Table 2. Examples of Women's Experience Is Shaped by the Prenatal Primary Nursing Care.

Subthemes	Examples	Quotes
Quality nurse-woman relationship	Quality relationship	“I talked to the nurse and she was honest with me ... but nice about it and gave me some ideas.”34(p136) “I really had a good relationship with our nurse.”33(p194)
	Nurse does not respect the confidentiality	“[Pregnant woman] found out that this nurse in office actually spread it, I [pregnant woman] probably could have gotten her in trouble, she [the nurse] spread it to everybody. Everybody was looking at [pregnant woman] so strange.”32(p52)
	Nurse stigmatizes women	Pregnant women with HIV condition expressed: “I feel like I'm a piece of [expletive deleted]. [...] That hurts. Just the way they look at you. [...] They are professional people. You come to them for help. They should not tear you down like that.”32(p51)
	Nurse infantilizes women	“[The nurse] said why is it that I did not come to the clinic till six months to tell her that I am pregnant. Was she the one who impregnated me?”40(p2435)
	Nurse loses patience with women	“The frustration related to extra time took to speak to pregnant women with deaf condition causes nurses to tend to be impatient and to use exaggerated facial expressions or lip movement.”31(p132)
	Nurse is verbally or physically abusive with women	“They bully and mistreat us.”28(p78) “Nurses yell at you.”40(p2435)
Consideration of the women's contexts	Physical/biological/behavioral (living with a disease/condition)	“Priscilla, a mother with diabetes, and Coreen, who has systemic lupus erythematosus, reported that they were given no alternative suggestions for addressing these concerns such as increased exercise, hydration, nutrition or rest.”29(p901)
	Cultural and linguistic barriers	“When I call, they speak English. I ask for a Spanish person, and they say wait; then they hang up the telephone.”38(p208)
	Low income	The women knew that when they received a diagnosis of gestational diabetes mellitus, they had to follow a healthy diet, but for some, it presented a challenge because they did not have easy access to grocery stores and/or because they did not have the financial resources to buy food, let alone healthy food.33(p191)
	Low level of education or health literacy	“Clinic walls were decorated with posters and pictures containing information about contraceptives and immunizations, these forms of information dissemination had little impact because the majority of women were not educated and had limited literacy.”40(p2436)
	Weak social networks	A pregnant woman identified that inadequate communication with her partner is caused by a lack of education by nurses: “If he would have had the proper training or instructions he would have been able to [help], but he wasn't aware of what to look for.”29(p902)
	Sexual and gender orientation minority	“I'm queer, I have a female body partner, and you told me not to have sex before the pap test. ‘What do you mean by that? Why?’ And they were like, ‘Oh, no, it's just sperm.’ And I was like, ‘Well, then use a different word. Use different languages. Use different languages because my partner just wouldn't have sex with me.”41(p3583)
Quality of information and support	Adequate information	“At the clinic the nurse gave the lecture once a month.”37(p181) “All the information I got is real good.... And you know she [the nurse] gave me pictures of how to do it and stuff like that.”35(p176)
	Inadequate information	“I don't know ... I didn't really get a gist of like.... What exactly was going on. Or what they were saying. [She] indicated that she was not properly educated during her prenatal check-up appointments.”42(p151) “I have never been oriented in my prenatal, only when I came [to the hospital that] I knew I should breastfeed until six months.”37(p182)
	Adequate support	Anna mentioned that “the nurses here supported me to get prenatal care.” She values the nurses at the Health Centre, as indicated by how the support made her feel [...] really good knowing that [she] wasn't alone trying to figure it all out on [her] own, cause when [she] first became a mother [she] was only 16.39(p150)
	Inadequate support	“During prenatal care I was not oriented, the nurse only said it was important, but here in the hospital someone gave a lecture and I learned its true importance.”37(p182)
Accessibility, organization, and continuity of prenatal care	Accessibility of care	“I see a nurse every time I have my prenatal visits.”34(p136)
	Same nurse or interpreter throughout the prenatal care	“She [the interpreter] knows my signing style so it's better to just have the same interpreter.”31(p131) “It would be good if at least one team professional knew how to talk to us. Nurses stay longer, so they should be trained.”30(p128)
	Limited services	“I have never had contact with the [Estratégia de Saúde da Família] nurse.”30(p126)
	Long wait times	“It took a long time before they got me in, 4, 5, 6 weeks.”34(p138)
	Legal and bureaucratic constraints	For immigrant contexts by Mexican women having received care in the United States: “Here there is so much paperwork”; “I put the papers in the box, and they lost them”; and “something's wrong with the papers”; “One barrier to prenatal care in this study was the lack of understanding of the legal, political, and bureaucratic processes to access the health care system.”38(p209)
	Limited privacy	“As for that place (reception area), everybody is sitting there and looking at each other. You cannot talk about all your concerns. The kind of sickness that brought you there, you cannot say it before other people. [...] You feel that they are listening.”40(p2437)
	Frequent change of health care providers	Pregnant women expressed that “they had too many different providers, resulting in the providers not knowing them personally,” so they have to “tell their story” with every health care providers.34(p137)
	Transportation	“It's hard to go to the appointments. I have to take a bus. I get dizzy, so I have to get off and wait. Then I take another bus, and I have to walk my girl to school. If my daughter is slow, I miss the bus. The next bus doesn't transfer, so I have to walk to the clinic. So then, it takes me an hour.”38(p209)
	Limited choice of care settings	Pregnant women in rural regions expressed that they want to “have more mobile clinics.” For some pregnant woman, “The clinic is too far to walk, and they stay at home.”28(p78)

Abbreviation: HIV, human immunodeficiency virus.