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Factors influencing Quebec midwives' perceptions of migrants without health insurance coverage and of the perinatal care offered
 
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Université du Québec à Trois-Rivières, Sage-femme, Trois-Rivières, Canada
 
 
Eur J Midwifery 2026;10(Supplement 1):A149
 
ABSTRACT
BACKGROUND:
In Quebec (Canada) a growing number of migrant women with precarious status have difficulty accessing perinatal care, which has disastrous consequences for their health and that of their babies. Despite policymakers' discourse on universal health coverage, many precarious migrants pay high healthcare costs. Midwives, working in the public system, face many challenges when serving these populations. This research was conducted as part of a Master's thesis and underwent an ethical review process of Concordia University and has obtained the certificate number 30021829. The researcher has no conflicts of interest.

OBJECTIVES:
This research aims to study factors that may influence Quebec midwives' perceptions of pregnant migrants without health coverage, as well as their perceptions of the current perinatal care process.

METHODS:
We conducted a qualitative study using semi-structured interviews with fifteen Quebec midwives. We performed a thematic analysis using the street-level bureaucracy theory to reveal the factors influencing midwives' perceptions of perinatal care for pregnant, vulnerable migrants.

RESULTS:
Preliminary results indicate that Quebec midwives' perceptions of migrants are influenced by the social context, organizational structure of their work teams, personal values and beliefs, and clients' attributes, as discussed in street-level bureaucracy literature. Midwives are critical of the government's health care coverage policy for pregnant migrants and believe that preventive care is essential to reducing spending. Their knowledge of migratory status and differences in healthcare coverage could be improved.

CONCLUSIONS:
Policymakers should be aware of the catastrophic consequences of uninsured care on perinatal morbidity and mortality and should ensure access to perinatal care, regardless of migratory status. Midwives view themselves as qualified to care for vulnerable pregnant migrants and should be involved in creating policies on perinatal care for this population.

KEY MESSAGE:
Quebec midwives' perceptions of vulnerable pregnant migrants and cares they receive are differentially influenced by social context, organizational structure, personal values and beliefs, and clients' attributes. Education - curriculum 1
eISSN:2585-2906
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