{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:08:47Z","timestamp":1789103327855,"version":"build-2803163510"},"reference-count":20,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2020,3,26]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Evidence suggests that Pakistani women may experience difficulty accessing postnatal contraceptive (PNC) services. The study aimed to identify experience and decision-making around PNC provision for Pakistani women in Lothian, and to explore the views and experience of maternity staff who provide PNC counselling.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Qualitative research including focus groups and 1:1 semi-structured interviews with women and staff. Participants were first- and second-generation Pakistani women with a child\/children aged up to 5 years, or pregnant; community and hospital midwives, obstetric doctors who counsel or provide PNC. Data were coded and categorised using QSR NVIVO10. Inductive thematic analysis was carried out.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Women were receptive to discussion of contraception, including antenatally, and welcomed translated information. Some said the decision on PNC was theirs or made jointly with their husband; however, they acknowledged that in some marriages the husband will take the decision. Women stated they may face family expectation to have a baby early in marriage. Language was identified as a challenge by maternity staff, who utilised translation services to ensure women received the information they needed on contraception.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Pakistani women value antenatal discussion about PNC. Maternity staff have an important role in providing quality information on contraception and should be supported with translated resources in a range of formats. Most importantly, staff should adopt a tailored approach to identify the individual woman\u2019s needs and preferences.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2019-200497","type":"journal-article","created":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T17:16:05Z","timestamp":1587057365000},"page":"43-48","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Influence of culture, religion and experience on the decision of Pakistani women in Lothian, Scotland to use postnatal contraception: a qualitative study"],"prefix":"10.1136","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0715-8594","authenticated-orcid":false,"given":"Annette","family":"Gallimore","sequence":"first","affiliation":[{"name":"Dept of Public Health, NHS Lothian, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tasneem","family":"Irshad","sequence":"additional","affiliation":[{"name":"Medical Research Council (MRC) Centre for Reproductive Health, University of Edinburgh, The Queen's Medical Research Institute, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3367-3749","authenticated-orcid":false,"given":"Michelle","family":"Cooper","sequence":"additional","affiliation":[{"name":"Chalmers Sexual Health Clinic, NHS Lothian, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1168-2276","authenticated-orcid":false,"given":"Sharon","family":"Cameron","sequence":"additional","affiliation":[{"name":"Medical Research Council (MRC) Centre for Reproductive Health, University of Edinburgh, The Queen's Medical Research Institute, Edinburgh, UK"},{"name":"Chalmers Sexual Health Clinic, NHS Lothian, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,4,16]]},"reference":[{"key":"2025090221175176000_47.1.43.1","unstructured":"Faculty of Sexual & Reproductive Health . FSRH Guideline. Contraception after pregnancy, 2017. Available: www.fsrh.org\/standards-and-guidance\/current-clinical-guidance"},{"key":"2025090221175176000_47.1.43.2","unstructured":"Scottish Government . Sexual Health and Blood Borne Virus Framework 2015-2020. Available: http:\/\/www.gov.scot\/Resource\/0048\/00484414.pdf [Accessed Feb 2017]."},{"key":"2025090221175176000_47.1.43.3","unstructured":"Lowe P , Griffiths F , Sidhu R . 'I got pregnant, I was so like\u2026 crying inside\u2026': experiences of women of Pakistani ancestry seeking contraception in the UK. Diversity in Health and Social Care 2007;4."},{"key":"2025090221175176000_47.1.43.4","doi-asserted-by":"publisher","DOI":"10.1783\/147118908786000352"},{"key":"2025090221175176000_47.1.43.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2006.03.025"},{"key":"2025090221175176000_47.1.43.6","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1017\/S0021932099005374","article-title":"Contraceptive use dynamics of Asian women in Britain","volume":"31","author":"Hennink","year":"1999","journal-title":"J Biosoc Sci"},{"key":"2025090221175176000_47.1.43.7","doi-asserted-by":"publisher","DOI":"10.1097\/00001432-200102000-00011"},{"key":"2025090221175176000_47.1.43.8","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14674"},{"key":"2025090221175176000_47.1.43.9","unstructured":"Gallimore A . Access to postpartum LARC in Edinburgh South East (APPLES). 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Researching 'race' and ethnicity: methods knowledge and power. 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