Lukasse Mirjam, Akhmedova Fatima, Oommen Hanna
Department of Nursing and Health Sciences, University of South-Eastern Norway, Borre, Norway.
Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Eur J Midwifery. 2025 Feb 12;9. doi: 10.18332/ejm/200613. eCollection 2025.
European countries have recently received many migrants from Ukraine. Women's life experiences and expectations shape their perception of maternity care and childbirth. Our study aimed to explore how newly arrived Ukrainian refugee women experience their maternity care in Norway.
Social media were used to recruit eight women meeting the criteria of being newly arrived Ukrainian refugee women. Semi-structured interviews, three face-to-face and five video-calls, were performed between December 2023 and January 2024. We used Braun and Clarke for thematic analysis.
Three main themes were identified: healthcare in country of origin, high-quality care in the new country, and challenges as a refugee. Women reported that in their home country, the cost of maternity care had a significant impact on the quality of care they received with a tendency toward overmedicalization, as access to certain services often depended on payment. Participants described instances of feeling disrespected by healthcare staff in their home country, in contrast to their experiences in Norway. Women reported that in Norway they experienced a high level of professionalism among healthcare staff and a well-functioning healthcare system with good physical conditions. Challenges that the women struggled with were communication and barriers to accessing services.
Being treated professionally and with respect played a central role in creating a positive experience and mitigated the negative experiences of problems with communication and navigation in an unfamiliar healthcare system. Future research could investigate the use of written information to aid migrants in understanding the maternity services and some of the vocabulary.
欧洲国家最近接收了许多来自乌克兰的移民。女性的生活经历和期望塑造了她们对孕产妇护理和分娩的认知。我们的研究旨在探讨刚抵达挪威的乌克兰难民妇女如何体验她们在挪威的孕产妇护理。
利用社交媒体招募了八名符合刚抵达的乌克兰难民妇女标准的女性。在2023年12月至2024年1月期间进行了半结构化访谈，其中三次面对面访谈和五次视频通话。我们采用布劳恩和克拉克的方法进行主题分析。
确定了三个主要主题：原籍国的医疗保健、新国家的高质量护理以及作为难民面临的挑战。妇女们报告说，在她们的祖国，孕产妇护理费用对她们获得的护理质量有重大影响，存在过度医疗化的倾向，因为获得某些服务往往取决于支付能力。与她们在挪威的经历形成对比的是，参与者描述了在祖国时感到受到医护人员不尊重的情况。妇女们报告说，在挪威，她们体验到医护人员具有高度的专业精神，医疗系统运作良好，身体条件也很好。这些妇女面临的挑战是沟通问题和获得服务的障碍。
受到专业和尊重的对待在创造积极体验方面发挥了核心作用，并减轻了在陌生医疗系统中沟通和导航问题带来的负面体验。未来的研究可以调查使用书面信息来帮助移民了解孕产妇服务和一些词汇的情况。
