title: Perceptions of pregnancy experiences when using a community-based antenatal service: A qualitative study of refugee and migrant women in Perth, Western Australia.
abstract: BACKGROUND
  Equality of care in pregnancy is important for all women, however can be difficult for healthcare providers to achieve. It has been found that culturally and linguistically diverse women born overseas generally have lower satisfaction with pregnancy care than women born in the host country.
  
  
  OBJECTIVE
  Using a phenomenological framework, and models of care as a conceptual framework, this study explored the perceptions of care experienced by refugees and migrant women of culturally and linguistically diverse backgrounds who had participated in a community-based antenatal programme specialising in maternity care of multicultural women.
  
  
  METHODS
  Informants were twelve women aged between 23 and 44 years of age; one woman was 33 weeks pregnant, other women had given birth in the six months prior to data collection. Semi-structured interviews were conducted, using interpreters for women who spoke little or no English. Data were analysed using thematic analysis.
  
  
  RESULTS
  Four main themes were identified; Social Support, Gaining of Knowledge, A Holistic Service, and New Opportunities.
  
  
  CONCLUSIONS
  Using a community-based antenatal service specialising in maternity care of women from culturally and linguistically diverse backgrounds enabled the needs of refugee and migrant women to be recognised and met, and therefore enhanced their perception of the pregnancy experience.
authors.affiliation: School of Psychology and Social Science, Edith Cowan University, Australia.
authors.forename: Collette
authors.initials: C
authors.lastname: Owens
authors.affiliation: School of Psychology and Social Science, Edith Cowan University, Australia. Electronic address: j.dandy@ecu.edu.au.
authors.forename: Justine
authors.initials: J
authors.lastname: Dandy
authors.affiliation: School of Psychology and Social Science, Edith Cowan University, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Hancock
mesh_terms: D000328:Adult; D018864:Cultural Diversity; D005260:Female; D019538:Health Care Surveys; D006282:Health Personnel; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007802:Language; D008427:Maternal Health Services / Q000706:statistics & numerical data*; D036801:Parturition; D017060:Patient Satisfaction; D010465:Perception; D011247:Pregnancy; D011295:Prenatal Care; D036301:Qualitative Research; D012036:Refugees / Q000523:psychology*; D012111:Residence Characteristics; D012944:Social Support; D014171:Transients and Migrants / Q000523:psychology*; D014904:Western Australia; D055815:Young Adult
keywords: Community-based antenatal care; Culturally and linguistically diverse (CaLD); Pregnancy; Refugee and migrant women