The aim of the study was to explore midwives' experiences in preventive work against intimate partner violence among pregnant women from various ethnic backgrounds. A qualitative approach was used, with semi-structured interviews conducted with four midwives, and the collected data were analyzed through content analysis. The results showed that midwives play a crucial role in identifying and supporting women exposed to violence. Early screening for violence at the first visit is important to ensure that women receive the necessary support. Cultural differences can create ethical dilemmas and complicate communication, impacting the effectiveness of care. The lack of resources and knowledge, along with the need for collaboration with various support resources and language barriers, emerged as significant challenges for midwives in creating a safe and supportive environment. Sense of coherence (KASAM) is used as a theoretical concept in the study to understand how midwives can help women experience comprehensibility, manageability, and meaningfulness in the care situation. The conclusion highlights the need for increased education in cultural competence to better understand and manage cultural differences. Additionally, the importance of improved collaboration with other actors in healthcare was emphasized to provide more effective support to women exposed to violence.