Abstract：
BACKGROUND: After the outbreak of the full-scale war in Ukraine, about 2 million people sought protection in Poland. Providing high-quality care for migrants and refugees, especially in times of significant arrivals, can be particularly challenging.
OBJECTIVE: To learn about the experiences and strategies of midwives providing maternity care to Ukrainian migrant women in Poland after the outbreak of the full-scale war in Ukraine.
METHODS: Five focus group interviews with 32 midwives providing maternity care in Poland were conducted. The interviews were thematically analysed.
RESULTS: We identified the barriers experienced by midwives in providing high quality care to migrants to be mainly on the individual and interpersonal levels and levels of management and organization. First, at the individual and interpersonal level, we have identified: fear for life and well-being related to the threat of war in a neighbouring country, depleting resources and post-pandemic fatigue, language barriers, lack of knowledge on caring for women fleeing war. Second, at the management and organizational level we have identified: lack of organizational support, and interpreting services. In the first months after the outbreak of the full-scale war in Ukraine, most strategies to improve the provision of maternity care for women fleeing the war took the form of grassroots initiatives by the staff of individual care units.
CONCLUSIONS: The Polish health care services need systemic solutions prepared jointly by state and local authorities and taking into account the voices of midwives to support the provision of high-quality care to migrant population.
OBJECTIVE: To learn about the experiences and strategies of midwives providing maternity care to Ukrainian migrant women in Poland after the outbreak of the full-scale war in Ukraine.
METHODS: Five focus group interviews with 32 midwives providing maternity care in Poland were conducted. The interviews were thematically analysed.
RESULTS: We identified the barriers experienced by midwives in providing high quality care to migrants to be mainly on the individual and interpersonal levels and levels of management and organization. First, at the individual and interpersonal level, we have identified: fear for life and well-being related to the threat of war in a neighbouring country, depleting resources and post-pandemic fatigue, language barriers, lack of knowledge on caring for women fleeing war. Second, at the management and organizational level we have identified: lack of organizational support, and interpreting services. In the first months after the outbreak of the full-scale war in Ukraine, most strategies to improve the provision of maternity care for women fleeing the war took the form of grassroots initiatives by the staff of individual care units.
CONCLUSIONS: The Polish health care services need systemic solutions prepared jointly by state and local authorities and taking into account the voices of midwives to support the provision of high-quality care to migrant population.
摘要：
背景：乌克兰全面战争爆发后，约有200万人在波兰寻求保护。为移民和难民提供高质量的护理，尤其是在大量到来的时候，可能特别具有挑战性。
目的：了解乌克兰全面战争爆发后，助产士在波兰为乌克兰移民妇女提供生育护理的经验和策略。
方法：对波兰32名提供产妇护理的助产士进行了五次焦点小组访谈。对访谈进行了主题分析。
结果：我们发现助产士在为移民提供高质量护理方面遇到的障碍主要是个人和人际层面以及管理和组织层面。首先,在个人和人际层面，我们已经确定:对邻国战争威胁的生命和福祉的恐惧，耗尽资源和大流行后疲劳，语言障碍,缺乏照顾逃离战争的妇女的知识。第二,在管理和组织层面，我们已经确定：缺乏组织支持，和口译服务。在乌克兰全面战争爆发后的最初几个月，改善为逃离战争的妇女提供产妇护理的大多数战略都采取了个别护理单位工作人员基层倡议的形式。
结论：波兰的医疗保健服务需要由州和地方当局共同制定的系统解决方案，并考虑到助产士的声音，以支持向移民人口提供高质量的护理。
目的：了解乌克兰全面战争爆发后，助产士在波兰为乌克兰移民妇女提供生育护理的经验和策略。
方法：对波兰32名提供产妇护理的助产士进行了五次焦点小组访谈。对访谈进行了主题分析。
结果：我们发现助产士在为移民提供高质量护理方面遇到的障碍主要是个人和人际层面以及管理和组织层面。首先,在个人和人际层面，我们已经确定:对邻国战争威胁的生命和福祉的恐惧，耗尽资源和大流行后疲劳，语言障碍,缺乏照顾逃离战争的妇女的知识。第二,在管理和组织层面，我们已经确定：缺乏组织支持，和口译服务。在乌克兰全面战争爆发后的最初几个月，改善为逃离战争的妇女提供产妇护理的大多数战略都采取了个别护理单位工作人员基层倡议的形式。
结论：波兰的医疗保健服务需要由州和地方当局共同制定的系统解决方案，并考虑到助产士的声音，以支持向移民人口提供高质量的护理。
