 57.1% | 85.7% | 0.500 | 20.0% | 60.0% | 0.500 | 0.453 |
Discuss pros and cons of government accommodation | 43.5% | 47.8% | 1.000 | 57.1% | 71.4% | 1.000 | 60.0% | 60.0% | 1.000 | 0.754 |
Write to the government requesting stay in current shelter until postnatal visits complete | 26.1% | 21.7% | 1.000 | 0% | 14.3% | 1.000 | 20.0% | 20.0% | 1.000 | 1.000 |
Concerns over victim of sexual violence | 52.2% | 56.5% | 1.000 | 42.9% | 57.1% | 1.000 | 20.0% | 60.0% | 0.500 | 0.289 |
Inform General Practitioner (GP) and health visitor over medical and mental health risk concerns | 56.5% | 69.6% | 0.453 | 71.4% | 100% | 0.500 | 80.0% | 100% | 1.000 | 0.109 |
Concerns over Female Genital Mutilation (FGM) | 13% | 30.4% | 0.125 | 42.9% | 42.9% | 1.000 | 0% | 40% | 0.500 | 0.031* |
No partner so contraception not discussed c | 4.3% | 4.3% | 1.000 | 14.3% | 14.3% | 1.000 | 0% | 0% | – | 1.000 |
Inform of relevant social and other care | 82.6% | 87.0% | 1.000 | 57.1% | 100% | 0.250 | 60% | 100% | 0.500 | 0.070 |
SPCC (each sub-domain scored from 1 to 5) (Median [IQR]) a | ||||||||||
I feel capable of providing adequate care in relation to: Communication with a language barrier | 3 [2.75–3] | 4 [3–4] | 0.090 | 3 [3–4] | 4 [3–4] | 0.157 | 4 [4–4.5] | 4 [4–5] | 0.317 | 0.025* |
handling cultural differences | 4 [3–5] | 4 [3–5] | 0.180 | 3 [3–4] | 4 [3–4] | 0.046* | 4 [3–4] | 4 [4–4] | 0.157 | 0.007** |
discuss (sexual) violence | 3 [2.5–4] | 3 [3–4] | 0.351 | 3 [2–4] | 4 [3–4] | 0.046* | 4 [3–4] | 3 [3–4] | 0.564 | 0.788 |
ask about FGM | 3 [2–4] | 3 [2–4] | 0.412 | 4 [3–4] | 4 [3.5–4] | 0.414 | 4 [4–5] | 4 [4–4] | 0.157 | 0.446 |
manage consequences of FGM | 3 [2–4] | 3.5 [2–4] | 0.414 | 4 [3–4] | 4 [3–4] | 1.000 | 4 [3–4] | 4 [4–4] | 0.157 | 0.276 |
provide health promotion to migrants | 4 [3–5] | 4 [3.75–5] | 0.102 | 3 [2–4] | 3 [3–4] | 0.480 | 4 [3.5–4] | 4 [4–4.5] | 0.157 | 0.046* |
legal and procedural aspects around migration status | 2 [1–3] | 3 [2–3] | 0.013* | 1 [1–2] | 2 [1–3] | 0.096 | 2 [1.5–2.5] | 4 [3–4] | 0.038* | 0.000*** |
refer to social care | 4 [3–4] | 4 [4–5] | 0.019* | 3 [3–5] | 4 [4–4] | 0.317 | 4 [4–4.5] | 4 [4–5] | 0.317 | 0.007** |