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  • Sjöblom, Ingela, et al. (författare)
  • Being a homebirth midwife in the Nordic countries – a phenomenological study
  • 2015
  • Ingår i: Sexual & Reproductive HealthCare. - 1877-5756. ; 2015:6, s. 126-131
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: To describe the lived experience of being a home birth midwife in the Nordic countries. Method: Interviews conducted with 21 home birth midwives from the five Nordic countries were analyzed with a phenomenological approach. Results: The essential structure of being a home birth 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 homebirth is experienced as the ideal way of working as a midwife, practicing the art of midwifery. Conclusion: The experience of being a home birth 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 the women's ability to give birth and understanding the importance of a positive birth for both the mother and the newborn baby are essential.
  • Ahl, Maria, et al. (författare)
  • Working with home birth - Swedish midwives´experiences
  • 2018
  • Ingår i: Sexual & Reproductive HealthCare. - 1877-5756. ; :18, s. 24-29
  • Tidskriftsartikel (refereegranskat)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.
  • Andreasson, Ingela, 1953-, et al. (författare)
  • Skolans praktik – att styra mot idealet
  • 2009
  • Ingår i: Specialpedagoski forskning – en mångfacetterad utmaning. Red. Ann Ahlberg.. - Lund : Stundentlitteratur. - 978-91-44-05214-4 ; s. 281-298
  • Bokkapitel (övrigt vetenskapligt)
  • Att stödja och stärka- vårdande vid barnafödande
  • 2010
  • Samlingsverk (redaktörskap) (övrigt vetenskapligt)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.
  • Begley, Cecily, 1954-, et al. (författare)
  • Evaluation of an intervention to increase vaginal birth after caesarean section through enhanced women-centred care: The OptiBIRTH randomised trial (ISRCTN10612254)
  • 2017
  • Ingår i: 31th ICM Triennial Congress.
  • Konferensbidrag (övrigt vetenskapligt)abstract
    • Background: Vaginal birth after a previous caesarean (VBAC) is a safe alternative to repeat caesarean section (CS), is the preferred option of most women and may reduce overall CS rates.1 However, VBAC rates vary; e.g., rates in Germany, Ireland and Italy are considerably lower (29-36%) than those in the Netherlands, Sweden and Finland (45-55%). Purpose/Objective: To evaluate the effectiveness of an intervention to maximise VBAC rates. The OptiBIRTH Project was funded by a European Union Grant: FP7-HEALTH-2012-INNOVATION-1-HEALTH.2012.3.2-1. Agreement No:305208 Method: A cluster randomised trial was used. A sample size of 12 maternity units was required, each recruiting 120 consenting women, to detect an absolute 15% difference in successful VBACs (increase from 25% in control to 40% in intervention groups), using an ICC of 0.05, with power of >80% and an alpha of 0.05. To allow for loss to follow-up, 15 trial units were randomised across three countries with low VBAC rates (Germany, Ireland and Italy) and the trial commenced April 2014. An evidence-based intervention was introduced in all intervention sites. Control sites had usual care. Interim analysis by an independent Data Monitoring Committee at mid-point permitted continuation. Data were analysed using intention to treat. Key Findings: Recruitment closed October 2015, with the last babies born in December 2015, and data analysis will be completed in April 2016. The primary outcome, comparison of annual VBAC rates for each hospital before and after introduction of the intervention will be presented, and selected secondary outcomes for the recruited women including: mode of birth, perineal trauma, breastfeeding, uterine rupture, wound breakdown, perinatal mortality, Apgar scores, and admission to neonatal intensive care unit. Discussion: If the OptiBIRTH intervention increases VBAC rates safely, its introduction across Europe could prevent 160,000 unnecessary CSs every year, saving maternity services >€150 million annually and contributing to the normalisation of birth for thousands of women. References: 1 Cunningham et al (2010). National Institute of Health Consensus Development Conference Statement: Vaginal birth after caesarean. Obstet & Gynecol 115(6): 1279-1295. 2 EURO-PERISTAT 2008: CD006066.EURO-PERISTAT Project (2008). European Perinatal Health Report. (www.europeristat.com).
  • Berg, Marie, 1955-, et al. (författare)
  • A midwifery model of childbirth care - Development and implementation in Sweden and Iceland
  • 2014
  • 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..
  • Konferensbidrag (övrigt vetenskapligt)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.
  • Berg, Marie, 1955-, et al. (författare)
  • A midwifery model of woman-centred childbirth care – In Swedish and Icelandic settings
  • 2012
  • Ingår i: Sexual & Reproductive Healthcare. - 1877-5756. ; 3:2, s. 79-87
  • 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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