| 1. |
- Dencker, Anna, 1956, et al.
(författare)
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Neonatal outcomes associated with mode of subsequent birth after a previous caesarean section in a first pregnancy: A Swedish population-based register study between 1999 and 2015
- 2022
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Ingår i: BMJ Paediatrics Open. - : BMJ. - 2399-9772. ; 6:1
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Tidskriftsartikel (refereegranskat)abstract
- Objective To investigate neonatal outcomes within 28 days in the subsequent birth in women who gave birth to their first baby by caesarean section (CS). Design and setting National retrospective population-based register study. A cohort of 94 451 neonates who were born in Sweden between 1999 and 2015 as a second child to a mother who had her first birth by emergency or planned caesarean. Methods Data were retrieved from the national registers held by Statistics Sweden and the National Board of Health and Welfare. Logistic regression was used to calculate unadjusted and adjusted ORs (aOR) with 95% CIs for each outcome. Main outcome measures Neonatal infection, neonatal asphyxia/respiratory distress, neonatal hospital care and neonatal death within 28 days. Results Emergency CS and instrumental vaginal birth were associated with a doubled risk of neonatal infection (aOR 2.0) and planned CS with a decreased risk (aOR 0.7) compared with spontaneous vaginal birth. Compared with spontaneous vaginal birth, an increased risk of birth asphyxia and/or respiratory distress was identified with all other modes of birth (aOR 2.2-3.2). Emergency CS and instrumental vaginal birth, but not planned CS, were associated with neonatal hospital care (aOR 1.8 and 1.7) and an increased mortality rate during the neonatal period (aOR 2.9 and 3.2), compared with spontaneous vaginal birth. Conclusions In childbirth following a previous birth by CS, spontaneous vaginal birth appears to confer better neonatal outcomes within 28 days after birth overall than other modes of birth.
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| 2. |
- Lyckestam, Ida, et al.
(författare)
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Midwives´lived experience of caring during childbirth-A phenomenological study
- 2014
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Ingår i: Sexual & Reproductive HealthCare. - : Elsevier BV. - 1877-5756. ; 5:3
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of this study was to obtain a deeper understanding of midwives' lived experience of caring during childbirth in a Swedish context. Methods: Ten midwives were recruited from one university hospital with two separate delivery units in western Sweden. Data were collected by both written narratives and interviews. With an inductive approach using a descriptive phenomenological method, the answers to the question: “Can you describe a situation in which you felt that your caring was of importance for the woman and her partner?” were analysed. Results: A general structure of the phenomenon of caring in midwifery during childbirth, including five key constituents: sharing the responsibility, being intentionally and authentically present, creating an atmosphere of calm serenity in a mutual relationship, possessing the embodied knowledge, and balancing on the borders in transition to parenthood. Conclusions: This study emphasises how the midwives shared the responsibility and their possessed embodied knowledge of childbirth and how new unique knowledge was constructed together with the woman, child and her partner. The study has the potential to increase knowledge and understanding of midwives' lived experience of caring during childbirth and therefore has implications for practice, education, and research.
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| 3. |
- Lyckestam, Ida, et al.
(författare)
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To challenge oneself as a childbearing woman—the lived experience of vaginal birth after caesarean section in Sweden
- 2019
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 14
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: There is a need to gain deeper knowledge about women’s experience of vaginal birth after caesarean section (VBAC). Considerable research has been conducted on VBAC; however, only a few qualitative studies focus on women’s experiences. Therefore, the aim of this study was to describe the lived experiences of VBAC among women resident in Sweden, a country with a high VBAC rate.Method: This studywas performed in accordance with a phenomenological reflective lifeworld approach. Interviews were conducted with nine women in an urban region of Sweden one year after their VBAC birth.Results: The essential meaning of the studied phenomenon is “to challenge oneself as a childbearing woman”, which is further described by its four constituents: “striving for support from professionals”, “desiring the experience”, “contrasting and comparing memories of two different births” and “being part of the birthing culture”.Conclusions: The experience of VBAC meant regained trust in the ability to give birth vaginally. The women lacked follow-up and support after the caesarean section (CS), during the subsequent pregnancy and the forthcoming VBAC. Enhanced support could be a key factor in helping women meeting the challenge and feel confident about giving birth vaginally despite their previous experiences of CS.
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| 4. |
- Lyckestam, Ida, et al.
(författare)
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Women’s lived experience of vaginal birth after caesarean section (VBAC): a qualitative study from a country with high VBAC rates
- 2016
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Ingår i: Nordisk Jordemor Kongress Midwives for all. 12-14 maj 2016, Göteborg, Sverige..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Vaginal Birth After Caesarean section (VBAC) is a relevant question for women having a previous Cesarean Section (CS). Even if VBAC is the recommended choice for most women VBAC rates differs in an international perspective. There is a great deal of research on VBAC but only a few qualitative studies on women’s experiences. These studies are limited to a few countries, notably in countries with low VBAC rates. Studies from countries with high VBAC rates such as Sweden are few. Objective: The aim of this study was to describe the lived experience of VBAC in women living in a region in Sweden; a country with high VBAC rate. Methods: In-depth interviews were conducted with nine women in western part of Sweden one year after their VBAC experience. The data analysis was performed in accordance to a phenomenological reflective lifeworld approach. Results: Results will be presented at the conference. Conclusion: Few qualitative studies on women’s experience of VBAC are published especially in countries with high VBAC rates. Therefore it is important to gain knowledge regarding the women’s experiences in one of these countries. This knowledge can contribute to increase the understanding of women’s experiences, and be used to optimise the care in countries with high as well as low VBAC rates.
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