• Susan Crowther and Annie Lau.
• School of Nursing and Midwifery, Robert Gordon University, Garthdee Road, Aberdeen AB10 7AQ, UK. Electronic address: s.a.crowther@rgu.ac.uk.
• Midwifery. 2019 May 1; 72: 30-38.

BackgroundMigrant women are more likely to experience sub-optimal maternity outcomes and are often described in a problematised way. Communication is crucial in maternity and can be compromised if the language of that service is delivered in a language incomprehensible to migrant women.MethodsQualitative descriptive study using 9 in-depth individual interviews with Polish women who recently had experience of local maternity services. Recorded interviews were transcribed and thematically analysed. A salutogenic conceptual framework was adopted for data analysis.FindingsThree descriptive themes: 'Communication and understanding', 'Relationships matter' and Values and expectations'. Seven related subthemes where identified.DiscussionVulnerability in this study is understood as uncertainty, risk and emotional exposure to situations that are not understandable. Applying a salutogenic lens to analysis reveals the significance of quality communication, relationship and culturally sensitive practices as ways of mitigating feelings of vulnerability in the host country. Antonovski's Sense of Coherence' (SoC) highlights migrant women's ability to comprehend and capacity to understand their unique experiences of communication challenges. Participant's psychosocial, cultural, and individual beliefs reveal an ability to trust maternity systems that are different from their own cultural values and help them move towards a Sense of Coherence (SOC) and face their vulnerability.ConclusionWorking with migrant women requires a salutary focus. Maternity care professionals involved in the care of this population need to consider individual internal and external resources and avoid treating migrant women as a problematic group. Maternity care provision needs to acknowledge migrant women's strengths, values and expectations and adapt local services. This is done by addressing individual woman's needs through a salutary focus, person-centredness and a system of care that values relationships and social connectedness.Copyright © 2019 Elsevier Ltd. All rights reserved.

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