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BARNMORSKORS ERFARENHETER AV VÅRD I SAMBAND MED SENT AVBRYTANDE AV GRAVIDITET: Kvalitativ intervjuundersökning
Mälardalen University, School of Health, Care and Social Welfare.
Mälardalen University, School of Health, Care and Social Welfare.
2022 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: In Sweden, approximately 35,000 termination of pregnancies is performed annually. According to the abortion law, women have the right to terminate the pregnancy until week 18+0 without giving the reason for the termination. Undergoing a late termination means a vulnerable situation for the women and midwives have a great responsibility in the care. Women's autonomy is central to midwives' work, but the work can be stressful and create ambivalence. Midwives experience a lack of support in situations that have negatively affected midwives. Previous research shows knowledge gaps in midwives' experiences and the difficulties midwives experience. Aim: To investigate the experiences of midwives regarding late termination of pregnancy. Method: A qualitative method with an inductive approach was used. Ten midwives were interviewed with semi-structured questions using an interview guide. The interviews were recorded, transcribed and analyzed using qualitative content analysis. Results: Four categories and ten subcategories were created. The professional role of midwives was to support women and work individually was considered important. Pain relief and information to women were significant to the women's experience. The work involved difficult situations where ambivalence occurred. The support of colleagues was important to the midwives. However, a lack of resources hampered the work of midwives. Conclusion: Midwives described the work as meaningful but at times stressful. Women were in focus, but working conditions were in need of improvement. To support and empower women, midwives need continuous education and the right conditions

Abstract [sv]

Bakgrund: I Sverige utförs cirka 35 000 avbrytande av graviditet årligen. Enligt abortlagen har kvinnor rätt att avbryta graviditeten fram till vecka 18+0 utan att uppge orsak till avbrytandet. Att genomgå ett sent avbrytande innebär en utsatt situation för kvinnorna och barnmorskor har ett stort ansvar vid omhändertagandet och vården. Kvinnornas autonomi är centralt i barnmorskors arbete men arbetet kan vara påfrestande och skapa ambivalens. Barnmorskor upplever ett bristande stöd i situationer som påverkat barnmorskorna negativt. Tidigare forskning visar kunskapsluckor i barnmorskornas erfarenheter samt vilka svårigheter barnmorskor upplever. Syfte: Att undersöka barnmorskors erfarenheter av vård i samband med sent avbrytande av graviditet. Metod: Kvalitativ metod med induktiv ansats användes. Tio barnmorskor intervjuades med semistrukturerade frågor med intervjuguide. Intervjuerna spelades in via ljudfil, transkriberades och analyserades med kvalitativ innehållsanalys. Resultat: Fyra kategorier och tio subkategorier skapades. Barnmorskornas professionella roll var att stödja kvinnor och arbeta individanpassat ansågs betydelsefullt. Smärtlindring och information till kvinnor var betydande för kvinnornas upplevelse. Arbetet innebar svåra situationer där ambivalens förekom. Kollegornas stöd var viktigt för barnmorskorna. Dock försvårade avsaknad av resurser barnmorskornas arbete. Slutsats: Barnmorskor beskrev arbetet som meningsfullt men stundtals påfrestande. Kvinnorna var i fokus men arbetsvillkoren var i behov av förbättringar. För att stödja och stärka kvinnor behöver barnmorskor kontinuerlig kompetensutveckling och få rätt förutsättningar.

Place, publisher, year, edition, pages
2022. , p. 56
Keywords [en]
abortion, individualized care, women centered, support.
Keywords [sv]
abort, individanpassad vård, kvinnocentrerat, stöd.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-60558OAI: oai:DiVA.org:mdh-60558DiVA, id: diva2:1708549
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Available from: 2022-11-29 Created: 2022-11-04 Last updated: 2022-11-29Bibliographically approved

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