title: Antenatal care perceptions of pregnant African women attending maternity services in Melbourne, Australia.
abstract: OBJECTIVE
  to explore the experiences and concerns of an African-born sample of pregnant women receiving antenatal care in Melbourne, Australia.
  
  
  METHODS
  qualitative in-depth interviews.
  
  
  METHODS
  the African Women's Clinic located in Melbourne's western suburbs, an area known for social deprivation and high numbers of recently arrived African migrants.
  
  
  METHODS
  18 pregnant African-born women were interviewed.
  
  
  RESULTS
  African women receiving pregnancy care in Australia undergo a process of adjustment as they travel from a view of pregnancy as not 'special' to valuing continuous antenatal care. Five themes were identified along the trajectory: pregnancy is not special; resettlement is a priority; childbearing is a normal process; coming to value continuous pregnancy care; and cultural sensitivity is important. Throughout each stage, valuing and acceptance of Australian pregnancy care were mediated by the women's cultural beliefs.
  
  
  CONCLUSIONS
  the African population in Melbourne is not homogenous, and women's experiences differ with cultural background, residential status, educational level and prior experience. All, however, seem to progress through phases of adjustment to value continuous antenatal care. In this climate of change, the provision of a supportive sensitive service appears to promote acceptance of services and attendance at appointments.
authors.affiliation: School of Nursing and Midwifery, St. Alban's Campus, Victoria University, PO Box 14428, Melbourne 8001, Australia. mary.carolan@vu.edu.au
authors.forename: Mary
authors.initials: M
authors.lastname: Carolan
authors.forename: Loris
authors.initials: L
authors.lastname: Cassar
mesh_terms: D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D000739:Anecdotes as Topic; D044383:Black People / Q000523:psychology*; D003466:Cultural Characteristics; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D009035:Mothers / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D017060:Patient Satisfaction / Q000208:ethnology*; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods*; D014739:Victoria; D016387:Women's Health / Q000208:ethnology; D055815:Young Adult