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- Sandin-Bojö, Ann-Kristin, et al.
(författare)
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A national survey of Swedish midwifery care
- 2008
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Konferensbidrag (refereegranskat)abstract
- Background: In Sweden approximately 100.000 childbirths occur every year. Almost all of them take place in a delivery unit. According to World Health Organization 70-80% of all births could be normal. Normal childbirth is defined as spontaneous in onset, low risk at the start of labour and remaining so throughout labour and delivery. The infant is born spontaneously in the vertex position between 37-42 completed weeks of pregnancy. After birth mother and infant are in good condition. Midwives area of expertise is normal pregnancy and childbirth and according to ICM they should promote normal childbirth. The goals of maternity care are a healthy mother and child and a positive birth experience. These goals should be reached with as few interventions as possible in the birth process. However, studies show that interventions are common in both normal and complicated childbirth and the numbers of normal childbirths as defined above are unknown. The aim of this study was to describe the amount of normal versus complicated childbirths in Swedish maternity care.Method: All maternity units in Sweden are invited to partcipate. At the participating maternity units midwives will fill in a questionnaire for each childbirth during a two- week period (3800 deliveries). The questionaire consits of 1) an instrument, the Bologna Score, based on WHO recommendations for normal birth that assess whether childbirth is managed as normal versus complicated (7 items), 2) study specific questions (3 items) and 3) background variables (8 items). For items in the Bologna Score, the data will be analyzed using descriptive and analytic statistics. Subgroup analysis will be performed for different age groups, parity, smoking and different levels of care.Results: Data will be collected in late spring 2007 and processed during the autumn 2007. The results will be presented at the congress.
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| 2. |
- Sandin-Bojö, Ann-Kristin, et al.
(författare)
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Care in labor: a Swedish survey using the Bologna Score
- 2008
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Ingår i: Birth 35(4) p 321-328.
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Tidskriftsartikel (refereegranskat)abstract
- Background: An important part of midwives area of responsibility is to strive to keep birth normal. Interventions during childbirth are costly and may disrupt the course of normal labor. The aim of this study was to describe, by use of the Bologna score, how birth is managed in Sweden. Methods: A prospective cross-sectional study in a national sample was performed. All (n = 51) Swedish maternity units were invited to participate, and 36 (70.6 %) agreed. Midwives collected data, in accordance with the Bologna score, for all deliveries occurring during a 2-week period in 2007. Results: Qualified health personnel assisted at almost all deliveries (99.9 %), and a vaginal birth was planed for 84 percent of the women. A Bologna score of 5 signifies that birth has been managed using recommended evidence-based practice, which was achieved for 22.7 percent of the planned vaginal births. Use of the supine position and some interventions were responsible for loss of points. The percentage of 5-point scores varied greatly between units (0 % to 53.1 %). Conclusions: The findings suggest that in Sweden, birth is managed according to scientific evidence to a limited degree. Large differences among units also suggest that care in childbirth is based on attitudes rather than on scientific evidence. The Bologna score was easy to use and gave a good picture of how care was given at the participating maternity units. We suggest that the instrument is useful as a quality indicator for intrapartum care
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| 3. |
- Sandin-Bojö, Ann-Kristin
(författare)
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Forum Värmland 2008
- 2008
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Konferensbidrag (populärvet., debatt m.m.)
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| 8. |
- Sandin-Bojö, Ann-Kristin, et al.
(författare)
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Some Swedish women´s perception of childbirth
- 2008
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Konferensbidrag (refereegranskat)abstract
- Background: The aim of intrapartal care in normal birth is to achieve a healthy mother and child using the least possible number of interventions that is compatible with safety. Aim: The aims of this study were to elucidate womens perceptions of intrapartal care and womens perceptions of normal birth.Methods: A questionnaire developed from the WHOs recommendations for care in normal birth were answered by 138 (response rate 66.0%) Swedish women. The women were asked to evaluate items in two ways; their perceived reality (PR) of care received and the subjective importance (SI) of each item.Results: Most women reported received care in the category (A) Practices that are good and should be encouraged. However, women to a minor degree reported assessment for physical health, enquiring about support needs and pain assessment on admission. Many women received electronic fetal monitoring, repeated vaginal examinations, oxytocin augmentation and suturing after birth which fall under the categories (B) practices that are harmful, (C) insufficient evidence exists and (D) practices frequently used inappropriately. The women who reported Yes for perceived reality also reported high subjective importance for those items regardless of category A-D. Eighty-four percent of the women perceived that they had a normal delivery. Conclusion: The result suggests that women have great trust that the care that midwives give them is the best care. Midwives have therefore an ethical responsibility to keep themselves informed about the best evidence-based care and to implement critical reviewing of their practice as part of ongoing professional development. The womens perceptions of a normal birth allows for a wide range of interventions.
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| 9. |
- Sandin-Bojö, Ann-Kristin, 1953-, et al.
(författare)
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Women’s perception of intrapartal care in relation to WHO’s recommendations
- 2008
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 17:22, s. 2993-3003
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Tidskriftsartikel (refereegranskat)abstract
- Background. The aim of intrapartal care in normal birth is to achieve a healthy mother and child using the least possible number of interventions that is compatible with safety. Aim. The aims of this study were to elucidate women’s perception of intrapartal care and women’s perceptions of normal birth. Methods. A questionnaire developed from the WHO’s recommendations for care in normal birth was answered by 138 (response rate 66·0% Swedish women. The women were asked to evaluate items in two ways: their perceived reality of care received and the subjective importance of each item. Results. Most women reported receiving care in the category (A) practices that are good and should be encouraged. However, women to a minor degree reported assessment for physical health, enquiring about support needs and pain assessment on admission. Many women received electronic foetal monitoring, repeated vaginal examinations, oxytocin augmentation and suturing after birth which fall under the category (B) practices that are harmful, (C) insufficient evidence exists and (D) practices frequently used inappropriately. The women who reported ‘Yes’ for perceived reality also reported high subjective importance for those items regardless of category A–D. Eighty-four per cent of the women perceived that they had a normal delivery. Conclusion. The result suggests that women have great trust that the care midwives give them is the best care. Midwives, therefore, have an ethical responsibility to keep themselves informed about the best evidence-based care and to implement critical reviewing of their practice as part of continuing professional development. The women’s perceptions of a normal birth allows for a wide range of interventions. Relevance for clinical practice. The result emphasises the importance of midwives’ knowledge of evidence-based care and how to implement this into practice. Further research should include elucidation of the meaning of normal childbirth to childbearing women.
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