| Summary: | Introduction
Research shows that Somali women are less likely to receive epidural
analgesia for labor pain compared to non-immigrant women in Norway. It is unclear why.
This study aimed to explore the perceptions and experiences of Somali women regarding
pain relief during childbirth.
Methods
In January 2023, semi-structured interviews were conducted with 10 Somali
women who had lived in Norway for at least ten years and given birth within the past 12
months. Data were analyzed using thematic content analysis as described by Graneheim
and Lundman.
Results
Three themes emerged from the data: a cultural understanding of epidural
analgesia, religious and cultural coping strategies, and the midwife's role during labor. The
participants expressed that there is a prevalent understanding in the Somali community
that epidural analgesia in childbirth subsequently causes physical problems. Participants
felt the influence of friends and family, expressed the need for culturally adapted
information prior to labor, and concluded that, ultimately, what they decided upon was
their own choice. They emphasized the belief that women were designed by God for
childbirth. Prayer and placing oneself in God's hands were mentioned as pain management
strategies. Nevertheless, the Somali women highlighted the importance of having a
culturally competent midwife who is present when needed, creates trust, and provides
information and access to different methods of pain relief, including epidural analgesia.
Conclusions
Understanding Somali women's cultural and religious background while
listening to individual needs for information and pain relief is essential to ensure a positive
birth experience for women from a Somali background.
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