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  • 1.
    Aronson, Kajsa
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    ”...DU SKA BLI SNITTAD SNART,OKEJ? SEN GICK DE…”: Intervjustudie om kvinnors erfarenheter av barnmorskors informationsgivning inför akut kejsarsnitt2019Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
  • 2.
    Blix- Lindström, S.
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Christensson, Kyllike
    Karolinska Institutet, Stockholm, Sweden.
    Johansson, E.
    Karolinska Institutet, Stockholm, Sweden.
    Women's satisfaction with decision-making related to augmentation of labour2004Inngår i: Midwifery, ISSN 0266-6138, Vol. 20, nr 1, s. 104-112Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: to describe women's experiences of participating in decision-making related to augmentation of labour. DESIGN: a qualitative approach using modified grounded theory technique. Open-ended interviews were conducted 1-3 days after childbirth. SETTING: the interviews were performed in the postnatal wards in five hospitals (tertiary level) in Stockholm, Sweden. PARTICIPANTS: 20 newly delivered women who had received oxytocin infusion for augmentation of labour during childbirth. FINDINGS AND KEY CONCLUSIONS: support and guidance from midwives in combination with knowledge and expectations about the intervention seemed to be important for women's satisfaction with decision-making concerning augmentation of labour. Four patterns of decision-making were found. One group of women participated in the decision-making regarding augmentation of labour while a second group was invited, but refrained from participation. These women were satisfied with the decisions made. A third group of women did not participate, but wanted to and they were dissatisfied with the decisions made. The fourth group did not participate in the decision-making-and did not want to. These women accepted the decisions made. The desire for information exceeded the desire for involvement in decision-making and the majority of women had confidence in the midwives' assessment.

  • 3.
    Evelina, Agartsson
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Kristin, Haraldsson
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    "NÄR LIVET SÄTTS PÅ PAUS": En kvalitativ intervjustudie om kvinnors erfarenheter av att genomgå ett flertal In vitro fertiliserings-behandlingar2019Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
  • 4.
    Fabian, Helena
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Institutet, Stockholm, Sweden .
    Rådestad, Ingela
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Waldenström, U.
    Karolinska Institutet, Stockholm, Sweden .
    Characteristics of primiparous women who are not reached by parental education classes after childbirth in Sweden2006Inngår i: Acta Paediatrica, ISSN 0803-5253, Vol. 95, nr 11, s. 1360-1369Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Parental education classes are part of the national child health promotion programme of the Swedish Child Health Clinics (CHC). Aim: To investigate attendance at parental education classes during the infant's first year, and to identify factors associated with non-attendance in primiparous women. Methods: Swedish-speaking women were recruited from 97% of all antenatal clinics in Sweden during 3 wk, evenly spread over 1 y from 1999 to 2000. Questionnaires were mailed in early pregnancy, and at 2 mo and 1 y after the birth. Two thousand, four hundred and forty women answered the main outcome question about class attendance asked in the third questionnaire, and 1076 of these were first-time mothers. Results: Seventy-eight per cent of the primiparas attended classes and 31% of the multiparas. Factors associated with non-attendance in primiparas were: native language other than Swedish, a low level of education, smoking during pregnancy, inconvenient timing of pregnancy, maternal hospital admission, and infant health problems. Three per cent of the primiparas did not attend classes either during pregnancy or after the birth, and this group seemed to constitute an even less privileged group.

  • 5.
    Fabian, Helena
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Karolinska Institutet, Stockholm, Sweden.
    Rådestad, Ingela
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Waldenström, U.
    Karolinska Institutet, Stockholm, Sweden .
    Characteristics of Swedish women who do not attend childbirth and parenthood education classes during pregnancy2004Inngår i: Midwifery, ISSN 0266-6138, Vol. 20, nr 3, s. 226-235Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: to investigate the attendance rate at childbirth and parenthood education classes during pregnancy in a national Swedish sample and describe the characteristics of women who did not attend. DESIGN: a cohort study utilising a postal questionnaire in early pregnancy and at 2 months after birth. SETTING: women were recruited from 97% of all antenatal clinics in Sweden at their first 'booking' visit during three different weeks spread over 1 year in 1999-2000. PARTICIPANTS: 2546 women, who were 77% of those who consented to participate in the study and 55% of all women eligible for the study. MEASUREMENT AND FINDINGS: most primiparous women (93%) attended classes and the majority of the multiparae (81%) did not. Having a native language other than Swedish was associated with non-attendance in both primiparae and multiparae (OR 2.7, 95% CI 1.3-5.4; OR 2.1, 95% CI 1.4-3.1). In addition, the following factors were associated with non-attendance in the primiparae: unemployment (OR 2.0, 95% CI 1.1-3.8), smoking during pregnancy (OR 2.7, 95% CI 1.2-5.8), having considered abortion (OR 4.3, 95% CI 1.2-16.1), and having had few antenatal check-ups (OR 2.0, 95% CI 1.1-3.7). The following factors were associated with non-attendance in the multiparae: age older than 35 years (OR 1.6, 95% CI 1.1-2.3), low level of education (OR 3.6, 95% CI 2.3-5.7), and pregnancy unplanned but welcome (OR 1.5, 95% CI 1.1-2.0), having had counselling because of fear of childbirth (OR 1.6, 95% CI 1.1-2.4), and expressing a need of such counselling (OR 1.9, 95% CI 1.1-3.1). KEY CONCLUSIONS: the childbirth and parenthood education programme reached the majority of pregnant women, and that non-attendees were more disadvantaged in terms of socio-demographic background and feelings about the approaching birth. These women should be given special attention during the antenatal check-ups so that childbirth and parenthood education could be adapted to their specific needs.

  • 6.
    Fabian, Helena
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Karolinska Institutet, Stockholm, Sweden.
    Rådestad, Ingela
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Waldenström, U.
    Karolinska Institutet, Stockholm, Sweden.
    Childbirth and parenthood education classes in Sweden. Women's opinion and possible outcomes2005Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, Vol. 84, nr 5, s. 436-443Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To investigate first-time mothers' views about antenatal childbirth and parenthood education and their contact with other class participants after birth, and to compare participants and non-participants with respect to the use of pain relief, experience of pain, mode of delivery, childbirth overall, duration of breastfeeding, and assessment of parental skills. METHODS: A national cohort of 1197 Swedish-speaking women completed three questionnaires: during early pregnancy, 2 months, and 1 year after giving birth. RESULTS: Seventy-four percent of first-time mothers stated that antenatal education helped prepare them for childbirth, and 40% for early parenthood. One year after giving birth, 58% of the mothers had met with other class participants. These outcomes were associated with the number of class sessions. When controlling for the selection of women into participants and non-participants, no statistical differences were found concerning memory of labor pain, mode of delivery, overall birth experience, duration of breastfeeding, and assessment of parental skills. However, participants had a higher rate of epidural analgesia. Mothers who were young, single, with low level of education, living in a small city, and smokers were less likely to find the classes helpful. CONCLUSION: Participation in childbirth and parenthood education classes did not seem to affect first-time mothers' experience of childbirth and assessment of parental skills, but expanded their social network of new parents. The higher epidural rate suggests that participation in classes made women more aware of pain relief techniques available, rather than improving their own coping with pain. More research should focus on current forms of antenatal education, with special focus on women of low socioeconomic status.

  • 7.
    Hildingsson, Ingegerd
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Mid Sweden University, Sundsvall, Sweden.
    Lindgren, Helena
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Haglund, B
    National Board of Health and Welfare, Stockholm, Sweden.
    Rådestad, Ingela
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Characteristics of women giving birth at home in Sweden: a national register study2006Inngår i: American Journal of Obstetrics and Gynecology, ISSN 0002-9378, Vol. 195, nr 5, s. 1366-1372Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The objective of the study was to estimate the proportion of planned home births in Sweden and to identify maternal characteristics of women giving birth at home. Study design: This case-control study included register data of births from 1992 to 2001 in 352 women giving birth at home and 1760 women giving birth in a hospital. Results: Four hundred thirty-nine out-of-hospital births were found during the study period, and the proportion of planned home births was less than 0.5/1000. Women with home birth were more likely to have 4 children or more (odds ratio 3.7 [1.4 to 9.9]), be born in a European country outside Sweden (odds ratio 3.5 [1.8 to 6.8]), have a family income below the median (odds ratio 2.9 [2.0 to 4.1% not work outside the home (odds ratio 2.4 [1.7 to 3.5]), have a high level of education (odds ratio 2.1 [1.5 to 3.0]), and be older than 35 years (odds ratio 1.7 [1.1 to 2.5]). Conclusion: Women with planned home births appear to be a group having a different lifestyle, compared with Swedish women in general.

  • 8.
    Hildingsson, Ingegerd
    et al.
    Karolinska Institute, Stockholm, Sweden.
    Rådestad, Ingela
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Karolinska Institute, Stockholm, Sweden.
    Rubertsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Karolinska Institute, Stockholm, Sweden.
    Waldenström, Ulla
    Karolinska Institute, Stockholm, Sweden.
    Few women wish to be delivered by caesarean section2002Inngår i: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528, Vol. 109, nr 6, s. 618-623Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To investigate how many women wish to have a caesarean section when asked in early pregnancy, and to identify background variables associated with such a wish. DESIGN: National survey. SETTING: Swedish antenatal clinics. POPULATION: 3,283 Swedish-speaking women booked for antenatal care, at approximately 600 Swedish antenatal clinics, during three weeks spread over one year (1999-2000). METHODS: A questionnaire was mailed shortly after the first antenatal visit. MAIN OUTCOME MEASURES: Women's preferences for mode of delivery. RESULTS: 3,061 women completed the first questionnaire, corresponding to 94% of those who consented to participate after exclusion of reported miscarriages. The background characteristics of the study sample were very similar to a one-year cohort of women giving birth in Sweden during 1999. The result showed that 8.2% of the women would prefer to have a caesarean section. A wish for caesarean section was associated with parity, age, civil status, residential area and obstetric history. Women preferring caesarean section were more depressed and worried, not only about giving birth, but also about other things in life. A multivariate logistic regression model showed three factors being statistically associated with a wish for caesarean section: a previous caesarean section, fear of giving birth and a previous negative birth experience. CONCLUSIONS: Relatively few women wish to have a caesarean section when asked in early pregnancy, and these women seem to be a vulnerable group.

  • 9.
    Hildningsson, Ingegerd
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Karolinska Institutet, Stockholm, Sweden.
    Rådestad, Ingela
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Waldenström, U.
    Karolinska Institutet, Stockholm, Sweden.
    Number of antenatal visits and women´s opinion2005Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, Vol. 84, nr 3, s. 248-254Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: The national recommendation in Sweden regarding number of antenatal care visits was reduced in 1996. The aim of this study was to explore the factors associated with number of visits made and with women's own opinions about these visits. Another aim was to study associations between the number of visits and satisfaction with antenatal care overall. METHODS: All Swedish-speaking women who came for their first visit to the midwife in 593 participating clinics during 3 weeks evenly spread over 1 year in 1999-2000 were invited to participate in the study. Information was collected by postal questionnaires after the booking visit and 2 months after childbirth. Cases of preterm delivery and intrauterine death were excluded. RESULTS: After excluding miscarriages, non-Swedish-speaking women, and women booked at non-participating clinics, about 69% of all women booked in antenatal care were recruited. Of these, 2421 (83%) completed the two questionnaires. About 25% followed the standard visiting schedule for a normal pregnancy, 57% made more visits, and 17% fewer visits. The number of visits made was associated with parity, medical diagnosis, depressive symptoms, level of education, and women's preferences in early pregnancy. Women's own opinion that they made too few visits was associated with a preference for more visits in early pregnancy and actually receiving fewer visits than the standard schedule. The view that they made too many visits was associated with a previous negative birth experience, a wish for fewer visits, having a medical diagnosis, many children, and major worries. The vast majority of women (87.6%) were satisfied with antenatal care overall but less with emotional (76.9%) than with medical (82.3%) aspects. No association was found between number of visits made and satisfaction, but women's own opinion that they had too few visits was associated with dissatisfaction with medical as well as emotional aspects of care and the opinion that they made too many visits with the emotional aspects of care. CONCLUSION: Two-thirds of the women did not follow the standard visiting schedule, the majority of women made more visits. The number of antenatal visits seemed to be fairly well adapted to women's individual needs and, to some extent, to their own wishes. Very few women were dissatisfied with the number of visits made as well as the antenatal care overall.

  • 10.
    Lostelius, Hanna
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Kartläggning av kvinnors amningsupplevelser på BB: -en enkätundersökning2009Independent thesis Advanced level (degree of Master (One Year)), 15 poäng / 22,5 hpOppgave
  • 11.
    Lugina, Helen I
    et al.
    School of Nursing, Muhimbili Univ. Coll. of Hlth. Sci., Dar es Salaam, Tanzania .
    Nyström, Lennarth
    Umeå University, Umeå, Sweden .
    Christensson, Kyllike
    Karolinska Institute, Stockholm, Sweden.
    Lindmark, Gunilla
    Uppsala University, Uppsala, Sweden.
    Assessing mothers' concerns in the postpartum period: methodological issues.2004Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 48, nr 3, s. 279-290Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIM: This paper reports a study evaluating the sensitivity of a semi-structured interview schedule and card sort methods in assessing postpartum concerns of women. BACKGROUND: Several methods have been used to assess postpartum maternal concerns and the process of becoming a mother, but few studies have evaluated the methods with respect to their sensitivity for obtaining information. METHOD: A cohort of mothers was followed-up at one (n = 110) and 6 weeks (n = 83) after childbirth in Dar es Salaam, Tanzania. Women with a minimum of 7 years of primary education were interviewed and they also sorted cards. Those with less fewer than 7 years of primary education were interviewed only. The methods were used in alternate order to assess method interaction. RESULTS: In the interviews at 1 week, mothers more often expressed worry and interest related to the baby or themselves when they had sorted cards first. The extent to which women expressed worry and interest about specific baby- and mother-related topics was generally higher for women who had sorted cards before the interview at both 1 and 6 weeks. Independent of whether they were interviewed only, interviewed after sorting cards or before, mothers more often expressed a higher degree of interest than of worry about the baby and self at both 1 and 6 weeks. The order of the data collection methods did not influence the way women sorted cards as being worries and interests. CONCLUSION: Compared to interview using a semi-structured interview schedule, our findings suggest that the card sort is more sensitive in obtaining information about women's concerns. Although the interview method has the advantage of reaching less educated people, the card sort is a technique that is associated with fewer barriers and is a more participatory method for those who can use it.

  • 12.
    Ragnar, Inga
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Altman, D
    Karolinska Institute, Danderyd Hospital, Stockholm, Sweden.
    Tydén, T
    University of Uppsala, Uppsala, Sweden .
    Olsson, S-E
    Karolinska Institute, Danderyd Hospital, Stockholm, Sweden.
    Comparison of the maternal experience and duration of labour in two upright delivery positions - a randomised controlled trial.2006Inngår i: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, Vol. 113, nr 2, s. 165-170Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To compare two upright delivery positions at the second stage of labour in healthy primiparous women with regard to duration of the second stage of labour and maternal experience. Design: A randomised controlled trial. Setting: A county hospital delivery ward. Sample: Primiparous subjects (n = 271) were randomly allocated to a kneeling (n = 138) or a sitting (n = 133) position during the second stage of labour. A postpartum questionnaire was answered by 264/271 women (97%) participating in the trial. Methods: Primiparous subjects were randomised to a kneeling or sitting delivery position during second stage of labour. Analysis was performed on an intention-to-treat basis. Main outcome measure: Duration of the second stage of labour. Results: A comparison of the duration of the second stage of labour (kneeling 48.5 minutes +/- 27.6 SD, sitting 41 minutes +/- 23.4 SD) revealed no significant difference between the groups. A sitting position during the second stage of labour was associated with a higher level of delivery pain (P < 0.01), a more frequent perception of the second stage as being long (P = 0.002), less comfort for giving birth (P = 0.03) and more frequent feelings of vulnerability (P = 0.05) and exposure (P = 0.02). There were no significant differences in the frequency of sphincter ruptures although a sitting position was associated with a higher degree of postpartum perineal pain (P < 0.001) (Table 3). Conclusion: Kneeling and sitting upright during the second stage of labour do not significantly differ from one another in duration of the second stage of labour. In healthy primiparous women, a kneeling position was associated with a more favourable maternal experience and less pain compared with a sitting position.

  • 13.
    Ragnar, Maria Ekstrand
    et al.
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden..
    Grandahl, Maria
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden..
    Stern, Jenny
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden.
    Mattebo, Magdalena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden.
    Important but far away: adolescents' beliefs, awareness and experiences of fertility and preconception health2018Inngår i: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 23, nr 4, s. 265-273Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: The aim was to explore adolescents' beliefs and awareness regarding fertility and preconception health, as well as their views and experiences of information about fertility and preconception health directed at their age group. Methods: We performed seven semi-structured focus group interviews among upper secondary school students (n = 47) aged 16-18 years in two Swedish counties. Data were analysed by qualitative content analysis. Results: One theme ('important but far away') and five categories ('starting a family far down on the list'; 'high awareness but patchy knowledge of fertility and preconception health'; 'gender roles influence beliefs about fertility and preconception health'; 'wish to preserve fertility and preconception health in order to keep the door to procreation open'; 'no panacea - early and continuous education about fertility and preconception health') emerged from the interviews. Participants recognised the importance of preconception health and were highly aware of the overall importance of a healthy lifestyle. Their knowledge, however, was patchy and they had difficulties relating to fertility and preconception health on a personal and behavioural level. Participants wanted more information but had heterogeneous beliefs about when, where and how this information should be given. Conclusion: The adolescents wanted information on fertility and preconception health to be delivered repeatedly as well as through different sources.

  • 14.
    Rubertsson, Christine
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Wickberg, B.
    University of Göteborg, Sweden.
    Gustafsson, P.
    Karolinska Institutet, Stockholm, Sweden.
    Rådestad, Ingela
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Depressive symptoms in early pregnancy two months and one year postpartum-prevalence and risk factors in a national Swedish sample2005Inngår i: Archives of Women’s Mental Health, ISSN 1434-1816, Vol. 8, nr 2, s. 97-104Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Depression and other psychiatric disorders during pregnancy and postpartum is an important health problem, especially if the symptoms are recurrent or sustained. METHODS: All Swedish speaking women attending their first antenatal care visit during three predestined weeks were invited to participate. Depressive symptoms were evaluated using the Edinburgh Postnatal Depression Scale (EPDS) in early pregnancy, two months and one year postpartum. RESULTS: In all, 2430 women completed three questionnaires. A dose-effect relation was found between the numbers of stressful life events experienced in the year prior to pregnancy and mean EPDS score in pregnancy. The prevalence of recurrent or sustained depressive symptoms (EPDS> or =12 on all three evaluations) was 3% (79/2430). Three factors were associated with depressive symptoms, two or more stressful life events in the year prior to pregnancy, native language other than Swedish and unemployment. CONCLUSIONS: Apart from questions about psychiatric history, a psychosocial history in early pregnancy including stressful life events, native language and employment status could help the health professionals to identify women at risk for recurrent or sustained depression during pregnancy and the year after giving birth.

  • 15.
    Rådestad, Ingela
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Rubertsson, Christine
    Karolinska Institutet, Stockholm, Sweden .
    Ebeling, M.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Hildingsson, Ingegerd
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Karolinska Institutet, Stockholm, Sweden .
    What factors in early pregnancy indicate that the mother will be hit by her partner during the year after childbirth2004Inngår i: Birth, ISSN 0730-7659, Vol. 31, nr 2, s. 84-92Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: To be hit by one's intimate partner during the first year after childbirth may affect a woman's health and ability to take care of her newborn. The purpose of this study was to document the prevalence and indicators in early pregnancy of a woman being hit by her partner during the year after childbirth. METHOD: Information was collected by a postal questionnaire in early pregnancy and 12 months after childbirth from the approximately 5,550 women in Sweden who visited an antenatal care clinic for the first time during one of three chosen weeks in 1999 and 2000. RESULTS: Of the 3,266 recruited women, 2,563 returned the follow-up questionnaire. Being hit during the first year after childbirth was reported by 52 of the 2,563 (2%) women: 32 (61%) had been hit by their partner once, 12 (23%) twice, and 8 (15%) three or more times. Risk increased in women who were age 24 years or younger (3.9% had been hit), unmarried (7.1%), born in countries outside Europe (6.8%), with a partner born outside Europe (5.4%), had a low level of education (8.9%), and were unemployed (5.0%). In early pregnancy, women with back pain (4.0%), a chronic illness (4.1%), coital pain (6.1%), frequent depression-related symptoms (8.1%), stomach pain (3.8%), or a urinary tract problem (6.3%) were hit more often than others after childbirth. CONCLUSIONS: At least 2 percent of Swedish women giving birth in 2000 were hit by their partner during the year after childbirth. Using identified predictors during antenatal care may increase the likelihood of finding women at risk, thereby enhancing the possibility of interventions to prevent this crime and health hazard.

  • 16.
    Tham, Vibeke
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Christensson, Kyllike
    Karolinska Institutet, Stockholm, Sweden.
    Ryding, Elsa Lena
    Karolinska Institutet, Stockholm, Sweden.
    Sense of coherence and symptoms of post-traumatic stress after emergency caesarean section2007Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 86, nr 9, s. 1090-1096Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: In this study of women who had undergone an emergency caesarean section (EmCS), the aim was to examine the associations between, on the one hand, the new mother's sense of coherence (SOC) and obstetric and demographic variables a few days postpartum, and on the other hand, post-traumatic stress symptoms 3 months' postpartum. METHODS: In a prospective study, 122 Swedish- or English-speaking new mothers completed 2 self-assessment questionnaires, at 2 days and 3 months after an EmCS. To measure SOC, we used the Sense of Coherence Scale (SOC-13), and to measure reactions to traumatic events, the Impact of Event Scale (IES-15). RESULTS: Independent risk factors associated with post-traumatic stress symptoms were: imminent fetal asphyxia as an indication for the operation, and low SOC in the woman. The group of women with low SOC were those with an intense fear of childbirth during pregnancy, immigrants, and socially underprivileged women. CONCLUSIONS: Symptoms of post-traumatic stress following EmCS are associated both with the new mother's personal coping style and with the circumstances of the event. We recommend that women who belong to groups who more often report a low SOC or who had imminent asphyxia as an indication for the operation should be offered support and follow-up.

  • 17.
    Trulsson, O.
    et al.
    Ullevåls University Hospital, Oslo, Norway.
    Rådestad, Ingela
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    The silent child -: Mother´s experiences before, during and after stillbirth2004Inngår i: Birth, ISSN 0730-7659, Vol. 31, nr 3, s. 189-195Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: The quality of care received by a woman who gives birth to a dead baby is crucial for her long-term well-being, and limiting the period between diagnosis of intrauterine death and induction of delivery decreases her anxiety risk. The primary objective of this study was to explore why induction of delivery for most women should not be delayed more than 24 hours from the diagnosis of intrauterine death. A secondary objective was to determine how the time between diagnosis and delivery should be spent. METHODS: Twelve women were interviewed about their experience before and during the diagnosis of their baby's death and the event of birth. Interviews took place 6 to 18 months after the delivery and were analyzed using a phenomenological methodology. RESULTS: Women experienced premonition, difficulty communicating their worry, cessation of verbal communication with staff, unreality and numbing, desire to get rid of the dead child immediately, going through childbirth, and total silence. Many women believed that they were not respected as a human being during the process of diagnosing the intrauterine death. Themes emerged indicating caregivers should not reduce to zero the time between diagnosis of intrauterine death and induction of delivery. Time may be needed to obtain medical information about the delivery and to prepare the woman for meeting with and saying goodbye to her long-awaited but now silent baby. CONCLUSION: The period between diagnosis of intrauterine death and induction of delivery may give health professionals a major opportunity to improve a woman's ability to cope with the event of stillbirth and prepare her to meet with her loved but now silent baby. Further clinical research can identify supportive mechanisms for parents, and sources of iatrogenic psychological trauma that should be eliminated.

  • 18.
    Tydén, Tanja
    et al.
    Uppsala universitet, Sweden.
    Aneblom, Gunilla
    Uppsala universitet, Sweden.
    von Essen, Louise
    Uppsala universitet, Sweden.
    Häggström-Nordin, Elisabet
    Mälardalens högskola, Akademin för hälsa, vård och välfärd. Uppsala universitet, Sweden.
    Larsson, Margareta
    Uppsala universitet, Sweden.
    Odlind, Viveca
    Uppsala universitet, Sweden.
    Trots lättillgängliga akut-p-piller sjunker inte antalet aborter. Studier av kvinnors kunskaper, attityder och erfarenheter av metoden.2002Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 99, nr 47, s. 4730-4735Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    Despite the fact that emergency contraceptive pills (ECP) have become easily available across the country during recent years, abortion numbers continue to rise in Sweden, especially in the young age groups (< 25). In a series of studies, we have investigated knowledge, attitudes and experience of ECP among young women. Our results show that, whereas most women are aware of the method, many lack knowledge about the mechanism of action and time frames for best use, which could explain why ECPs are not used by more than a fraction of women who might have had benefit from their use. Since half of the women requesting a termination of pregnancy stated that they would have used ECP if they had had them available at home at the time of the unprotected intercourse which led to an unintended pregnancy, it seems reasonable to encourage women to keep ECPs at home, in case the need should arise. It is important that ECPs are available without prescription, but beyond that, much more information about ECP is necessary in order for the method to be widely accepted and used as a back-up after failure with other contraceptives.

  • 19.
    Waldenström, U.
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Hildingsson, Ingegerd
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    Rubertsson, Christine
    Karolinska Institutet, Stockholm, Sweden.
    Rådestad, Ingela
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap.
    A negative birth experience: prevalence and risk factors in a national sample2004Inngår i: Birth, ISSN 0730-7659, Vol. 31, nr 1, s. 17-27Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: A woman's dissatisfaction with the experience of labor and birth may affect her emotional well-being and willingness to have another baby. The aim of this study was to investigate the prevalence and risk factors of a negative birth experience in a national sample. METHODS: A longitudinal cohort study of 2541 women recruited from all antenatal clinics in Sweden during 3 weeks spread over 1 year was conducted. Data were collected by three questionnaires, which measured women's global experience of labor and birth 1 year after the birth, and obtained information on possible risk factors during pregnancy and 2 months after the birth. RESULTS: Seven percent of the women had a negative birth experience. The following risk factors were found: (1) factors related to unexpected medical problems, such as emergency operative delivery, induction, augmentation of labor, and infant transfer to neonatal care; (2) factors related to the woman's social life, such as unwanted pregnancy and lack of support from partner; (3) factors related to the woman's feelings during labor, such as pain and lack of control; and (4) factors that may be easier to influence by the caregivers, such as insufficient time allocated to the woman's own questions at antenatal checkups, lack of support during labor, and administration of obstetric analgesia. CONCLUSIONS: Many risk factors were related to unexpected medical problems and participants' social background. Of the established methods to improve women's birth experience, childbirth education and obstetric analgesia seemed to be less effective, whereas support in labor and listening to the woman's own issues may be underestimated

  • 20.
    Walve, Rebecka
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    "ANDAS SKA MAN ÄNDÅ GÖRA": - Föräldrars förlossningsupplevelser då psykoprofylax använts som förlossningsförberedelse2013Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    Several factors can affect the childbirth experience among parents. Previous research showed that parental education was insufficient. Parents who participated in both regular parental classes and psychoprophylaxis education were more satisfied with the psychoprophylaxis education compared to those who participated in only traditional parental classes. Psychoprophylaxis should be more considered as it could help the woman to handle her pain and contribute to increased self-esteem. The aim was to describe and illustrate the parents' childbirth experiences when psychoprophylaxis was used as childbirth preparation. The material for the study was collected through seven semi-structured interviews analyzed by qualitative content analysis. Three self-rated scales were used to illustrate the experiences of childbirth, pain in childbirth and psychoprophylaxis. The results showed that childbirth experience with psychoprophylaxis was individual. The psychoprophylaxis was a help when coping with labor pains for the mothers but also for the fathers to manage the mothers labor pain. Parental cooperation and midwifery support was important when using the psychoprophylaxis. Complicated deliveries with interventions and separation between child and parents contributed to a negative birth experience, despite using psychoprophylaxis and support from the midwife. The parents meant that there was a need for psychoprophylaxis and several mothers could not imagine giving birth without the use of psychoprophylaxis.

  • 21.
    Zetterlund, Kajsa
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Wistrand, Lina
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Att skapa mening i det till synes meningslösa: Fokusgruppintervjuer med barnmorskor om deras erfarenheter i samband med intrauterin fosterdöd2018Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: In Sweden, approximately 440 children die in intrauterine fetal death annually. Losing a child before birth causes great sadness and despair to the parents. Midwives' have a significant role in supporting and nurturing parents in those situations, which is often experienced as a difficult and emotional task. Aim: To describe midwives' experiences associated to intrauterine fetal death. Method: Focus group interviews made with midwives working at a delivery ward in central Sweden, data were analyzed with  qualitative content analysis. Result: The data analysis resulted in ten subcategories,four categories and an overall theme. The categories were Presence, A meaningful task, Being both professional and a human being, and Support at work. The overall theme was To make meaning of the seemingly meaningless. The midwives needed time to be able to be fully present with the parents. According to the midwives it was a meaningful experience to be supportive and make a difference for the parents. To be professional while at the same time dealing with their own feelings appeared as a difficult task. They received the best support from their colleagues. Conclusion: Supporting the parents and creating a memorable moment with their stillborn baby was experienced as the most eager in these situations, and made the task meaningful for the midwives.

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