| 1. |
- 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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| 2. |
- Elden, Helen, 1959, et al.
(författare)
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Effects of craniosacral therapy as experienced by pregnant women with severe pelvic girdle pain: An interview study
- 2014
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Ingår i: Clinical Nursing Studies. - : Sciedu Press. - 2324-7940 .- 2324-7959. ; 2:3, s. 140-151
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Background: Pelvic girdle pain (PGP) affects 50% of pregnant women worldwide. PGP increases with advancing pregnancy with considerable impact on quality of life, interfering with sleep, daily activities, work, motherhood and close interpersonal relationships. The use of Complementary and Alternative Medicine (CAM) is increasingly prevalent among pregnant women, particularly for pregnancy-induced back pain. Craniosacral treatment (CST) is a CAM that has shown symptom relieving effects in pregnancy-related back pain. The purpose of this study was to describe women’s experiences of the treatment. Methods: Twenty-seven women receiving CST plus standard treatment (ST) were interviewed following 3 of 5 treatments with CST by two qualified and experienced CST practitioners. Data were analysed using qualitative content analysis. Results: The experience of CST by pregnant women diagnosed with severe PGP can be described in three categories: An unfamiliar and different treatment method; description of treatment effects, and regaining a personal and social life. Women described how CST provided them with new awareness of their widespread muscle tension. They told of how they experienced increased body awareness, distraction from pain, relaxation and calm, and feelings of security and optimism. These factors may have helped them actively improve posture and lower muscle tension thereby relieving the symptoms of PGP. Conclusions: The present study reports a contextual interpretation of previously published quantitative data, as it provides a deeper understanding of total symptom relief from PGP during pregnancy. Trial registration: The trial is registered at Current Controlled Trials ISRCTN30566933. Key words Complementary and alternative medicine, Craniosacral therapy, Pregnancy, Pelvic girdle pain, Qualitative interview study
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| 3. |
- Elden, Helen, 1959, et al.
(författare)
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Life's pregnant pause of pain: Pregnant women's experiences of pelvic girdle pain related to daily life: A Swedish interview study
- 2013
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Ingår i: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives. - : Elsevier BV. - 1877-5764. ; 4:1, s. 29-34
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Pelvic girdle pain (PGP) is a universally disabling condition affecting three of 10 pregnant women. Qualitative studies on the subject are lacking. Objective: To describe pregnant women’s experiences of PGP related to everyday life. Methods: In all, 27 women with PGP participating in a randomised controlled study were interviewed during 2010 to 2011. Qualitative content analysis was used. Results: Five main categories emerged; Pelvic girdle pain affects the ability to cope with everyday life; Coping with motherhood; Relationships between partners often reached th breaking point; Questioning one´s identity as defined by profession and work and; Lessons learned from living with PGP. The categories illustrate how women’s everyday lives were interrupted. Their ability to meet their own and others´ expectations put a strain on their lives causing disappointment, sadness, and frustration. It made them question and doubt their roles and identities as mothers, partners and professionals, and kept them from looking forward to future pregnancies, in the absence of effective treatment for PGP. Knowledge gained was that women with PGP should seek help immediately, listen to their bodies and acknowledge their limitations. Conclusion: PGP severely affects pregnant women’s everyday lives. There appears to be a lack of knowledge and awareness of PGP in general, as well as among caregivers and employers of PGP that needs to be highlighted and rectified. There is also a great need to learn how to support those suffering from it. Appropriate support during this important and rare phase in a woman’s life is warranted.
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| 4. |
- Elden, Helen, 1959, et al.
(författare)
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The pelvic ring of pain: Pregnant women’s experiences of pelvic girdle pain as related to embodied experiences and experiences of the healthcare care system: A Swedish interview study
- 2013
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Ingår i: Nordisk jordmor kongress, 13-15 June 2013, Oslo.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objectives Pelvic girdle pain (PGP) is a universal disabling condition that affects three of 10 pregnant women. Qualitative studies on the subject are lacking .The aim with this study was to describe pregnant women’s experiences of PGP related to everyday life. Method In all, 27 women with PGP participating in a randomised controlled study were interviewed during 2010 to 2011. Content analysis was used. Results Five main categories emerged; Pelvic girdle pain affects ability to cope with everyday life; Coping with motherhood; Often personal relationships between partners reached breaking point; To question the identity defined by profession and work and; Lessons-learned from living with PGP. The categories illustrate that women’s everyday life stopped. Not being able to meet their own and others expectations putting a strain on their being and made them disappointed, sad and frustrated. It made them question and doubt their roles and identities as mothers, partners and professionals. They we’re not looking forward to another pregnancy, without any effective treatment for PGP at hand. Lessons learned were that women with PGP should seek help immediately, listen to their bodies and acknowledge their own limitations. Conclusion PGP severely affects pregnant women’s everyday life. There seems to be a lack of knowledge and awareness of PGP and how to support these women both general in society, among caregivers and employers that needs to be highlighted and rectified. Appropriate support during this important and rare phase in a woman’s life is warranted.
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| 5. |
- Elden, Helen, 1959, et al.
(författare)
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The pelvic ring of pain: Pregnant women’s experiences of severe pelvic girdle pain: An interview study
- 2014
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Ingår i: Clinical Nursing Studies. - : Sciedu Press. - 2324-7940 .- 2324-7959. ; 2:2, s. 30-41
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Tidskriftsartikel (refereegranskat)abstract
- Background: Pelvic girdle pain (PGP) is a universal problem affecting approximately 50% of all pregnant women. For 25 to 30% of pregnant women the problem becomes severe. Methods: In-depth interviews were carried out with 27 pregnant women with severe PGP in 2009-2010. Qualitative content analysis was used. Results: The women’s experiences are summarized in four categories: A strange body; the body on guard; relation and support from health care and, acceptance of PGP. Conclusions: PGP completely preoccupied women with severe PGP. It influenced their self-evident trust in their bodies as well as their capabilities to guide and control them. The fear of triggering pain and unpleasant sensations made them avoid movement. They experienced anxiety and worry of not being able to manage their pregnancy and childbirth, and bind to their unborn child. They felt worse that their complaints are trivialized, and not taken seriously in health care. To be able to cope with PGP, they had to accept it and realize that they have to be aware and accept their bodies’ limitations. This means working with their bodies and not against them. PGP made the women look upon life more seriously and changed their self-perception. Increased awareness and knowledge are needed among healthcare to enable them to meet these women’s needs and provide them with adequate support. Information about PGP could be sent home with the woman at the first visit to the midwife. This would probably prevent or reduce the worry that can arise in women suffering severe PGP.
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| 6. |
- Elden, Helen, 1959, et al.
(författare)
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The pregnant pause of pain: Pregnant women’s experiences of pelvic girdle pain as related to daily life: A Swedish interview study
- 2013
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Ingår i: BfIn (Barnafödande i Norden). March 2013, Gothenborg. ..
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Konferensbidrag (refereegranskat)abstract
- Introduction Pelvic girdle pain (PGP) is a universally disabling condition affecting three of 10 pregnant women. Qualitative studies on the subject are lacking. Objective To describe pregnant women’s experiences of PGP as related to daily life. Methods In all, 27 women with PGP participating in a randomised controlled study were interviewed during 2010–2011. Qualitative content analysis was used. Results Five main categories emerged: PGP affects the ability to cope with everyday life; Coping with motherhood; Relationships between partners often reached the breaking point; Questioning one’s identity as defined by profession and work, and Lessons learned from living with PGP. The categories illustrate how women’s everyday lives were interrupted. Their inability to meet their own and others’ expectations put a strain on their lives causing disappointment, sadness and frustration. It made them question and doubt their roles and identities as mothers, partners and professionals, and kept them from looking forward to future pregnancies, in the absence of effective treatment for PGP. Knowledge gained was that women with PGP should seek help immediately, listen to their bodies, and acknowledge their limitations. Conclusion PGP severely affects pregnant women’s everyday lives. There appears to be a lack of knowledge and awareness in general, as well as among caregivers and employers of PGP that needs to be highlighted and rectified. There is also a great need to learn how to support those suffering from it. Appropriate support during this important and rare phase in a woman’s life is highly warranted.
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| 7. |
- Nilvér, Helena, et al.
(författare)
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Women's childbirth experiences in the Swedish Post-term Induction Study (SWEPIS) : a multicentre, randomised, controlled trial
- 2021
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 11:4
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To compare childbirth experiences in women randomly assigned to either induction of labour at 41 weeks or to expectant management until 42 weeks, in the Swedish Post-term Induction Study.DESIGN: A register-based, multicentre, randomised, controlled, superiority trial.SETTING: Women were recruited at 14 hospitals in Sweden, 2016-2018.PARTICIPANTS: Women with an uncomplicated singleton pregnancy were recruited at 41 gestational weeks.INTERVENTIONS: The women were randomly assigned to induction of labour at 41 weeks (induction group, n=1381) or expectant management until 42 weeks (expectant management group, n=1379).OUTCOME MEASURES: As main outcome, women's childbirth experiences were measured using the Childbirth Experience Questionnaire version 2 (CEQ2), in 656 women, 3 months after the birth at three hospitals. As exploratory outcome, overall childbirth experience was measured in 1457 women using a Visual Analogue Scale (VAS 1-10) within 3 days after delivery at the remaining eleven hospitals.RESULTS: The total response rate was 77% (2113/2760). There were no significant differences in childbirth experience measured with CEQ2 between the groups (induction group, n=354; expectant management group, n=302) in the subscales: own capacity (2.8 vs 2.7, p=0.09), perceived safety (3.3 vs 3.2, p=0.06) and professional support (3.6 vs 3.5, p=0.38) or in the total CEQ2 score (3.3 vs 3.2, p=0.07), respectively. Women in the induction group scored higher in the subscale participation (3.6 vs 3.4, p=0.02), although with a small effect size (0.19). No significant difference was observed in overall childbirth experience according to VAS (8.0 (n=735) vs 8.1 (n=735), p=0.22). CONCLUSIONS: There were no differences in childbirth experience, according to CEQ2 or overall childbirth experience assessed with VAS, between women randomly assigned to induction of labour at 41 weeks or expectant management until 42 weeks. Overall, women rated their childbirth experiences high.TRIAL REGISTRATION NUMBER: ISRCTN26113652.
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| 8. |
- Nilvér, Helena, 1980, et al.
(författare)
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Women's lived experiences of induction of labour in late- and post-term pregnancy within the Swedish post-term induction study - a phenomenological study
- 2022
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Ingår i: International Journal of Qualitative Studies on Health and Well-Being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose There is a trend worldwide to induce pregnant women earlier. However, few studies have focused on women's experiences. The aim was to gain a deeper understanding of women's lived experiences of induction of labour in late- and post-term pregnancy. Methods Phenomenology with a reflective lifeworld approach was chosen as the method. Twelve women participating in a larger study in which women were randomized to either induction of labour in week 41 or to expectant management until week 42, were interviewed one to three months after giving birth. Results The essence is described as follows: labour becomes another journey than the intended one. The women adapted to this new journey by seeing the advantages and handing themselves over to the healthcare system, but at the same time something about giving birth could be lost. The result is further described by its four constituents: planning the unplannable, being a guest at the labour ward, someone else controlling the labour, and overshadowed by how it turned out. Conclusion Induced labour presents a challenge to maternity personnel to support the birthing woman's normal progress, not to rush her through labour, and to involve her in the process.
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| 9. |
- Wessberg, Anna, 1963, et al.
(författare)
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Being in limbo: Women's lived experiences of pregnancy at 41 weeks of gestation and beyond - A phenomenological study
- 2017
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Ingår i: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 17
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Tidskriftsartikel (refereegranskat)abstract
- © 2017 The Author(s).Background: Globally, the prevalence of post term pregnancy (PTP) is about 5-10%, but the rate varies considerably between and within countries. PTP is defined as a pregnancy ≥294days, but the definition is arbitrary. Many studies focusing on the prevalence, risks and management of PTP include pregnancies ≥41 gestational weeks (GW). However, qualitative interview studies concerning women's experiences of PTP are lacking. Therefore, the aim of this study was to describe women's lived experiences of a pregnancy ≥41 GW. Method: The study has a lifeworld research approach. Individual in-depth interviews were conducted from August 2013 to September 2014 with 10 healthy women with an expected normal pregnancy at GW 41+1-6days in Gothenburg, Sweden. Interviews were conducted at the antenatal clinic or in the woman's home, depending on her preference. Data were analysed with a phenomenological reflective lifeworld approach. Result: The essence of women's experiences of a pregnancy at GW≥41 was described as being in limbo, a void characterised by contradictions related to time, giving birth and the condition. Exceeding the estimated date of childbirth implied a period of up to 2 weeks that was not expected. The contradictory aspect was the notion that time passed both slowly and quickly. Negative feelings dominated and increased over time. The women experienced difficulty due to not being in complete control, while at the same time finding it a beneficial experience. Health care professionals focused solely on the due date, while the women felt neither seen nor acknowledged. Lack of information led to searches in social media. Previously, they had trusted the body's ability to give birth, but this trust diminished after GW 41+0. In this state of limbo, the women became more easily influenced by people around them, while in turn influencing others. Conclusions: Being in limbo represents a contradictory state related to time and process of giving birth, when women need to be listened to by healthcare professionals. An understanding of the importance of different information sources, such as family and friends, is necessary. It is vital that women are seen and acknowledged by midwives at the antenatal clinics. In addition, they should be asked how they experience waiting for the birth in order to create a sense of trust and confidence in the process.
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| 10. |
- Wessberg, Anna, 1963, et al.
(författare)
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Late-term pregnancy: Navigating in unknown waters — A hermeneutic study
- 2020
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Ingår i: Women and Birth. - : Elsevier BV. - 1871-5192 .- 1878-1799. ; 33:3, s. 265-272
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Tidskriftsartikel (refereegranskat)abstract
- © 2019 The Authors Background: Late-term pregnancy is related to increased risk of serious complications for babies and women, as pregnancies proceed. Pregnancy is an individual, complex and existential situation for women, who may experience late-term pregnancy as a mentally strenuous period, characterised by worries and anxiety. However, there is a lack of studies in this area. Aim: To describe women's experiences of late-term pregnancy ≥41 gestational weeks. Methods: A lifeworld hermeneutic approach was used. Qualitative interviews were performed with ten women, two to seven months after the birth. Findings: Six themes emerged from the analysis Doubting the body's ability to cope with the transition from pregnancy to giving birth, The importance of their partner's support during the sea voyage, Lacking clear guidelines for the voyage, Worrying about the cargo at the end of the voyage, How the voyage turned out and Thoughts related to a future voyage. Conclusion: The women did not feel sufficiently empowered to trust their body's ability to make the transition from late pregnancy to birth. It is vital that midwives provide clear guidance and empower women to trust the ability of their body to give birth. This transition is important in relation to positive thoughts about future pregnancies and births.
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