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Immigrant women's experiences of childbirth in Swedish maternity care: a systematic review of the qualitative and quantitative literature

By
Sahra Saidarab ,
Sahra Saidarab

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden

Sahlgrenska University Hospital, Maternity Care, , Gothenburg , Sweden

Melissa Krupic ,
Melissa Krupic

Sahlgrenska University Hospital, Maternity Care , Gothenburg , Sweden

Sahlgrenska University Hospital Östra , Gothenburg , Sweden

Lutvo Sporisevic ,
Lutvo Sporisevic

Public Institution Health Centre of Sarajevo Canton , Sarajevo , Bosnia and Herzegovina

Ferid Krupic
Ferid Krupic
Contact Ferid Krupic

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden

Sahlgrenska University Hospital Östra , Gothenburg , Sweden

Department of Anaesthesiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden

Abstract

Aim To investigate immigrant women's experiences of childbirth in Swedish maternity care.
Methods A systematic search was conducted in PubMed, Embase, CINAHL, and Web of Science for qualitative and quantitative literature on immigrant women's experiences with Swedish maternity care. An inductive thematic analysis generated themes and subthemes.
Results Sixteen studies were included in this research. The three main themes were access to healthcare, professional treatment, and feeling significant in care. Key findings revealed that immigrant women struggled with trauma, difficult interactions with midwives, communication issues, interpreter problems, lack of detailed information, the role of doulas, and future concerns.
Conclusion Immigrant women's experiences of Swedish maternity care were marked by information gaps, ignorance, and disrespect, leading to mistrust and delayed help-seeking. Language barriers with midwives caused misunderstandings. A sense of belonging to Swedish society was crucial for a positive experience. More qualitative research, education in transcultural care, and training in interpreter use are needed to improve maternity care for foreign women.

Author Contributions

Conceptualization, S.S., M.K., L.S. and F.K.; Supervision, S.S., M.K. and F.K.; Validation, S.S., M.K., L.S. and F.K.; Formal Analysis, M.K., L.S. and F.K.; Software, M.K., L.S. and F.K.; Visualization, M.K., L.S. and F.K.; Data curation, L.S. and F.K.; Methodology, L.S.; Investigation, F.K. All authors have read and agreed to the published version of the manuscript.

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Conflict of Interest

No

Funding Statement

No

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

 

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