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- Lundgren, Ingela, 1957, et al.
(author)
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Women’s experiences of childbirth, care and support – a metasynthesis
- 2009
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In: 15th Qualitative Health Research, International Institute for Qualitative Methodology's, University of Alberta, Vancouver, Canada, 4-6 October 2009.
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Conference paper (other academic/artistic)abstract
- Physical indicators have been the measure of the success of childbirth by professionals educated in a medical perspective, while the experiences of the childbearing families in different cultures have been considered of minor importance. The medicalization has the consequence of regarding every birth as potentially risky and abnormal, and requiring medical interventions. However, life changes for good, especially for women embodied through their childbirth, and the memories of the events and caring and uncaring encounters are well kept. The childbirth experiences also influence the relationships with their baby and their partner in the postpartum period, and the onset of postnatal depression, anxiety and PSTD. Several qualitative studies have described women’s experiences of childbirth, care and support in varied ways and a metasynthesis is warranted to integrate the findings. The aim is also to reflect on the findings and the theories and the methods that implicit or explicit have guided the research. The intention is to influence clinical practice, and also to push the theory and the research designs, and ask new meaningful research questions. The threefold interpretative metastudy developed by Paterson and colleagues was chosen for this collaborative metasynthesis research program in childbearing. Inclusion and exclusion criteria were developed, and seven health related databases were searched in different disciplines and findings from different cultures with the chosen keywords. Previous literature reviews were reviewed, and author and ancestry search was performed to access studies not identified through the database search. The presentation will focus on the preliminary findings from this study.
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- Sjöblom, Ingela, et al.
(author)
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Being a homebirth midwife in the Nordic countries – a phenomenological study
- 2015
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In: Sexual & Reproductive HealthCare. - : Elsevier BV. - 1877-5756 .- 1877-5764. ; 2015:6, s. 126-131
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Journal article (peer-reviewed)abstract
- Objective: To describe the lived experience of being a homebirth midwife in the Nordic countries. Methods: Interviews conducted with 21 homebirth midwives from the five Nordic countries were analyzed with a phenomenological approach. Results: The essential structure of being a homebirth midwife in the Nordic countries can be understood as realizing altruistic values and fulfilling one’s own desires for working life, by facilitating the desires of the women giving birth. By being “active-passive” – using all her senses and letting her intuition lead her – the midwife supports women during labor and birth. Medical skills, evidence-based knowledge and experience are important for providing the optimal care in each situation. Further this becomes the midwife’s chosen lifestyle, which alters her own self, making her available to assist the mother-to-be in fulfilling her wishes for a good birth. Finally, being able to use one’s own full potential during a home birth is experienced as the ideal way of working as a midwife, practicing the art of midwifery. Conclusion: The experience of being a homebirth midwife in the Nordic countries includes making an adaption to a lifestyle that is considered the basis for a satisfactory and rewarding way of working. A sense of fulfillment is achieved through experiencing the possibility to work according to one’s own ideals concerning the art of midwifery. The beliefs about a woman’s ability to give birth and understanding the importance of a positive birth for both the mother and the newborn baby are essential.
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- Aagaard Nohr, Ellen, et al.
(author)
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Evidence-based midwifery
- 2022
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In: Theories and perspectives for midwifery: a Nordic view. - Lund : Studentlitteratur. - 9789144143194 ; , s. 79-94
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Book chapter (peer-reviewed)abstract
- In this chapter, the history of evidence-based care and practice and their main principles will be presented, including a special focus on the field of obstetrics and midwifery. We will describe and discuss the main components of evidence-based midwifery and how they have been applied on important topics within maternal and newborn care. Finally, we will discuss the opportunities and challenges that midwives in the Nordic countries face when applying evidence-based care in a clinical setting that is dominated by large obstetric wards.
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- Ahl, Maria, et al.
(author)
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Working with home birth - Swedish midwives´experiences
- 2018
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In: Sexual & Reproductive HealthCare. - : Elsevier BV. - 1877-5756. ; :18, s. 24-29
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Journal article (peer-reviewed)abstract
- Objective: The aim was to describe Swedish midwives’ experiences of working with home birth. Methods: Two focus group interviews were conducted with eight home birth-attending midwives. Data were analysed with qualitative content analysis. Results: Four main categories were identified: the birth as a meaningful moment; to fully focus on the birth; to practise the craft; and not to be part of the health care system. The midwives viewed childbirth as a significant moment that should be conducted on the woman’s terms. Working with home birth enabled them to work at their own pace and focus fully on the woman. During home births, they learned more about normal birth, and developed their practical skills and professional knowledge with little reliance on technology. They did, however, not feel fully accepted in the maternity care system. Conclusion: This study contributes to the discussion about midwives’ experiences of working with home birth in contexts where home birth is not covered by public health care. The study shows that the work environment influences how midwives perform their craft, how they follow and support normal birth, and how the birth setting influence valuing their work.
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- Ahlvik, Marie, et al.
(author)
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An important task: Midwives’ experiences of identifying children at risk of neglect
- 2022
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In: Sexual and Reproductive Healthcaare. - : Elsevier BV. - 1877-5756. ; 32:June
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Journal article (peer-reviewed)abstract
- Background: Neglect is a form of child abuse in which the child’s basic needs are not met. Early identification of the risk factors and protective factors is key to intervention strategies when a child is at risk of neglect. Few international studies describe midwives’ experiences of identifying children at risk of neglect, and no Swedish studies have been found. Objectives: The aim was to describe midwives’ experiences of identifying children at risk of neglect. Method: A qualitative method with a phenomenological reflective lifeworld approach. Interviews with ten midwives from two hospitals and six antenatal clinics in the western part of Sweden, with six from antenatal care and four from postpartum care. Results: The essential structure of midwives’ experiences is described as an important dimension of their profession that is a difficult, complex, ambiguous, and divided task. There is a fear of losing the relationship with the woman and worry about misinterpreting signals. Professional differences may arise when midwives are questioned by colleagues on decisions they have made when identifying children at risk of neglect. Midwives expressed their desire to work in a cohesive maternity healthcare system so that the women experience continuity during pregnancy, childbirth, and postpartum care. Conclusions: The study shows how midwives, during both antenatal and postpartum care, have an important but difficult task in identifying children at risk of neglect. During pregnancy and postpartum care, midwives in Sweden meet almost all women and therefore have a unique opportunity for early detection and action.
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- Akhavan, Sharareh, et al.
(author)
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Midwives' experiences of doula support for immigrant women in Sweden : A qualitative study
- 2012
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In: Midwifery. - : Elsevier. - 0266-6138 .- 1532-3099. ; 28:1, s. 80-85
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Journal article (peer-reviewed)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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| 8. |
- Andreasson, Ingela, 1953, et al.
(author)
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Skolans praktik – att styra mot idealet
- 2009
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In: Specialpedagoski forskning – en mångfacetterad utmaning. Red. Ann Ahlberg.. - Lund : Stundentlitteratur. - 9789144052144 ; , s. 281-298
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Book chapter (other academic/artistic)
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Att stödja och stärka- vårdande vid barnafödande
- 2010
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Editorial collection (other academic/artistic)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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