The analysis of violence motivated by gender, racism, and xenophobia reinforces the importance of integrating discussions on social inequalities and vulnerability into medical training. This approach promotes cultural competence, humanized care, and greater preparedness to manage violence-related situations in clinical practice.
Fernanda KIMURA, Matheus GÓRIOS, Caio SILVA, Osmar PERSON, Carlos GÓRIOS, Marcela PANDOLFI, Luciane PEREIRA, Cleo CHINAIA, Samatha VALENCIO and Cintia RODRIGUES
Throughout history, numerous conflicts and wars have resulted in the forced migration of populations. Refugees require special attention regarding their health, as their condition is often characterized by physical and emotional hardships stemming from traumatic experiences, family separation, challenges during displacement, language barriers, and the need for cultural sensitivity, among other factors. For medical education to effectively address the care of women and the challenges they face in refugee situations, it is essential to understand the social contexts in which they are embedded. These women may be living in a new country without a partner, facing economic hardship, and belonging to an ethnic minority. Such conditions often overlap with the demands of motherhood, resulting in a situation of multiple vulnerabilities.To describe the maternal characteristics of refugee women who gave birth in the city of São Paulo, Brazil, based on data from the Birth Information System (2011–2024).This was a descriptive cross-sectional study based on data from the Live Birth Information System (SINASC) of the city of São Paulo, Brazil, covering the period from January 2011 to December 2024.Preliminary findings indicated that births to immigrant women in the city of São Paulo accounted for 3.1% of all registered births. Regarding race/skin color, 46.6% were Black or Brown women, primarily from African countries, followed by those from Latin American nations. Among the women who gave birth, 8.0% were adolescents (≤19 years), and 4.4% had high-risk pregnancies (≥40 years). Additionally, 26.5% had an insufficient number of prenatal visits (≤7 consultations), 36.8% delivered by cesarean section, and 34.3% reported having no partner.It is essential to promote continuing education in health for professionals, including physicians, that addresses refugee health and prepares them to work within a model of cultural competence. Such training should foster a set of attitudes and communication skills that enable professionals to interact effectively within the cultural contexts of their patients.This study highlights opportunities for improving prenatal care so that, in addition to obstetric evaluation, women receive guidance on gestational changes, self-care, newborn care, and their rights throughout the childbirth process.
