| 81. |
- Lundgren, Ingela, 1957, et al.
(författare)
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How can the VBAC rates be improved – according to midwives and obstetricians in six European countries.
- 2017
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Ingår i: 31th ICM Trienníal Congress 18-22 June 2017.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: The most common reason for caesarean section (CS) is repeat CS following previous CS. Vaginal birth after CS (VBAC) rates vary widely in different healthcare settings and countries. Interview studies with clinicians and women in three countries with high VBAC rates (Finland, Sweden and the Netherlands) and three countries with low VBAC rates (Ireland, Italy and Germany) are part of ‘OptiBIRTH’, a research project funded by EU aiming to increase VBAC rates across Europe through enhanced woman-centred maternity care. Purpose/Objective: To investigate the views of clinicians on factors of importance for improving VBAC rates. Method: Individual interviews and focus group interviews with clinicians in six countries with high and low VBAC rates were conducted during 2012–2013. 115 clinicians participated: 61 midwives and 54 physicians. Five questions about VBAC were used and interviews were analysed using content analysis. The analysis was performed in each country in the native language, translated into English, analysed together, and finally categories were validated in each country. Key Findings: According to midwives and obstetricians from countries with high VBAC rates, the important factors for improving the VBAC rate are a common approach, obstetricians’ final decision on the mode of birth, support during birth, and the strengthening of women’s trust in VBAC. Therefore the structure of the maternity care system in the country, cooperation between midwives and obstetricians, and the care offered during pregnancy and birth should be focused. Findings from the low VBAC countries will be presented at the conference and shows similarities in some aspects but also major differences. Discussion: Similarities and differences between factors of importance for improving the VBAC rate are related to both the care structure, and the views and attitudes of midwives and physicians, which has implications for the care of women post CS.
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| 82. |
- Lundgren, Ingela, 1957, et al.
(författare)
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Implementation of a midwifery model of woman-centered care in practice: Impact on oxytocin use and childbirth experiences
- 2022
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Ingår i: European Journal of Midwifery. - : E.U. European Publishing. - 2585-2906. ; 6:16
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Theoretical models for midwifery have been developed in different countries, but few have been evaluated. This study evaluated the implementation of a midwifery model of woman-centered care (MiMo) in practice. Methods: A mixed method study based on an implementation of MiMo was carried out in a labor ward at a university hospital in Sweden, with another labor ward as a reference. The qualitative core component was a secondary analysis of focus groups with midwives after the implementation. The supplemental quantitative components were oxytocin use for augmentation of labor and women’s childbirth experiences before and after the implementation. Results: The midwives viewed MiMo as a useful tool for comprehending the birthing woman holistically, and for identifying what might disturb the birth process. Hindering factors were a lack of organizational stability and time, and midwives’ unwillingness to understand the model. Oxytocin use decreased significantly only in the implementation ward (p=0.002) and a significant difference was found between wards in the post-implementation period (p=0.004). However, logistic regression analyses showed that the interaction between ward and time period, controlling for age, epidural use, and birth outcome, was not significant (p=0.304), indicating that the decrease was not significantly related to the implementation. Childbirth experience did not differ before and after the implementation. Conclusions: By using MiMo in practice, midwives have a tool for comprehending the woman holistically and identifying disturbing factors during the birth. However, more research is needed for further implementation that should focus on the potential as well as hindering factors.
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| 83. |
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| 84. |
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| 85. |
- Lundgren, Ingela, 1957
(författare)
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Midwifery history in a Nordic and international perspective
- 2022
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Ingår i: Theories and perspectives for midwifery. - Lund : Studentlitteratur. - 9789144143194
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Bokkapitel (refereegranskat)abstract
- This chapter will present midwifery in the Nordic context in a historical perspective. First, the chapter introduces giving birth before midwifery was regulated and organised in early modern Europe, and in the Nordic countries. Then the chapter will inform about the regulation and professionalisation of midwifery as well as the introduction of medical science in the field of childbirth. Similarities as well as differences between the historical developments of midwifery in the Nordic countries will be presented and discussed. Further, how the historical development influence maternity care, and is related to an international perspective will be discussed.
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| 86. |
- Lundgren, Ingela, 1957
(författare)
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Midwives as anchored companions
- 2022
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Ingår i: Theories and perspectives for midwifery. - 9789144143194
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Bokkapitel (refereegranskat)abstract
- In this chapter, the concept of anchored companion, which was developed based on my research, and presented in my dissertation and in one article, will be presented. The concept was grounded in studies about women’s experiences of pregnancy, birth, pain during the birth and the encounter between the midwife and the woman, as well as midwives’ experiences of encountering women and their pain. The method used to develop the concept was a general structure based on phenomenological and hermeneutic studies. The context for the studies are a Birth Centre and traditional hospital care for women with normal pregnancy in Sweden. Even if the concept of anchored companion was developed in a special context, it can be, and has been, used in a wider Nordic and international context, which will be discussed in this chapter.
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| 87. |
- Lundgren, Ingela, 1957
(författare)
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Professionellt förhållningssätt
- 2009
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Ingår i: Lärobok för barnmorskor. - Lund : Studentlitteratur. - 9789144052106 ; , s. 45-46
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 88. |
- Lundgren, Ingela, 1957, et al.
(författare)
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Professionellt förhållningssätt
- 2016
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Ingår i: Reproduktiv hälsa - barnmorskans kompetensområde. - Lund : Studentlitteratur. - 9789144090054 ; , s. 19-25
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Bokkapitel (refereegranskat)abstract
- En viktig dimension i den professionella barnmorskans arbete är förhållningssättet. Kärnan I detta förhållningssätt är relationen, det personliga mötet som barnmorskan har med varje enskild kvinna och familj i behov av vård eller råd. Barnmorskans vårdande, hälsofrämjande och rådgivande verksamhet äger rum inom ramen för en relation. Denna relation är själva redskapet i den vårdande eller hälsofrämjande aktiviteten och utgör i sig basen för hälsa och välbefinnande. I detta kapitel beskrivs hur det I den professionella relationen finns dimensioner av både vårdande, stödjande och stärkande. Vidare introduceras några teoretiska perspektiv och begrepp som ger stöd i ett professionellt förhållningssätt.
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| 89. |
- Lundgren, Ingela, 1957, et al.
(författare)
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Professionellt förhållningssätt.
- 2022
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Ingår i: Reproduktiv hälsa - barnmorskans kompetensområde (second edition).. - Lund : Studentlitteratur AB. - 9789144138237 ; , s. 23-32
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Bokkapitel (refereegranskat)
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| 90. |
- Lundgren, Ingela, 1957
(författare)
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Spiritual questions during childbearing
- 2017
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Ingår i: Spirituality and Childbirth: Meaning and Care at the Start of Life. - New York, NY : Routledge, [2017] : Routledge. - 9781315389639 ; , s. 68-83
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- In this chapter I will discuss the period from pregnancy to the birth - i.e. childbearing - with a focus on the role of healthcare professionals. I use the concept ‘childbearing’ since pregnancy and the birth should be seen as a process and in wholeness which is also of importance for continuity of care (Bryar and Sinclair 2011). The focus of this chapter is the role of healthcare professionals when childbearing is seen as something more than a biomedical condition. Practical examples based on research will be discussed using the central concepts partnership, reciprocity and relationship. My research has been mainly carried out in a Swedish maternity care context where midwives are the primary caregivers for women with normal pregnancy and birth. However, the findings can be transferred to, and be relevant to, other contexts where health professionals are involved in the care. © 2018 selection and editorial matter, Susan Crowther and Jenny Hall.
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