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- Lundgren, Ingela, 1957, et al.
(författare)
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Women’s experiences of childbirth, care and support – a metasynthesis
- 2009
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Ingår i: 15th Qualitative Health Research, International Institute for Qualitative Methodology's, University of Alberta, Vancouver, Canada, 4-6 October 2009.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)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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| 2. |
- Berg, Marie, 1955, et al.
(författare)
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Evidence-based care and childbearing - A critical approach
- 2008
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; :3, s. 239-247
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Tidskriftsartikel (refereegranskat)abstract
- Developing the best care for clients and patients is a paramount aim of all health care practices, which therefore, should be based on best evidence. This is also crucial for care during the childbearing period here defined as pregnancy, childbirth, and infancy. However, due to dominance of the evidence-based medicine (EBM) model, health care practice has encountered problems especially regarding its relationship to qualitative research. In this article, we analyze and discuss how research based on a lifeworld perspective fits with evidence-based care (EBC), and how a circular model instead of a hierarchy is suitable when attributing value to knowledge for EBC. The article focuses on the history of EBM and EBC, the power of the evidence concept, and EBC from a narrow to a broad view. Further qualitative research and its use for developing EBC is discussed and examples are presented from the authors’ own lifeworld research in the Nordic childbearing context. Finally, an alternative circular model of knowledge for EBC is presented. In order to develop evidence-based care, there is need for multiple types of scientific knowledge with equal strength of evidence, integrated with clinical experience, setting, circumstances and health care resources, and incorporating the experiences and clinical state of the childbearing woman and her family.
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| 3. |
- Gross, Mechthild M., et al.
(författare)
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Women's experiences on VBAC: results of a metasynthesis
- 2014
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Ingår i: Optimising Childbirth Across Europe, 9-10 April 2014. Brussels, Belgium..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: More and more women experience a caesarean section with their first, or later, birth. During a subsequent pregnancy they experience a challenging period of decision making on the mode of birth. Vaginal birth after caesarean section (VBAC) is a relevant option for a large number of women. Despite lots of quantitative studies on VBAC there is a lack of studies that report the experiences of women. Aim of review: To report the main themes of women’s experiences of VBAC. Search strategy: The following databases were searched: CINAHL, EBSCO, Journals@ OVID, Pubmed, PSYCHINFO, using the keywords VBAC, vaginal birth after caesarean section, qualitative study, experiences, qualitative and women´s experiences in various combinations. Review methodology: In total, 1981 papers were identified; of these, 1959 had to be excluded. From the remaining 22 papers eleven were excluded at this stage, as not focusing on women´s experiences, or only focusing on experiences of CS in relation to VBAC. A metasynthesis based on the interpretative meta ethnography method was conducted. Main findings: Four final themes became obvious: ‘to be involved in decision about mode of delivery is difficult but important,’ ‘vaginal birth has several positive aspects mainly described by women,’ ‘vaginal birth after CS is a risky project,’ and ‘own strong responsibility for giving birth vaginally’. The papers discussed issues such as the women´s experience in relation to different aspects of VBAC, decision-making whether to give birth vaginally, the influence of health professionals on decision-making, reason for trying a vaginal birth, experiences when choosing VBAC, experiences of giving birth vaginally, and giving birth with CS when preferring VBAC. Conclusion: It became obvious that women may feel as though they are in a fog when preparing for a VBAC. Women need evidence-based information not only about the risks involved but also about positive aspects of VBAC.
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| 4. |
- Larsson, Åsa, et al.
(författare)
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Fördjupad hälsa – kvinnors upplevelse av att planera och föda sitt barn hemma
- 2014
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Ingår i: HOITOTIEDE. - 0786-5686. ; 26:1
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Tidskriftsartikel (refereegranskat)abstract
- In Finland, 12 planned and 81 unplanned homebirths took place according to the official Health Statistics 2012. In a Nordic neighbor country, Sweden, like in many high-income countries almost all women give birth at hospital, and only about 100–200 women each year choose to plan and give birth at home. It is a controversial decision because it is often associated with risks, and not supported by the public health care system. The aim of this study was to describe Swedish women’s experience of planning and giving birth at home. Ten women who have had between one to three homebirths were interviewed. The data were analyzed with a phenomenological hermeneutical method. Five themes were identified, and an overall interpretation was discussed in relation to an ontological theory of health. Findings show that women who choose homebirth are aware of their needs and have the strength to go through with their decision in spite of resistance. Childbirth at home was for the women an opportunity for enrichment and health, and a new experience of wholeness as a person.
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| 5. |
- Lundgren, Ingela, 1957, et al.
(författare)
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'Groping through the fog': a metasynthesis of women's experiences on VBAC (Vaginal birth after Caesarean section)
- 2012
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Ingår i: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 12:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Vaginal birth after Caesarean section (VBAC) is a relevant question for a large number of women due to the internationally rising Caesarean section (CS) rate. There is a great deal of research based on quantitative studies but few qualitative studies about women's experiences. Aim: To integrate qualitative findings and deepen the understanding of women's experiences of VBAC. Method: A metasynthesis based on the interpretative meta ethnography method was conducted. The inclusion criterion was peer-review qualitative articles from different disciplines about women's experiences of VBAC. Eleven articles were checked for quality, and eight articles were included in the synthesis. Results: The included studies were from Australia (four), UK (three), and US (one), and studied women's experience in relation to different aspects of VBAC; decision-making whether to give birth vaginally, the influence of health professionals on decision-making, reason for trying a vaginal birth, experiences when choosing VBAC, experiences of giving birth vaginally, and giving birth with CS when preferring VBAC. The main results are presented with the metaphor groping through the fog; for the women the issue of VBAC is like being in a fog, where decision-making and information from the health care system and professionals, both during pregnancy and the birth, is unclear and contrasting. The results are further presented with four themes: 'to be involved in decision about mode of delivery is difficult but important,' 'vaginal birth has several positive aspects mainly described by women,' 'vaginal birth after CS is a risky project,' and 'own strong responsibility for giving birth vaginally'. Conclusion: In order to promote VBAC, more studies are needed from different maternity settings and countries about women's experiences. Women need evidence-based information not only about the risks involved but also positive aspects of VBAC.
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