title: Diversity and challenges in the management of maternity care for migrant women.
abstract: OBJECTIVE
  To illuminate midwives' and public health nurses' perceptions of managing and supporting prenatal and postnatal migrant women in Norway.
  
  
  BACKGROUND
  Migrant women are affected by social inequalities and likely to have had experiences during and after the migration process that could influence their physical, mental and social well-being.
  
  
  METHODS
  Multistage focus group interviews were conducted and data were analysed in accordance to conventional interpretative qualitative content analysis.
  
  
  RESULTS
  The overarching theme 'Managing and supporting educational, relational and cultural diversity in maternity care' was characterized by two themes 'Health challenges' and 'Cultural challenges'. Each theme contained several subthemes. The interviews revealed that Norwegian maternity care is not adjusted to migrant women's needs. The management is the same for everybody who avails of the service.
  
  
  CONCLUSIONS
  The Norwegian model for managing cultural diversity in maternity care needs to be developed. Capacity building and a closer cooperation between maternity care services is necessary. IMPLICATIONS FOR MIDWIVES AND NURSING MANAGEMENT: Maternity care requires reflection at several levels to reduce disparities in individual health. In order to ensure continuity and a trusting relationship, it is necessary to organize leadership and adopt flexible models that support migrant women's health.
authors.affiliation: Centre for Women's, Family and Child Health, Faculty of Health Sciences, Vestfold University College, Tønsberg, Norway. anne.lyberg@hive.no
authors.forename: Anne
authors.initials: A
authors.lastname: Lyberg
authors.forename: Berit
authors.initials: B
authors.lastname: Viken
authors.forename: Megumi
authors.initials: M
authors.lastname: Haruna
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Severinsson
mesh_terms: D001291:Attitude of Health Personnel; D018864:Cultural Diversity; D005260:Female; D017144:Focus Groups; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration*; D008880:Midwifery / Q000458:organization & administration*; D009664:Norway; D015401:Nursing Administration Research; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D011247:Pregnancy; D011637:Public Health Nursing / Q000458:organization & administration*; D036301:Qualitative Research; D014171:Transients and Migrants