| 1. |
- Akhavan, Sharareh, et al.
(författare)
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Midwives' experiences of doula support for immigrant women in Sweden : A qualitative study
- 2012
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Ingår i: Midwifery. - : Elsevier. - 0266-6138 .- 1532-3099. ; 28:1, s. 80-85
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Tidskriftsartikel (refereegranskat)abstract
- Objective: to describe and analyse midwives’ experiences of doula support for immigrant women in Sweden. Design: qualitative study, analysed using content analysis. Data were collected via interviews. Setting: interviews were conducted at the midwives’ workplaces. One midwife was interviewed at a cafe. Participants: ten midwives, who participated voluntarily and worked in maternity health care in western Sweden. Findings: the interview data generated three main categories. (1) ‘A doula is a facilitator for the midwife’ has two subcategories, ‘In relation to the midwife’ and ‘In comparison with an interpreter’, (2) ‘Confident women giving support, ’has two subcategories, ‘Personal characteristics and attitudes’ and ‘Good support,’ (3) ‘Doulas cover shortcomings’ has two subcategories, ‘In relation to maternity care’ and ‘In relation to ethnicity’. Key conclusion and implications for practice: The findings of this study show that midwives experience that doulas are a facilitator for them. Doulas provide support by enhancing the degree of peace and security and improving communication with the women in childbirth. Doulas provide increased opportunities for transcultural care. They may increase childbearing women’s confidence and satisfaction, help meet the diverse needs of childbearing women and improve care quality.
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| 2. |
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Att stödja och stärka- vårdande vid barnafödande
- 2010
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- I Sverige behöver var tionde nyfött barn särskild vård under nyföddhetsperioden, s.k neonatalvård. Föräldrarna välkomnas att vara hos sitt barn dygnet runt vilket dock inte alltid är praktiskt möjligt då det kan saknas boende för dem på sjukhuset. De uppmuntras även att tilsammans med vårdpersonalen delta i sitt barns vård. Ofta är föräldrarna mycket oroliga, både för att mista sitt barn och för att barnet tar skada av behandling och undersökning. Vårdpersonalens kompetens, öppenhet och emotionella stöd är viktiga faktorer för föräldrarna. Idealt sett bör vårdandet i neonatalperioden företas av både föräldrar och professionella i samspel- ofta kallat familjeinriktad vård.
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| 3. |
- Berg, Marie, 1955, et al.
(författare)
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A midwifery model of childbirth care - Development and implementation in Sweden and Iceland
- 2014
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Ingår i: Optimizing childbirth across Europe - an intedisciplinary maternity care conference. 9-10 April 2014, Brussels. Part of COST Action IS0907: Childbirth Cultures, Concerns & Consequences: Creating a dynamic EU framework for Optimal maternity care..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: Theoretical models are important as tools for guiding health care practice, also when optimising quality of maternity care. Aim of study: The aim was to identify and implement an evidence based woman centred midwifery model of childbirth care in the cultural context of Sweden and Iceland. Research methodology: With a qualitative hermeneutic approach a woman centred model of care was developed by a synthesis and meta-interpretation of own published qualitative studies (n=12) about women´s and midwives´ experiences of child birthing. for purposes of validity and reliability the model was assessed in six focus group interviews with practising midwives (n=30). for implementation of the model in praxis we had discussions with midwives in practice and with midwifery teachers. Ethical approval: Ethical approval was obtained in the earlier studies. Study findings: The model includes five main themes. Three central intertwined themes with sub-themes that involve interactions with each woman and family are: a reciprocal relationship; a birthing atmosphere; and grounded knowledge. The remaining two themes around the others, which likewise influence care, are the cultural context with hindering and promoting norms of a midwifery approach and the balancing act in basing work on midwifery philosophies, facilitating woman-centred maternity care in cooperation with other health professionals. Implementation and evaluation of this salutogenic woman centred midwifery model is in progress. Conclusion: In an era of rising technicality, the model with its balancing act could have positive impact on provision and outcome of childbirth care, raise normality of all birth and interdisciplinary care. This midwifery model of care could be a broad theoretical framework in maternity care and applied to other cultural contexts for the benefit of the women, babies and families.
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| 4. |
- Berg, Marie, 1955, et al.
(författare)
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A midwifery model of intrapartum care - development and implementation
- 2014
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Ingår i: Leadership, learning and research in nursing and midwifery. Sigma Theta Tau International Honor Society, 2nd European regional conference. 16-18 June 2014 Gothenburg, Sweden..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 5. |
- Berg, Marie, 1955, et al.
(författare)
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A midwifery model of woman-centred childbirth care – In Swedish and Icelandic settings
- 2012
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Ingår i: Sexual & Reproductive Healthcare. - : Elsevier BV. - 1877-5756. ; 3:2, s. 79-87
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Tidskriftsartikel (refereegranskat)abstract
- Background: Theoretical models for health care practice are important both as tools for guiding daily practice and for explaining the philosophical basis for care. Aim: The aim of this study was to define and develop an evidence-based midwifery model of womancentred care in Sweden and Iceland. Method: Using a hermeneutic approach we developed a model based on a synthesis of findings from 12 of our own published qualitative studies about women’s and/or midwives’ experiences of childbirth. For validity testing, the model was assessed in six focus group interviews with 30 practising midwives in Iceland and Sweden. Findings: The model includes five main themes. Three central intertwined themes are: a reciprocal relationship; a birthing atmosphere; and grounded knowledge. The remaining two themes, which likewise influence care, are the cultural context (with hindering and promoting norms); and the balancing act involved in facilitating woman-centred care. Conclusion: The model shows that midwifery care in this era of modern medical technology entails a balancing act for enhancing the culture of care based on midwifery philosophies. The next step will be to implement the model in midwifery programmes and in clinical practice, and to evaluate its applicability.
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| 6. |
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| 7. |
- Berg, Marie, 1955, et al.
(författare)
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Värdegrunden för vårdandet vid barnafödande : Att stödja och stärka. Vårdande vid barnafödande
- 2010
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Många är rädda för att föda, trots att förutsättningarna i vårt land oftast är de bästa för att få en normal och lyckad förlossning. I denna bok, som är en revidering av 2004 års upplaga med tre helt nya kapitel, skriver elva författare om sin egen forskning kring möte, stöd och vårdorganisation vid barnafödande. Detta kunskapsområde lämpar sig framför allt för barnmorskor, men även för andra inom vården. Den professionella vårdaren bör tänka på att de egna grundvärderingarna påverkar både förhållningssättet och vården. Att ge tid och att möta föräldrar i en öppen dialog med förståelse och respekt är centralt för att kunna stärka dem. Det kan även innebära en balansgång mellan naturligt födande och att se till de medicinska behoven. P S-K
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| 8. |
- Carin, Modh, et al.
(författare)
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First time pregnant women's experiences in early pregnancy
- 2011
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Ingår i: International journal of qualitative studies on health and well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 6:2
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Tidskriftsartikel (refereegranskat)abstract
- Background: There are few studies focusing on women’s experiences of early pregnancy. Medical and psychological approaches have dominated the research. Taking women’s experiences seriously during early pregnancy may prevent future suffering during childbirth. Aim: To describe and understand women’s first time experiences of early pregnancy. Method: Qualitative study using a phenomenological hermeneutic approach. Data were collected via tape-recorded interviews in two antenatal care units in Sweden. Twelve first time pregnant women in week 10-14, aged between 17 and 37 years participated. Results: To be in early pregnancy means for the women a life opening both in terms of life affirming and suffering. The central themes are: living in the present and thinking ahead, being in a change of new perspectives and values and being in change to becoming a mother. Conclusions: The results have implications for the midwife’s encounter with the women during pregnancy. Questions of more existential nature, instead of only focusing the physical aspects of the pregnancy, may lead to an improvement in health condition and a positive experience for the pregnant woman.
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| 9. |
- Edqvist, Malin, 1971, et al.
(författare)
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Midwives’ lived experience of a birth where the woman suffers an obstetric anal sphincter injury - a phenomenological study
- 2014
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Ingår i: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 14:258
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Tidskriftsartikel (refereegranskat)abstract
- Background: The occurrence of obstetric anal sphincter injuries (OASIS) has increased in most high-income countries during the past twenty years. The consequences of these injuries can be devastating for women and have an impact on their daily life and quality of health. The aim of this study was to obtain a deeper understanding of midwives’ lived experiences of attending a birth in which the woman gets an obstetric anal sphincter injury. Methods: A qualitative study using phenomenological lifeworld research design. The data were collected through in-depth interviews with 13 midwives. Results: The essential meaning of the phenomenon was expressed as a deadlock difficult to resolve between a perceived truth among midwives that a skilled midwife can prevent severe perineal trauma and at the same time a coexisting more complex belief. The more complex belief is that sphincter injuries cannot always be avoided. The midwives tried to cope with their feelings of guilt and wanted to find reasons why the injury occurred. A fear of being exposed and judged by others as severely as they judged themselves hindered the midwives from sharing their experience. Ultimately the midwives accepted that the injury had occurred and moved on without any definite answers. Conclusions: Being caught between an accepted truth and a more complex belief evoked various emotions among the midwives. Feelings of guilt, shame and the midwife’s own suspicion that she is not being professionally competent were not always easy to share. This study shows the importance of creating a safe working environment in which midwives can reflect on and share their experiences to continue to develop professionally. Further research is needed to implement and evaluate the effect of reflective practices in relation to midwifery care and whether this could benefit women in childbirth.
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| 10. |
- Elden, Helen, 1959, et al.
(författare)
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Demanding and challenging: Men's experiences of living with a pregnant woman with pelvic girdle pain: An interview study
- 2014
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Ingår i: Clinical Nursing Studies. - : Sciedu Press. - 2324-7940 .- 2324-7959. ; 2:4, s. 17-29
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Tidskriftsartikel (refereegranskat)abstract
- Background: Pelvic girdle pain (PGP) is a universally disabling condition affecting approximately 50% of pregnant women. Qualitative research describes how PGP leads to struggle in women’s daily lives, makes them question and doubt their roles and identities as professionals and mothers, and test their (marital) relationships. The purpose of this study was to describe men’s experiences of living with a pregnant woman with PGP. Methods: Participants were men whose pregnant partners participated in a project containing both qualitative and quantitative studies in 2009 to 2011. Interviews were conducted in person (n=18) or by telephone (n=8), lasting approximately 20-50 minutes. Sixteen men were interviewed during their wive’s pregnancies (M age = 30 years), eight men were re-interviewed within 12 months postpartum and two men were interviewed only postpartum (26 interviews). Results: Three major categories emerged: having no knowledge of PGP, a period of emotional and physical strain, and merging. Pregnancy in a woman with PGP caused men to alter focus from themselves to their partners and family. They expressed worry, powerlessness, inadequacy, and a need for support. They had to adapt and cope, both demanding and challenging. However, they stressed that relationships with their older children improved, and that they and their partners had succeeded in becoming a team. Conclusions: The findings indicated a need for greater focus from midwives and other health care providers on the psychological impact of PGP on the man/partner. This is important, not only for men but for their respective women as well, whereby men influence their partner’s health.
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