A Mixed‐Methods Study of Immigrant Somali Women's Health Literacy and Perinatal Experiences in Maine

Jacoby, Susan; Lucarelli, Monique; Musse, Fowsia; Krishnamurthy, Ashok; Salyers, Vincent

doi:10.1111/jmwh.12332

Cited by 35 publications

(37 citation statements)

References 33 publications

(109 reference statements)

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“…Most authors used phenomenology or thematic analysis to analyze in‐depth interviews. Four studies incorporated focus groups and participant observation . Not all studies specified the type of FGC that women experienced, but the majority of women's accounts discussed infibulations.…”

Section: Resultsmentioning

confidence: 99%

“…The 14 studies included in this meta-synthesis were conducted in Sweden, [18][19][20][21] Norway, 22,23 the United Kingdom, [24][25][26] France, 27 the United States, [28][29][30] and Australia. 31 Altogether, 258 immigrant women from countries that practice FGC were included in the 14 studies, with samples ranging from 4 to 50.…”

Section: Resultsmentioning

confidence: 99%

“…Four studies incorporated focus groups and participant observation. 18,24,30,32 Not all studies specified the type of FGC that women experienced, but the majority of women's accounts discussed infibulations. The sample of studies is summarized in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…A consistent theme across studies was anxiety about the possibility of cesarean birth and suspicion that these procedures were performed unnecessarily. 19,23,[28][29][30][31] Additionally, participants felt that health care providers did not know how to manage infibulation before a birth and did not listen to women's input. 18,19,21,23,24,27,31 For most women, there was no clear deinfibulation plan before or Overall birth experience was positive, most felt that nurses discriminated based on race and were less sensitive to their needs, fear of cesarean births, concern with midline episiotomies, sought information on childbirth from both health care providers and friends, expected to make their own decisions as opposed to letting husbands make decisions, expected more competent interpreters, most attended prenatal visits…”

Section: Concept 2: Anxietymentioning

confidence: 99%

“…As women navigated maternity care systems in countries of resettlement, they often experienced tension between old traditions and beliefs and their new cultural context. This tension was manifested in their discussions surrounding sexuality, 18,22 FGC for their daughters, 19,21,25,30 infibulation and deinfibulation, 21,25 and cesarean birth. 25,[28][29][30][31] In this context of balancing old traditions and new experiences, receiving gynecologic and maternity care in countries of resettlement led women to question the role and necessity of FGC:…”

Section: Concept 3: Balancing Old and Newmentioning

confidence: 99%

See 4 more Smart Citations

A Meta‐Synthesis of the Birth Experiences of African Immigrant Women Affected by Female Genital Cutting

Hamid

Grace

Warren³

2018

J Midwife Womens Health

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show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Concept 2: Anxietymentioning

confidence: 99%

Section: Concept 3: Balancing Old and Newmentioning

confidence: 99%

See 3 more Smart Citations

A Meta‐Synthesis of the Birth Experiences of African Immigrant Women Affected by Female Genital Cutting

Hamid

Grace

Warren³

2018

J Midwife Womens Health

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show abstract

Clinical indications for cesarean delivery among women living with female genital mutilation

Rodríguez

Say

Abdulcadir

et al. 2017

Intl J Gynecology & Obste

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ObjectiveTo compare primary indications for cesarean delivery among patients with different female genital mutilation (FGM) status.MethodsThe present secondary analysis included data from women who underwent trial of labor resulting in cesarean delivery at 28 obstetric centers in six African countries between November 1, 2001, and March 31, 2003. Associations between cesarean delivery indications and FGM status were assessed using descriptive statistics and multivariable multinomial logistic regression.ResultsData from 1659 women (480 patients with no type of FGM and 1179 patients with FGM [any type]) were included; cesarean delivery indications were collapsed into five categories (fetal indications, maternal factors, stage 1 arrest, stage 2 arrest, and other). The incidence of a clear medical indication for cesarean delivery did not differ between the groups (P=0.320). Among patients without a clear indication for cesarean delivery, women with FGM were more likely to have undergone cesarean delivery for maternal factors (adjusted relative risk ratio [aRRR] 3.92, 95% confidence interval [CI] 1.3–11.71), stage 1 arrest (aRRR 7.74, 95% CI 1.33–45.07), stage 2 arrest (aRRR 6.63, 95% CI 3.74–11.73), or other factors (aRRR 2.41, 95% CI 1.04–5.60) rather than fetal factors compared with women who had no type of FGM.ConclusionAmong women with unclear medical indications, FGM was associated with cesarean delivery being performed for maternal factors or arrest disorders.

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Considerations for specialized maternal–fetal care in the Somali‐American community

Eyerly‐Webb,

Jumale,

Wolfe

et al. 2024

Prenatal Diagnosis

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ObjectiveThis study describes the perceptions, personal and community experiences, and barriers to care of Somali‐American families regarding specialized maternal‐fetal care from their viewpoint.Study DesignWe conducted a semi‐structured focus group study of Somali‐American women (March 2023). We used qualitative analysis techniques to identify and report thematic findings.ResultsFifty Somali‐American women were interviewed in focus groups. Five themes were identified: 1) adherence to religious belief (namely Islamic) was paramount, including devotions of predestination (e.g. divine will) and permissibility of fetal intervention, 2) participants valued consensus among clinicians and were guided by prior experiences, 3) confidence in the medical team was important, and included the need to communicate effectively with clinicians and concerns regarding the accuracy of diagnosis, 4) decisional factors prioritized saving the life of the baby, and 5) treatment considerations included reluctance to intervene before birth.ConclusionsFor the Somali‐American participants, their faith identity was central when considering their medical needs, including a hesitance to treat a baby before birth due to Islamic belief in divine will. In addition, these community members highlighted the importance of trustworthy interpretation, cultural competence, clinician consensus, prior pregnancy experiences as well as experiences of other community members as having an impact on their trust in their medical care and diagnosis.

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A Mixed‐Methods Study of Immigrant Somali Women's Health Literacy and Perinatal Experiences in Maine

Cited by 35 publications

References 33 publications

A Meta‐Synthesis of the Birth Experiences of African Immigrant Women Affected by Female Genital Cutting

A Meta‐Synthesis of the Birth Experiences of African Immigrant Women Affected by Female Genital Cutting

Clinical indications for cesarean delivery among women living with female genital mutilation

Considerations for specialized maternal–fetal care in the Somali‐American community

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