Somali women's experiences of antenatal care: A qualitative interview study

Midwifery. 2020 Apr:83:102656. doi: 10.1016/j.midw.2020.102656. Epub 2020 Jan 30.

Abstract

Objective: To explore Somali women's experiences of antenatal care in Norway.

Design: A qualitative study based on individual semi-structured interviews conducted either face-to-face or over the phone.

Setting: Norway.

Participants: Eight Somali-born women living in Norway.

Key findings: Four themes were generated from the analysis. From their experiences of antenatal care in Norway, the Somali women described: 1) when care was provided in a way that gained their trust, they made better use of the available health services, 2) the importance of continuity of care and of sharing commonalities with the caregiver, 3) a need for accessible information, specifically tailored to the needs of Somali women and 4) how culturally insensitive caregivers had a negative impact on the quality of care.

Conclusion and implications for practice: The Somali women in this study were grateful for the care provided, although the quality of antenatal care did not always meet their needs. This study should serve as a reminder of the importance of establishing trust between the pregnant woman and the caregiver, strengthening interpretation services and assuring tailored information is available to Somali women at an early stage. The findings further suggest that antenatal care for Somali women may be improved by offering continuity of care and improving clinical and cultural skills in clinicians. Suggestions for practice, and future research, include initiating group antenatal care especially tailored to Somali women.

Keywords: Antenatal care; Experiences; Immigrant; Migrant; Qualitative interviews.

MeSH terms

  • Adult
  • Female
  • Humans
  • Interviews as Topic / methods
  • Norway
  • Pregnancy
  • Pregnant Women / ethnology
  • Pregnant Women / psychology*
  • Prenatal Care / psychology
  • Prenatal Care / standards*
  • Prenatal Care / statistics & numerical data
  • Qualitative Research
  • Somalia / ethnology
  • Trust / psychology