Perinatal care experiences of Muslim women in Northwestern Ontario, Canada: A qualitative study

Women Birth. 2021 Mar;34(2):e162-e169. doi: 10.1016/j.wombi.2020.02.021. Epub 2020 Mar 4.

Abstract

Problem and background: Although the number of Muslim women in Canada and northwestern Ontario (NWO) is increasing, few studies have focused on their experiences of perinatal health care. Extant research has highlighted discrimination and care that lacks respect for cultural and religious norms. These factors may limit access to health services and increase unfavorable maternal and child health outcomes.

Aim: To explore the perinatal health care experiences of Muslim women in NWO.

Methods: A qualitative, descriptive study used purposive and snowball sampling to recruit a sample of 19 Muslim mothers. Ssemistructured interviews were conducted, audio recorded, transcribed verbatim, and analyzed thematically.

Findings: The mothers' experiences were categorized into four themes: women's choices and preferences of health care providers (HCPs); attitudes toward prenatal classes and education; husbands' involvement and support in the birthing process; and challenges to optimal care.

Discussion and conclusion: The findings show that NWO Muslim women's experiences were generally positive and their care choices and preferences were shaped by their religious beliefs and cultural practices. Factors that enhanced their experiences were HCPs' awareness of and respect for the women's religious and cultural beliefs and practices. However, the women lacked personal knowledge of a range of care options and services. Respecting Muslim women's religious and cultural beliefs and practices will enhance their experience of care. Equity in access to quality services, care, and outcomes can be further enhanced if Muslim women are informed about the range of care options and services as early in their pregnancies as possible.

Keywords: Canada; Cultural practices; Experiences; Immigrant; Muslim women; Northwestern Ontario; Perinatal Care; Qualitative study; Religious beliefs; Rural.

MeSH terms

  • Adult
  • Child
  • Cultural Characteristics
  • Emigrants and Immigrants / psychology*
  • Female
  • Health Services Accessibility
  • Humans
  • Infant, Newborn
  • Interviews as Topic
  • Islam / psychology*
  • Ontario
  • Perinatal Care / statistics & numerical data*
  • Pregnancy
  • Prejudice*
  • Qualitative Research
  • Quality of Health Care*
  • Religion
  • Rural Population
  • Social Support
  • Spouses