uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Antenatal care for Somali-born women in Sweden: Perspectives from mothers, fathers and midwives
Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A,8th Floor, SE-17177 Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Center for Clinical Research Dalarna. Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A,8th Floor, SE-17177 Stockholm, Sweden;Western Norway Univ Appl Sci, Fac Hlth & Social Sci, Haugesund, Norway.
Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A,8th Floor, SE-17177 Stockholm, Sweden.ORCID iD: 0000-0001-8453-2079
Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A,8th Floor, SE-17177 Stockholm, Sweden;La Trobe Univ, Judith Lumley Ctr, Melbourne, Vic, Australia.
Show others and affiliations
2019 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 74, p. 107-115Article in journal (Refereed) Published
Abstract [en]

Objective:

To explore Somali-born parents' experiences of antenatal care in Sweden, antenatal care midwives' experiences of caring for Somali-born parents, and their respective ideas about group antenatal care for Somali-born parents.

Design:

Eight focus group discussions with 2-8 participants in each were conducted, three with Somaliborn mothers, two with fathers and three with antenatal care midwives. The transcribed text was analysed using Attride-Stirling's tool "Thematic networks".

Setting:

Two towns in mid-Sweden and a suburb of the capital city of Sweden. Participants: Mothers (n = 16), fathers (n = 13) and midwives (n = 7) were recruited using purposeful sampling.

Findings:

Somali-born mothers and fathers in Sweden were content with many aspects of antenatal care, but they also faced barriers. Challenges in the midwife-parent encounter related to tailoring of care to individual needs, dealing with stereotypes, addressing varied levels of health literacy, overcoming communication barriers and enabling partner involvement. Health system challenges related to accessibility of care, limited resources, and the need for clear, but flexible routines and supportive structures for parent education. Midwives confirmed these challenges and tried to address them but sometimes lacked the support, resources and tools to do so. Mothers, fathers and midwives thought that language-supported group antenatal care might help to improve communication, provide mutual support and enable better dialogue, but they were concerned that group care should still allow privacy when needed and not stereotype families according to their country of birth.

Key conclusions:

ANC interventions targeting inequalities between migrants and non-migrants may benefit from embracing a person-centred approach, as a means to counteract stereotypes, misunderstandings and prejudice. Group antenatal care has the potential to provide a platform for person-centred care and has other potential benefits in providing high-quality antenatal care for sub-groups that tend to receive less or poor quality care. Further research on how to address stereotypes and implicit bias in maternity care in the Swedish context is needed. (c) 2019 The Authors. Published by Elsevier Ltd.

Place, publisher, year, edition, pages
2019. Vol. 74, p. 107-115
Keywords [en]
Antenatal care, Group antenatal care, Migrant, Mother, Father, Midwife, Focus group discussions
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-384054DOI: 10.1016/j.midw.2019.03.022ISI: 000465986700014PubMedID: 30953966OAI: oai:DiVA.org:uu-384054DiVA, id: diva2:1328272
Funder
Swedish Research Council, 2015-02470Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-00957Available from: 2019-06-20 Created: 2019-06-20 Last updated: 2019-06-20Bibliographically approved

Open Access in DiVA

fulltext(721 kB)41 downloads
File information
File name FULLTEXT01.pdfFile size 721 kBChecksum SHA-512
621c33b6d4dbee85fd92cc4299775d0925aea9030cde2c0cc59284a4b9da0c99ba96b6f4fbce7d6a47b993be27a89ac8f2cbf876f042caee0f94ee7e06c96fd2
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records BETA

Shytt, EricaEssén, Birgitta

Search in DiVA

By author/editor
Shytt, EricaAndersson, EwaEssén, Birgitta
By organisation
Center for Clinical Research DalarnaInternational Maternal and Reproductive Health and Migration
In the same journal
Midwifery
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 41 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 186 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf