| 1. |
- Akselsson, Anna, et al.
(författare)
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Language-supported labor ward visits for pregnant migrant women : Staff experiences in a Swedish hospital
- 2022
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Ingår i: European Journal of Midwifery. - : E.U. European Publishing. - 2585-2906. ; 6
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: The aim of this study was to explore midwives' and assistant nurses' experiences of providing extra support to non-Swedish-speaking migrants by offering individual language-supported visits to the labor ward during pregnancy.METHODS: Semi-structured interviews were conducted with six guides, midwives or assistant nurses, working in the INFÖR (Individuell förlossningsförberedelse) project at Södertälje hospital in Sweden. INFOR includes a two-hour individual language-supported visit at the labor ward, for non-Swedish speaking pregnant women and their partners. An inductive thematic analysis was conducted.RESULTS: The guides described INFOR as being a bridge and creating safety, achieved by meeting with women and providing practical information. The guides felt that they fulfilled an important purpose, they were dedicated and adapted to the women's individual needs. Providing extra language-assisted support to migrant pregnant women was developing and enriching, but the guides highlighted some barriers. Communicating via an interpreter was a challenge and the women were in need of more and extended meetings. The guides wished that INFOR could become a standard part of antenatal care, but the model needs to be further developed, and a better system for recruitment must be introduced.CONCLUSIONS: The guides experienced that the INFOR model is valuable in creating safety to pregnant migrant women before birth. The model is appreciated by the expectant couples, midwives and assistant nurses, and could be implemented as standard care. However, it is important to adapt the visits to the women's and their families' needs and goals, and structure needs to be developed before implementation.
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| 2. |
- Akselsson, Anna, et al.
(författare)
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Midwives' communication with non-Swedish-speaking women giving birth : A survey from a multicultural setting in Sweden
- 2022
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Ingår i: European Journal of Midwifery. - : E.U. European Publishing. - 2585-2906. ; 6
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: The European Union faces challenges related to migration, cultural diversity and health. Immigration to Sweden has increased and a third of all women giving birth were born outside Sweden. A higher risk for negative pregnancy outcomes is seen among foreign-born women and one of the explanations given is inadequate communication. Midwives in Sweden have responsibility for normal birth. This study aimed to investigate labor ward midwives' experiences of caring for and communicating with women who do not speak and understand the Swedish language.METHODS: A questionnaire based on the Migrant Friendly Hospital questionnaire was distributed to all 46 midwives working on the Södertälje Hospital labor and postpartum ward in 2018 and 32 completed it (70%).RESULTS: Most of the midwives thought communication and giving support to non-Swedish speaking women during birth was difficult or very difficult (n=31; 97%). The quality of the professional interpreters' work was reported as good or very good by most of the midwives (n=31; 97%). However, the most common resource for facilitating communication during labor was an adult relative (always/often: n=25; 83%). Increased availability was the most common response for improving the interpreter service (n=22; 69%), as well as increasing the number of languages available for interpreter services (n=8; 25%).CONCLUSIONS: When women are giving birth, it is of the highest priority to improve communication between midwives and non-Swedish-speaking women. Better strategies for improving communication must be implemented in order to comply adequately with Swedish law and achieve equitable care of high quality for all, regardless of linguistic background.
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| 3. |
- Andersson, Maria E., et al.
(författare)
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The experience of provided information and care during pregnancy and postpartum when diagnosed with preeclampsia : A qualitative study
- 2021
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Ingår i: European Journal of Midwifery. - 2585-2906. ; 5, s. 1-9
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION Despite preeclampsia being one of the most severe obstetrical complications there is only scant research describing women's experiences of preeclampsia. The aim of this study was to explore women's experience during pregnancy and the postpartum period regarding the provided information and care concerning preeclampsia. METHODS A qualitative study was designed. Semi-structured face-to-face interviews were performed with fifteen women who were diagnosed with preeclampsia and included at two maternity units located in southern Sweden. The material was analyzed using content analysis. RESULTS Suffering from preeclampsia was understood as being stressful, illustrated in four themes: fragmented information, lack of care planning, separation postpartum, and overall stress and worry. CONCLUSIONS The women experienced fragmented obstetrical care and information deficits when diagnosed with preeclampsia. Our findings indicate a need for additional support and professional guidance due to increased stress, worry, and despair of being separated from the newborn. Future research investigating specific care-planning and postpartum follow-up are suggested as steps to improve care for women with a pregnancy complicated by preeclampsia.
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| 4. |
- Bitar, Dima, et al.
(författare)
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Application to promote communication between midwives and Arabic-speaking women at antenatal care : Challenges met by researchers when developing content
- 2022
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Ingår i: European Journal of Midwifery. - : European Publishing. - 2585-2906. ; 6
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION Providing good communication is at the core of recent international guidelines for improving women's outcomes at birth. Communication barriers are identified as major obstacles to providing effective and equal care among foreign-born women. There is a need for accurate communication tools in antenatal care. The aim of this study was to describe challenges met by researchers when developing culturally sensitive content in a Swedish-Arabic application for communication support at antenatal care in Sweden. METHODS A co-design methodology was used for the development of the application, entailing collaboration between users and researchers in five different phases: users' needs and preferences, development, field testing I, refinement, and field testing II. RESULTS Five challenges emerged: evidence-based information, time frame, realistic photographs, norm-critical perspective, and cultural issues. One challenge was to meet the needs of the users and combine it with information following evidence-based obstetric welfare guidelines. It was also challenging to produce short informational videos that could be adjusted for the duration of the visit with the midwife without omitting important information and to produce photographs which can become outdated. It was also a challenge to portray a less clinical environment and to maintain parents' integrity. It was also challenging to produce norm-critical content from the women's perspective. CONCLUSIONS When developing content of an application for antenatal care, converting content proposals into a finished product is challenging. Collaboration between a cross-disciplinary research team, midwives and target-language women is essential to ensure that the content is usable and reliable.
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| 5. |
- Båtsman, Annika, et al.
(författare)
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Depression, anxiety and stress in Swedish midwives : A cross-sectional survey
- 2020
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Ingår i: European Journal of Midwifery. - : E.U. European Publishing. - 2585-2906. ; 4
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: Midwives are exposed to emotional strain, which could affect their overall health. Lack of emotional well-being could be a reason for workforce attrition. The aim of the study was to investigate the prevalence of depressive symptoms, anxiety and stress among Swedish midwives in relation to background variables.METHODS: A random sample of 1000 midwives were asked to participate and complete a questionnaire. Participants completed the Depression, Anxiety and Stress Scale, Copenhagen Burnout Inventory and Quality of Life inventories together with demographic and work-related data.RESULTS: In all, 470 midwives responded to the questionnaire (48%). The prevalence of moderate/severe/very severe symptoms of depressive symptoms was 12%, anxiety 8.6%, and stress 7.2%. Midwives aged <40 years and those with <10 years work experience reported higher levels of depressive symptoms, anxiety and stress. The factors most strongly associated with symptoms of depression were personal burnout (AOR=12.26), client burnout (AOR=1.95) and quality of life (AOR=0.26) The factors most strongly associated with symptoms of anxiety were work burnout (AOR=2.53) and personal burnout (AOR=5.61). The factors most strongly associated with stress were personal burnout (AOR=3.90) and work burnout (AOR=3.58) and high quality of life (AOR=0.34).CONCLUSIONS: Swedish midwives experience symptoms of depression, anxiety and stress. Symptoms of burnout were associated with all aspects of mental health, while high quality of life was protective against these symptoms. These findings are relevant to consider in the work environment for Swedish midwives in order to reduce attrition rates.
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| 6. |
- Bäcke, Pyrola, et al.
(författare)
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Neonatal resuscitation after birth – Swedish midwives’ experiences of, and perceptions about, separation between mothers and their newborn babies
- 2023
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Ingår i: European Journal of Midwifery. - : European Publishing. - 2585-2906. ; 7, s. 1-8
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION This study aimed to investigate midwives' experiences of and perceptions about mother-baby separation during resuscitation of the baby following birth. METHODS A qualitative study was conducted using an author-designed questionnaire. Fifty-four midwives from two Swedish birth units with different working methods regarding neonatal resuscitation - at the mother's bedside in the birth room or in a designated resuscitation room outside the birth room - completed the questionnaire. Data were analyzed using qualitative content analysis. RESULTS Most midwives had experience of removing a newborn baby in need of critical care from the birth room, thus separating the mother and baby. The midwives identified the difficulties and challenges involved in carrying out emergency care in the birth room after birth and had divergent opinions about what they considered possible in these birth situations. They agreed on the benefits, for both mother and baby, in performing emergency care in the birth room and avoiding a separation altogether, if possible. CONCLUSIONS There are good opportunities to reduce separation of mother and baby after birth; training, knowledge, education and the right environmental conditions are important factors in successfully implementing new ways of working. It is possible to work towards reducing separation and this work should continue and strive to eliminate separation as far as possible.
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| 7. |
- Bäcke, Pyrola, et al.
(författare)
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Neonatal resuscitation after birth : Swedish midwives’ experiences of and perceptions about separation of mothers and their newborn babies
- 2023
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Ingår i: European Journal of Midwifery. - 2585-2906. ; 7:May
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION This study aimed to investigate midwives’ experiences of and perceptions about mother–baby separation during resuscitation of the baby following birth. METHODS A qualitative study was conducted using an author-designed questionnaire. Fifty-four midwives from two Swedish birth units with different working methods regarding neonatal resuscitation – at the mother’s bedside in the birth room or in a designated resuscitation room outside the birth room – completed the questionnaire. Data were analyzed using qualitative content analysis. RESULTS Most midwives had experience of removing a newborn baby in need of critical care from the birth room, thus separating the mother and baby. The midwives identified the difficulties and challenges involved in carrying out emergency care in the birth room after birth and had divergent opinions about what they considered possible in these birth situations. They agreed on the benefits, for both mother and baby, in performing emergency care in the birth room and avoiding a separation altogether, if possible. CONCLUSIONS There are good opportunities to reduce separation of mother and baby after birth; training, knowledge, education and the right environmental conditions are important factors in successfully implementing new ways of working. It is possible to work towards reducing separation and this work should continue and strive to eliminate separation as far as possible.
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| 8. |
- Eri, Tine, et al.
(författare)
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Models for midwifery care: A mapping review
- 2020
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Ingår i: Eur J Midwifery. - : E.U. European Publishing. - 2585-2906. ; 2020:4
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: According to WHO, midwives are found competent to provide evidencebased and normalcy-facilitating maternity care. Models for midwifery care exist, but seem to be lacking explicit epistemological status, mainly focusing on the practical and organizational level of care delivery. To make the values and attitudes of care visible, it is important to implement care models with explicit epistemological status. The aim of this paper is to identify and gain an overview of publications of theoretical models for midwifery care. Methods: A mapping review was conducted with systematic searches in nine databases for studies describing a theoretical model or theory for midwifery care that either did or was intended to impact clinical practice. Eligibility criteria were refined during the selection process. Results: Six models from six papers originating from different parts of the world were included in the study. The included models were developed using different methodologies and had different philosophical underpinnings and complexity gradients. Some characteristics were common, the most distinctive being the emphasis of the midwife–woman relationship, secondly the focus on woman-centeredness, and thirdly the salutogenic focus in care. Conclusions: Overall, scarcity exists regarding theoretical models for midwifery care with explicit epistemological status. Further research is needed in order to develop generic theoretical models with an epistemological status to serve as a knowledge base for midwifery healthcare.
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| 9. |
- Finnbogadottir, Hafrún, et al.
(författare)
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Midwives experience of meeting pregnant women who are exposed to Intimate Partner Violence at in hospital prenatal ward : A qualitative study
- 2020
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Ingår i: European Journal of Midwifery. - : European Publishing. - 2585-2906. ; 4
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION Worldwide every third women is exposed to physical and/or sexualviolence and pregnancy is no safe period for the women. The aim was to elucidatemidwives experience of violence-exposed pregnant women who had been referred to aprenatal ward and were hospitalized.METHODS An inductive qualitative method was used with four focus-group interviewsperformed with sixteen midwives working at in-hospital prenatal ward. The data wereanalyzed with content analysis.RESULTS Three categories emerged. ‘Professional area of responsibility’, the midwivesworking at in-hospital prenatal ward considered it was the responsibility of the midwivesworking at antenatal care to ask routinely in order to detect violence-exposed women.Signs of help-seeking were based on the pregnant woman’s behavior. Suspicion ofintimate-partner violence was based on gut feeling. ‘Conditions for support’, the midwivesstrived to support pregnant women who were already identified as violence-exposed orif they had a suspicion that the pregnant woman was in a relationship where intimatepartnerviolence occurred. ‘Barriers for giving support’, both the work-place layout androutines constituted a barrier. The midwives own emotional state could affect her handlingof the situation.CONCLUSIONS The midwives working in-hospital considered it the responsibility of themidwives at antenatal healthcare to identify these women. The midwives had limitedexperience in dealing with violence-exposed pregnant women but recognized a number ofsigns and symptoms that could cause suspicion. They felt uncomfortable in the situationand expressed a need for both education and an action plan.
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| 10. |
- Finnbogadottir, Hafrún, et al.
(författare)
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Risk for partners' depression and anxiety during pregnancy and up to one year postpartum : A longitudinal cohort study
- 2022
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Ingår i: European Journal of Midwifery. - : European Publishing. - 2585-2906. ; 6
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION Families may benefit from increased focus on partner emotional well-being during pregnancy and the perinatal period. Our aim was to explore the risk for depression and anxiety during pregnancy and one year postpartum in relation to partners' self-reported health, sense of coherence, social support, and lifestyle factors. METHODS This is a longitudinal cohort study using three questionnaires that were answered twice during pregnancy and at one year postpartum. Participants (n=532) were recruited between April 2012 and September 2013, and follow-up was between April 2012 and March 2015, in Sweden.RESULTS In late pregnancy, 8.9% of the prospective partners were at high risk for depression and 8.3% one year postpartum. An increased risk for depression was found amongst those reporting 'fair or very poor' sexual satisfaction and those reporting 'fair or very poor' health during pregnancy and postpartum. High anxiety was reported by 10.8% during late pregnancy and 12.4% one year postpartum. Partners who were unemployed, had financial difficulties, and who scored low on a Sense of Coherence scale, showed significantly higher anxiety in late pregnancy and postpartum. Social support has a significant and positive impact concerning signs of depression and anxiety, both during pregnancy and postpartum. CONCLUSIONS More than 10% of partners in this study showed depressive symptoms and anxiety, indicating a problem in need of attention by stakeholders. Strengthening social support is of greatest importance. It is time for the introduction of family-focused care aimed at prevention of depression and anxiety, and maintenance of family well- being.
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