Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Immigrant women´s perspectives on contraceptive counselling provided by midwives in Sweden

Kolak, Mia LU orcid ; Löfgren, Charlotta LU ; Hansson, Stefan R LU orcid ; Rubertsson, Christine LU and Agardh, Anette LU orcid (2022) In Sexual and Reproductive Health Matters 30(1).
Abstract
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... (More)
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. (Less)
Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Sexual and Reproductive Health Matters
volume
30
issue
1
publisher
Taylor & Francis
external identifiers
  • scopus:85138460153
  • pmid:36129725
ISSN
2641-0397
DOI
10.1080/26410397.2022.2111796
language
English
LU publication?
yes
id
b63ce8b7-f3eb-4d58-b29f-c9f979a1f3ee
date added to LUP
2022-11-07 15:26:16
date last changed
2024-02-15 13:43:37
@article{b63ce8b7-f3eb-4d58-b29f-c9f979a1f3ee,
  abstract     = {{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.}},
  author       = {{Kolak, Mia and Löfgren, Charlotta and Hansson, Stefan R and Rubertsson, Christine and Agardh, Anette}},
  issn         = {{2641-0397}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Taylor & Francis}},
  series       = {{Sexual and Reproductive Health Matters}},
  title        = {{Immigrant women´s perspectives on contraceptive counselling provided by midwives in Sweden}},
  url          = {{http://dx.doi.org/10.1080/26410397.2022.2111796}},
  doi          = {{10.1080/26410397.2022.2111796}},
  volume       = {{30}},
  year         = {{2022}},
}