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• W2001195621 abstract "A comparative study of Asian and non-Asian women's reproductive health was performed. The hospital case notes of 48 Asian and 51 non-Asian women, matched for age, were examined. Asian women had shorter stature, bigger families, booked later for antenatal care, and were less likely to have a cervical smear taken. Of the above, 30 Asian and 24 non-Asian women were interviewed in their homes. Many Asian women had difficulties with the English language and a low literacy rate which gave rise to communication barriers during health care. Their knowledge of procedures and tests such as amniocentesis, self examination of the breast etc. was comparatively low. Fewer Asians attended parent-craft classes or did post-natal exercises. Many disliked, and some refused, vaginal examination by male doctors. Despite equal access, Asian women were less well informed and made lesser use of services. Lack of knowledge and difficulties of communication, rather than negative attitudes, may explain Asian women's lesser use of services and to some extent the poor outcome of pregnancy observed in many studies.The personal characteristics, obstetric history, and pregnancy outcomes of 48 Asian women attended a prenatal clinic in Glasgow, Scotland, in 1986-87 were compared to those of 51 age-matched, non-Asian women who attended the same clinic. The case notes indicated that Asian women were more likely to be married, were married younger, had larger families, were shorter, gained less weight during pregnancy, booked later for prenatal care, were less likely to schedule a cervical smear while under obstetric care, and more likely to have a spontaneous vaginal delivery than their non-Asian counterparts. There were no significant differences between groups in terms of blood pressure, hemoglobin levels, birthweight, and rates of fetal death or congenital malformations. Also as part of this study, home interviews were conducted with 30 Asian and 24 non-Asian women matched by neighborhoods. Despite equal access, the Asian women were less informed about reproductive health issues such as the advantages of breastfeeding and the need for breast self-examination and made lesser use of services such as parenting classes or postnatal exercise groups. The Asian women all spoke Punjabi. Most claimed that difficulties with English comprised a barrier to communication with health care personnel. Thus, many of the problems identified in this study among Asian obstetric patients may reflect a lack of knowledge or difficulties in communication and should not be viewed as indicative of a negative attitude toward the health care system." @default.
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• W2001195621 date "1989-07-01" @default.
• W2001195621 modified "2023-09-27" @default.
• W2001195621 title "Reproductive health of Asian women: a comparative study with hospital and community perspectives" @default.
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• W2001195621 doi "https://doi.org/10.1016/s0033-3506(89)80045-9" @default.
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