title: [Needs and expectations of Tamil women attending an antenatal care department at a Swiss university hospital].
abstract: It has been noted that immigrant women often initiate prenatal care late in their pregnancy and thus may be inadequately prepared for their birth experience. This leads to poorer maternal outcomes and higher morbidity statistics compared to Swiss women. Tamil women of Sri Lanka represent the largest group of immigrant women being seen at the antenatal care clinic of a Swiss University Hospital. To get a deeper understanding of their needs and expectations relative to their antenatal care, a qualitative study was undertaken. Problem centred interviews were conducted with seven Tamil women before and after delivery. An interpreter was consulting. Data were analyzed using content analysis methods as described by Mayring. Four main themes emerged, demonstrating the need of the women and their resulting expectation: 1) to receive esteem--to show respect and attention; 2) to consult with somebody--to ensure communication; 3) to alleviate worries and fear--to give a sense of security and be in charge; and 4) to make up for lack of experience and knowledge--to pass on experience and knowledge. The quality of the relationships to caregivers is viewed as pivotal and seems to influence Tamil women's satisfaction and their motivation to receive prenatal care.
authors.affiliation: Universitäts-Frauenklinik Inselspital Bern, Effingerstrasse 102, CH-3010 Bern. simone_buechi@hotmail.com
authors.forename: Simone
authors.initials: S
authors.lastname: Büchi
authors.forename: Eva
authors.initials: E
authors.lastname: Cignacco
authors.forename: Damaris
authors.initials: D
authors.lastname: Lüthi
authors.forename: Rebecca
authors.initials: R
authors.lastname: Spirig
mesh_terms: D004644:Emotions; D005260:Female; D006301:Health Services Needs and Demand; D006785:Hospitals, University; D006801:Humans; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards*; D013188:Sri Lanka / Q000208:ethnology; D013557:Switzerland