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| 2. |
- Sjöblom, Ingela, et al.
(författare)
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Being a homebirth midwife in the Nordic countries – a phenomenological study
- 2015
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Ingår i: Sexual & Reproductive HealthCare. - : Elsevier BV. - 1877-5756 .- 1877-5764. ; 2015:6, s. 126-131
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Tidskriftsartikel (refereegranskat)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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| 3. |
- Edqvist, Malin, 1971, et al.
(författare)
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Midwives’ lived experience of a birth where the woman suffers an obstetric anal sphincter injury - a phenomenological study
- 2014
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Ingår i: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 14:258
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Tidskriftsartikel (refereegranskat)abstract
- Background: The occurrence of obstetric anal sphincter injuries (OASIS) has increased in most high-income countries during the past twenty years. The consequences of these injuries can be devastating for women and have an impact on their daily life and quality of health. The aim of this study was to obtain a deeper understanding of midwives’ lived experiences of attending a birth in which the woman gets an obstetric anal sphincter injury. Methods: A qualitative study using phenomenological lifeworld research design. The data were collected through in-depth interviews with 13 midwives. Results: The essential meaning of the phenomenon was expressed as a deadlock difficult to resolve between a perceived truth among midwives that a skilled midwife can prevent severe perineal trauma and at the same time a coexisting more complex belief. The more complex belief is that sphincter injuries cannot always be avoided. The midwives tried to cope with their feelings of guilt and wanted to find reasons why the injury occurred. A fear of being exposed and judged by others as severely as they judged themselves hindered the midwives from sharing their experience. Ultimately the midwives accepted that the injury had occurred and moved on without any definite answers. Conclusions: Being caught between an accepted truth and a more complex belief evoked various emotions among the midwives. Feelings of guilt, shame and the midwife’s own suspicion that she is not being professionally competent were not always easy to share. This study shows the importance of creating a safe working environment in which midwives can reflect on and share their experiences to continue to develop professionally. Further research is needed to implement and evaluate the effect of reflective practices in relation to midwifery care and whether this could benefit women in childbirth.
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| 4. |
- Edqvist, Malin, 1971, et al.
(författare)
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Midwives' Management during the Second Stage of Labor in Relation to Second-Degree Tears-An Experimental Study
- 2017
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Ingår i: Birth. - : Wiley. - 0730-7659 .- 1523-536X. ; 44:1, s. 86-94
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: Most women who give birth for the first time experience some form of perineal trauma. Second-degree tears contribute to long-term consequences for women and are a risk factor for occult anal sphincter injuries. The objective of this study was to evaluate a multifaceted midwifery intervention designed to reduce second-degree tears among primiparous women.METHODS: An experimental cohort study where a multifaceted intervention consisting of 1) spontaneous pushing, 2) all birth positions with flexibility in the sacro-iliac joints, and 3) a two-step head-to-body delivery was compared with standard care. Crude and Adjusted OR (95% CI) were calculated between the intervention and the standard care group, for the various explanatory variables.RESULTS: A total of 597 primiparous women participated in the study, 296 in the intervention group and 301 in the standard care group. The prevalence of second-degree tears was lower in the intervention group: [Adj. OR 0.53 (95% CI 0.33-0.84)]. A low prevalence of episiotomy was found in both groups (1.7 and 3.0%). The prevalence of epidural analgesia was 61.1 percent. Despite the high use of epidural analgesia, the midwives in the intervention group managed to use the intervention.CONCLUSION: It is possible to reduce second-degree tears among primiparous women with the use of a multifaceted midwifery intervention without increasing the prevalence of episiotomy. Furthermore, the intervention is possible to employ in larger maternity wards with midwives caring for women with both low- and high-risk pregnancies.
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| 5. |
- Hawamdeh, Shurouq, 1982, et al.
(författare)
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Midwives’ attitude towards labour pain: Expectations and perceptions by Jordanian women
- 2016
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Ingår i: NJF congress, May 2016, Sweden..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: In Jordan, as in other countries, the majority of women give birth in public hospitals where the midwives are the main birth attendants. Although most women have trust in their midwives; there are studies describing dissatisfaction of childbirth experience, fears associated with experiencing painful births and ineffective pain management during childbirth. Thus, there is a need to understand the Jordanian midwives' attitude towards labour pain from both the midwives and the women’s perspectives. Aim: To explore the Jordanian midwives' attitude towards labour pain by assessing the midwives' knowledge and attitude towards pain and the women's expectations and perceptions of their midwives' approach towards pain. Methods: The research took place in the largest public hospital in Jordan in the postnatal ward and involved midwives and their clients, including 60 midwives (out of 61 randomly sampled midwives), who responded to a study-specific validated survey for midwives (Survey Questionnaire for Midwives), and 360 women (out of 384 sampled women), who responded to a study-specific validated survey for women (Survey Questionnaire for Women). Findings: The study is ongoing. The findings are presented at the NJF conference (May 2016) and as a part of doctoral thesis that should be defended in May 2017.
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| 6. |
- Lindgren, Helena, 1965, et al.
(författare)
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Taking the matter into one’s own hands –Women’s experiences of unassited homebirths in Sweden
- 2017
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Ingår i: Sexual & Reproductive HealthCare. - : Elsevier BV. - 1877-5756 .- 1877-5764. ; 11, s. 31-35
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Tidskriftsartikel (refereegranskat)abstract
- Objective: There are no national guidelines or financial support for planned homebirths in Sweden. Some women choose to give birth at home without the assistance of a midwife. The objective of this study was to describe eight women’s experience of unassisted planned homebirth in Sweden. Design: Women who had the experience of an unassisted planned home birth were interviewed. The material was analysed using a phenomenological approach. Results: The essential meaning of the phenomenon giving birth at home without the assistance of a midwife is understood as a conflict between, on one hand, inner responsibility, power and control and on the other hand insecurity in relation to the outside, to other people and to the social system. A wish to be cared for by a midwife is in conflict with the fear of not maintaining integrity and respect in this precious moment of birth. Conclusion: Some women may be more sensitive to attitudes and activities that are routinely performed during pregnancy and childbirth and therefore choose not to turn to any representatives of the medical system. The challenge should be to provide safe care to allwomen so that assistance from a midwife becomes a reality in all settings.
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