title: Postpartum health, service needs, and access to care experiences of immigrant and Canadian-born women.
abstract: OBJECTIVE
  To describe immigrant women's postpartum health, service needs, access to services, and service use during the first 4 weeks following hospital discharge compared to women born in Canada.
  
  
  METHODS
  Data were collected as part of a larger cross-sectional study.
  
  
  METHODS
  Women were recruited from 5 hospitals purposefully selected to provide a diverse sample.
  
  
  METHODS
  A sample of 1,250 women following vaginal delivery of a healthy infant; approximately 31% were born outside of Canada.
  
  
  METHODS
  Self-reported health status, postpartum depression, postpartum needs, access to services, service use.
  
  
  RESULTS
  Immigrant women were significantly more likely than Canadian-born women to have low family incomes, low social support, poorer health, possible postpartum depression, learning needs that were unmet in hospital, and a need for financial assistance. However, they were less likely to be able to get financial aid, household help, and reassurance/support. There were no differences between groups in ability to get care for health concerns.
  
  
  CONCLUSIONS
  Health care professionals should attend not only to the basic postpartum health needs of immigrant women but also to their income and support needs by ensuring effective interventions and referral mechanisms.
authors.affiliation: School of Nursing, McMaster University, Hamilton, Ontario, Canada. sword@fhs.csu.mcmaster.ca
authors.forename: Wendy
authors.initials: W
authors.lastname: Sword
authors.forename: Susan
authors.initials: S
authors.lastname: Watt
authors.forename: Paul
authors.initials: P
authors.lastname: Krueger
mesh_terms: D000328:Adult; D001294:Attitude to Health / Q000208:ethnology*; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D019052:Depression, Postpartum / Q000175:diagnosis / Q000208:ethnology; D004641:Emigration and Immigration; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration*; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006305:Health Status Indicators; D006801:Humans; D017533:Marital Status; D009035:Mothers / Q000193:education / Q000523:psychology* / Q000706:statistics & numerical data; D015404:Nursing Methodology Research; D009864:Ontario; D010351:Patient Discharge; D010353:Patient Education as Topic / Q000458:organization & administration; D011181:Postnatal Care / Q000458:organization & administration / Q000523:psychology; D049590:Postpartum Period / Q000208:ethnology; D012111:Residence Characteristics; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires