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Immigrant women's perspectives on contraceptive counselling provided by midwives in Sweden - a qualitative study
Department of Clinical Sciences, Division of Social Medicine and Global Health, Lund University, Malmö, Sweden; Department of Obstetrics and Gynecology, Skane University Hospital, Malmö and Lund, Sweden..
Malmö University, Faculty of Health and Society (HS), Department of Social Work (SA).ORCID iD: 0000-0002-0297-0591
Department of Obstetrics and Gynecology, Skane University Hospital, Malmö and Lund, Sweden; Department of Clinical Sciences Lund, Lund University, Malmö, Sweden.
Department of Obstetrics and Gynecology, Skane University Hospital, Malmö and Lund, Sweden; Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
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2022 (English)In: Sexual and reproductive health matters, ISSN 2641-0397, Vol. 30, no 1, article id 2111796Article in journal (Refereed) Published
Abstract [en]

Immigrant women in Sweden often have unmet sexual and reproductive health (SRH) needs. Successful contraceptive counselling may improve their sexual and reproductive health and rights. The unique Swedish model, with midwives as the main providers of contraceptive counselling, is important for immigrant women's health at both individual and societal levels. This study explored immigrant women's perspectives on receiving contraceptive counselling from midwives in Sweden, in order to obtain deeper knowledge about the factors they perceive as important in the counselling situation. Nineteen in-depth individual interviews were conducted from December 2018 to February 2019, followed by qualitative manifest and latent content analysis. Trust emerged as the overall important factor in the contraceptive counselling meeting. Knowledge was lacking about the midwife's professional role as a contraceptive counsellor. Contraceptive counselling was seen as a private matter not easily shared with unfamiliar midwives or interpreters. Previous experiences of contraceptives and preconceptions were important considerations for contraceptive choice, but communicating these needs required trust. Women also wanted more knowledge about contraceptives and SRH care and rights. Cultural and social norms concerning when and why to use contraceptives needed to be acknowledged in the midwife encounter. Although immigrant women want more knowledge about contraception, a trustful relationship with the midwife is needed to be able to make informed contraceptive choices. Midwives may need increased awareness of the many factors influencing immigrant women's choices to ensure their contraceptive autonomy. Policy changes that promote new ways of counselling and ability to provide continuous care are needed.

Place, publisher, year, edition, pages
Taylor & Francis, 2022. Vol. 30, no 1, article id 2111796
Keywords [en]
contraceptive counselling, health literacy, immigrant women, midwives, outreach interactions, trust
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:mau:diva-55177DOI: 10.1080/26410397.2022.2111796ISI: 000855969500001PubMedID: 36129725Scopus ID: 2-s2.0-85138460153OAI: oai:DiVA.org:mau-55177DiVA, id: diva2:1704086
Available from: 2022-10-17 Created: 2022-10-17 Last updated: 2024-02-05Bibliographically approved

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Löfgren-Mårtenson, Charlotta

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