| 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
-
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. |
- Nilsson, Christina, 1959, et al.
(författare)
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An effort to make all the pieces come together: Women’s long-term perspectives on their experiences of intense fear of childbirth
- 2012
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Ingår i: International Journal of Childbirth. - 2156-5287 .- 2156-5295. ; 2:4, s. 255-68
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Tidskriftsartikel (refereegranskat)abstract
- Women's experiences of childbirth can be both empowering and traumatic, and negative experiences might lead to fear of forthcoming births. Our aim with this phenomenological study was to describe the meaning of fear of childbirth and of birth drawing on women's long-term perspectives. Six women who had sought help for intense fear of childbirth because of a negative birth experience during their second or third pregnancy 7-11 years ago were interviewed. The essential structure of the phenomenon is "an effort to make all the pieces come together" with the constituents: Every childbirth is a narrative that lingers on, fear of childbirth is connected to the period of childbearing, and the experiences of childbirth are central life experiences. Our findings suggest that fear of childbirth and childbirth experiences have been linked together and integrated as important life experiences. It seems like the meaning of the childbirth experiences can be expressed by women in several nuances and tones, indicating the complexity of the experience. The fear of childbirth has lost its importance and is connected to the previous difficult childbirth experience. It is important to understand women's fear of childbirth and birth experiences with respect to individual needs.
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