{"id":52401,"date":"2019-12-13T09:27:23","date_gmt":"2019-12-13T09:27:23","guid":{"rendered":"http:\/\/www.jomec.co.uk\/altcardiff\/?p=52401"},"modified":"2019-12-13T09:27:23","modified_gmt":"2019-12-13T09:27:23","slug":"inpoverty-the-barriers-to-a-healthy-pregnancy-facing-asylum-seekers","status":"publish","type":"post","link":"https:\/\/cardiffjournalism.co.uk\/altcardiff\/2019\/12\/13\/inpoverty-the-barriers-to-a-healthy-pregnancy-facing-asylum-seekers\/","title":{"rendered":"#InPoverty: The barriers faced by pregnant women seeking sanctuary"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">How is Cardiff supporting pregnant asylum seekers and refugees to ensure they are engaging with essential maternity care?<\/h3>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"800\" height=\"600\" loading=\"lazy\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov.jpg\" alt=\"\" class=\"wp-image-53129\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov-100x75.jpg 100w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><noscript><img decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov.jpg\" alt=\"\" class=\"wp-image-53129\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main3_pov-100x75.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/noscript><figcaption>Women who arrive in the UK at the later stages of pregnancy are most at risk of poor birth outcomes &#8211; photo by Sergiu Valenas on Unsplash<\/figcaption><\/figure>\n\n\n\n<p>Imagine you have fled your home country either by force or to escape persecution, violence, war or instability. Now imagine you are also a victim of rape, domestic abuse or female genital mutilation (FGM). You are facing cultural and financial barriers and, on top of all that, you are pregnant.<\/p>\n\n\n\n<p>This is a reality for so many women seeking sanctuary in Cardiff.<\/p>\n\n\n\n<p>These women are extremely vulnerable and many are also black and minority ethnicity (BME) so are more likely to experience complicated birth outcomes, according to a report by the <a rel=\"noreferrer noopener\" aria-label=\"Royal College (opens in a new tab)\" href=\"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tog.12224\" target=\"_blank\">Royal College<\/a> of Obstetricians and Gynaecologists.<\/p>\n\n\n\n<p>The report states, once they give birth, women may struggle as single parents in isolation and poverty. This is often a trigger for postnatal depression and further disengagement with healthcare services.&nbsp;<\/p>\n\n\n\n<p>So, as a dispersal city and a City of Sanctuary, how is Cardiff tackling pregnancy care engagement among women seeking sanctuary?<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"800\" height=\"600\" loading=\"lazy\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov.jpg\" alt=\"Oasis Cardiff welcomes Cardiff's asylum seekers and refugees\" class=\"wp-image-52829\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov-100x75.jpg 100w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><noscript><img decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov.jpg\" alt=\"Oasis Cardiff welcomes Cardiff's asylum seekers and refugees\" class=\"wp-image-52829\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main2_pov-100x75.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/noscript><figcaption>The Welsh Government aims to make Wales a Nation of Sanctuary in support of the integration of refugees and asylum seekers in Wales, regardless of their route to the UK<\/figcaption><\/figure>\n\n\n\n<p><strong>Quality of life<\/strong><br>A new<a href=\"https:\/\/gov.wales\/sites\/default\/files\/publications\/2019-03\/nation-of-sanctuary-refugee-and-asylum-seeker-plan_0.pdf\"> plan<\/a> aiming to tackle inequality and poverty among refugees and asylum seekers was published by the Welsh Government in January this year. It aims to improve the standard of accommodation and financial support they receive and provide more funding to the Welsh public services that support them.<\/p>\n\n\n\n<p>On the back of this plan, the government launched a website in October called&nbsp;<a rel=\"noreferrer noopener\" aria-label=\"Sanctuary (opens in a new tab)\" href=\"https:\/\/sanctuary.gov.wales\" target=\"_blank\">Sanctuary<\/a>. Its purpose is to provide accessible, relevant information so those seeking sanctuary can find advice around the support available to them.<\/p>\n\n\n\n<p>An asylum seeker in Wales receives \u00a337.75 a week plus an extra \u00a33 a week if they are pregnant. They are also eligible for a \u00a3300 lump sum from the Home Office but the application process is complicated and many miss out.<\/p>\n\n\n\n<p>Jacci Peach is the women\u2019s worker at Oasis Cardiff, a non-profit charity based in Splott that aims to help refugees and asylum seekers.<\/p>\n\n\n\n<p>She says women cannot apply for the \u00a3300 grant until they have been dispersed and the limit for that is six weeks.&nbsp;<\/p>\n\n\n\n<p>\u201cIf you give birth and you not dispersed until after six weeks then you\u2019re no longer entitled to it. Oasis helps women appeal this because it is unfair and not their fault,\u201d she continues.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-style-large is-layout-flow wp-block-quote-is-layout-flow\"><p>&#8220;It\u2019s really hard for them to access care because they don\u2019t speak the language.&#8221;<\/p><\/blockquote>\n\n\n\n<p><strong>Engagement with care<\/strong><br>One of the biggest deterrents when it comes to engagement with care is the language barrier, says Jacci.<\/p>\n\n\n\n<p>There are English classes available but creche provision for those who have other children is hard to find. Charities like Oasis work to provide this, she continues.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"800\" height=\"600\" loading=\"lazy\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov.jpg\" alt=\"A photo of two asylum seekers in a classroom in Cardiff learning English\" class=\"wp-image-52841\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov-100x75.jpg 100w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><noscript><img decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov.jpg\" alt=\"A photo of two asylum seekers in a classroom in Cardiff learning English\" class=\"wp-image-52841\" srcset=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov.jpg 800w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov-300x225.jpg 300w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov-768x576.jpg 768w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov-400x300.jpg 400w, https:\/\/cardiffjournalism.co.uk\/altcardiff\/wp-content\/uploads\/sites\/13\/2019\/12\/main1_pov-100x75.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/noscript><figcaption>Women at 34 weeks of pregnancy in Wales get access to prenatal classes but often asylum seekers and refugees do not because of the language barrier &#8211; photo from Oasis Cardiff<\/figcaption><\/figure>\n\n\n\n<p>Wendy Ansell is the specialist asylum seeker midwife based at Cardiff Health Access Practice as part of the Elan Team. She says women seeking sanctuary struggle to access care when they are initially dispersed to Cardiff.<\/p>\n\n\n\n<p>\u201cIt\u2019s really hard for them to access care because they don\u2019t speak the language. They don\u2019t understand the system and have underlying issues like post-traumatic stress,\u201d she explains.&nbsp;<\/p>\n\n\n\n<p>The Elan Team work alongside third sector organisations to provide these women, who have complex maternity care needs with the relevant support.<\/p>\n\n\n\n<p>\u201cThey come to me at all stages of pregnancy, some of them might be full-term and haven\u2019t had any prenatal care at all,\u201d she continues.<\/p>\n\n\n\n<p>As many as one in five of all women have mental health problems during pregnancy or after birth, according to a report by the Royal College of <a href=\"https:\/\/www.rcpsych.ac.uk\/mental-health\/treatments-and-wellbeing\/mental-health-in-pregnancy\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Psychiatrists (opens in a new tab)\">Psychiatrists<\/a>. For asylum seekers and refugees, feeling unsupported can only exacerbate these issues, potentially affecting birth outcomes.<\/p>\n\n\n\n<p>Many are dispersed around the country several times throughout their pregnancy, leaving them isolated and their care disjointed.<\/p>\n\n\n\n<p>The Home Office cannot move pregnant women between 34 weeks pregnant and six weeks after the baby is born because it can be unsafe. But, says Wendy, some of them do still get moved right up to 34 weeks.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-style-large is-layout-flow wp-block-quote-is-layout-flow\"><p>\u201cFor the first week I was just crying, it\u2019s very difficult in a new place, I had no one to help me.\u201d<\/p><\/blockquote>\n\n\n\n<p><strong>Coping with isolation<\/strong><br>The Birth Partner Project (<a rel=\"noreferrer noopener\" aria-label=\"TBPP (opens in a new tab)\" href=\"https:\/\/cardiffjournalism.co.uk\/altcardiff\/no-logo\/no-woman-need-birth-alone-say-birth-partner-project\" target=\"_blank\">TBPP<\/a>) helps asylum seekers and refugees across Cardiff, who do not have a local support network or the resources to pay for extra help during labour and after birth.<\/p>\n\n\n\n<p>One woman from Mongolia, who would like to remain anonymous, gave birth to her first child while living in London, but was moved to Cardiff during the later stages of her second pregnancy. She received support from TBPP.<\/p>\n\n\n\n<p>\u201cI found out my partner couldn\u2019t be at my birth in my later stages of pregnancy and I just panicked because I have a four-year-old and I have no friends, I have no family. I was thinking \u2018What if it happens in the middle of the night, who is going to look after my son?\u2019<\/p>\n\n\n\n<p>\u201cFor the first week I was just crying, it\u2019s very difficult in a new place, you don&#8217;t know anyone, I had no one to help me. It was a very shocking thing to happen,\u201d she says with some frustration.<\/p>\n\n\n\n<p>Despite the isolation and anxiety that came with the sudden move, she finds Cardiff to be much better than London because of the one to one support she received during her pregnancy.<\/p>\n\n\n\n<p>\u201cCardiff organisations have a closer relationship with patients and are much friendlier than my experience in London. There I had people coming in and out, I didn&#8217;t know who my midwife was but in Cardiff, it felt much closer,\u201d she explains.<\/p>\n\n\n\n<p>According to Jacky Knowles from TBPP, \u201cOverall, pregnant women seeking asylum in Cardiff appear to be in a better position than women in many places in England. In particular with the specialist midwives involved with their care.\u201d<\/p>\n\n\n\n<p>The Welsh Government\u2019s aim to become a Nation of Sanctuary is a work-in-progress and more can be done to improve the accessibility of support available. <\/p>\n\n\n\n<p>Until then, a difficult pregnancy remains a reality for many pregnant women seeking sanctuary in Cardiff.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>How is Cardiff supporting pregnant asylum seekers and refugees to ensure they are engaging with essential maternity care?<\/p>\n","protected":false},"author":263,"featured_media":52845,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[431],"tags":[7042,6747,131,5786,7043,6861,266,7044],"coauthors":[],"class_list":["post-52401","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-poverty","tag-asylumseekers","tag-care","tag-charity","tag-finance","tag-languagebarrier","tag-mentalhealth","tag-refugees","tag-welshgoverment"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.2 - 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