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- Erlandsson, Kerstin, 1961-, et al.
(författare)
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Half-time evaluation of a new 4-year Ph.D. program in nursing and midwifery at the University of Gondar, Ethiopia
- 2021
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Ingår i: Global Health Action. - : Taylor and Francis Ltd.. - 1654-9716 .- 1654-9880. ; 14:1
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Tidskriftsartikel (refereegranskat)abstract
- A new four-year Ph.D. programme in nursing and midwifery, the first of its kind in Ethiopia, was started in 2018/2019 at the University of Gondar when eight doctoral students in nursing and midwifery entered the program. We who have been involved see this as an appropriate time to evaluate what has been accomplished to date and to look toward future possibilities. Our aim in carrying out such an evaluation and presenting our findings is in part to determine if similar programs might be developed in other similar settings and in part to learn what modifications to the present program might be considered. The key elements of a questionnaire survey with closed and open response alternatives were based on the content, structure and learning outcomes of the home university Ph.D. programme as described in the curriculum. The questionnaire responses captured changes that would be needed to maintain a fully satisfactory programme that blends onsite instruction and online access to faculty resulting in a twenty-first century blended Ph.D. programme. Improved dialogue between the home university faculty and the external supervisors is needed. The programme can provide a career pathway that midwifery and nursing educators can follow in their own country rather than having to leave to study in another country. The findings provide insight into the feasibility of extending similar Ph.D. programmes to other parts of East Africa and with the SDG 5 in mind with an increased focus on women leadership. The justification for this initiative is to meet the need for more nursing and midwifery faculty who can provide quality midwifery and nursing education in East African countries. Retention of these professionals will help to deal with the shortage of healthcare personnel and will provide better care for the general population. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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| 11. |
- Hailemeskel, S, et al.
(författare)
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Health care providers' perceptions and experiences related to Midwife-led continuity of care-A qualitative study
- 2021
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Ingår i: PloS one. - : Public Library of Science (PLoS). - 1932-6203. ; 16:10, s. e0258248-
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Tidskriftsartikel (refereegranskat)abstract
- Though Midwife-led care remains a key to improving the health status of pregnant mothers, in Ethiopia, maternity care has traditionally been based on a model in which responsibility for care is shared by hospital-based midwives, nurses, general practitioners, and obstetricians. This type of care has been seen as representing a fragmented approach.ObjectiveThe aim of this study was to explore health care providers’ perceptions and experiences related to Midwife-led continuity of care at primary hospitals in the north Shoa zone EthiopiaMethodsA qualitative approach was selected as the methodology for this study. Data were collected from 25 midwives and 8 integrated emergency surgical officers (IESO) and medical doctors working in maternal health care units in four primary hospitals in the north Shoa zone, Amhara Regional State. Four focus group discussions and eight individual interviews were conducted. The facilitator utilized a set of open-ended questions for the focus group discussion. Semi-structured interview questions were used for the interviews and thematic data analysis was done.FindingThe main theme extracted was “Midwives welcome consideration of a Midwife-led model that would provide greater continuity of care, but they expressed concerns about organisation and workload”. The midwives said that they would welcome working with the midwife-led care model, as they believed using it could lead to improving the quality of maternal health care, provide greater continuity, and improve coverage, birth outcomes, and maternal satisfaction. The midwives could become more autonomous and be able to take more responsibility for maternity care. The group of 25 midwives and the group of 8 IESO and medical doctors perceived that working procedures and changes in the organization of care in the health facility would have to be studied carefully before any changes can be considered.ConclusionIn this study, we found that replacing the existing system of maternal care with a Midwife-led model would require careful analysis of how this model of care might be implemented in Ethiopia. Further investigation will be of great importance in providing insights that will help in developing a final model.
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- Andersson, Carl-Håkan, et al.
(författare)
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Fibre Handleability, Damage Formation, Dust Emission and Morphology
- 1994
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Ingår i: Composites Testing and Standardization. - 1855731878 ; , s. 625-632
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Konferensbidrag (refereegranskat)abstract
- The mechanical stress build up in fibre handling, the dynamical frictional phenomena between fibres and curved surfaces and formation of dust have been studied. Typical are stick slip behavior and threshold stress levels for formation of dust. The emission of dust can be limited by electrostatic charging. The measured coefficients of friction of the fibres depend on the mechanical properties, micro structure, morphology and sizing of the fibres, the friction materials, the deformation rates and applied loads.
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- Badi, MB, et al.
(författare)
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Effect of Flexible Sacrum Position on Maternal and Neonatal Outcomes in Public Health Facilities, Amhara Regional State, Ethiopia: A Quasi-Experimental Study
- 2022
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Ingår i: International journal of environmental research and public health. - : MDPI AG. - 1660-4601. ; 19:15
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Tidskriftsartikel (refereegranskat)abstract
- Restricting women giving birth in health care facilities from choosing the most comfortable position during labor and birth is a global problem. This study was aimed to examine the effect of flexible sacrum birth positions on maternal and neonatal outcomes in public health facilities in Ethiopia’s Amhara Region. A non-equivalent control group post-test-only design was employed at public health facilities from August to November 2019. A total of 1048 participants were enrolled and assigned to intervention or control groups based on their choice of birth position. Participants who preferred the flexible sacrum birth position received the intervention, while participants who preferred the supine birth position were placed in the control group. Data were collected using observational follow-up from admission to immediate postpartum period. Log binomial logistic regression considering as treated analysis was used. Of the total participants, 970 women gave birth vaginally, of whom 378 were from the intervention group, and 592 were from the control group. The intervention decreased the chance of perineal tear and poor Apgar score by 43 and 39%, respectively. The flexible sacrum position reduced the duration of the second stage of labor by a mean difference of 26 min. Maternal and newborn outcomes were better in the flexible sacrum position.
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| 18. |
- Barkholt, L, et al.
(författare)
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Safety analysis of ex vivo-expanded NK and NK-like T cells administered to cancer patients: a phase I clinical study
- 2009
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Ingår i: Immunotherapy. - : Future Medicine Ltd. - 1750-7448 .- 1750-743X. ; 1:5, s. 753-764
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Tidskriftsartikel (refereegranskat)abstract
- The chimeric state after allogeneic hematopoietic stem cell transplantation provides a platform for adoptive immunotherapy using donor-derived immune cells. The major risk with donor lymphocyte infusions (DLIs) is the development of graft-versus-host disease (GvHD). Development of new DLI products with antitumor reactivity and reduced GvHD risk represents a challenging task in cancer immunotherapy. Although natural killer (NK) and NK-like T cells are promising owing to their antitumor activity, their low concentrations in peripheral blood mononuclear cells reduces their utility in DLIs. We have recently developed a system that allows expansion of clinical-grade NK and NK-like T cells in large numbers. In this study, the safety of donor-derived long-term ex vivo-expanded human NK and NK-like T cells given as DLIs was investigated as immunotherapy for cancer in five patients following allogeneic stem cell infusion. Infusion of the cells was safe whether administered alone or with IL-2 subcutaneously. No signs of acute GvHD were observed. One patient with hepatocellular carcinoma showed markedly decreased serum α-fetoprotein levels following cell infusions. These findings suggest that the use of ex vivo-expanded NK and NK-like T cells is safe and appears an attractive approach for further clinical evaluation in cancer patients.
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| 20. |
- Berta, M, et al.
(författare)
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Effect of maternal birth positions on duration of second stage of labor: systematic review and meta-analysis
- 2019
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Ingår i: BMC pregnancy and childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 19:1, s. 466-
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundIt is believed that giving birth in an upright position is beneficial for both mother and the infant for several physiologic reasons. An upright positioning helps the uterus to contract more strongly and efficiently, the baby gets in a better position and thus can pass through the pelvis faster. Upright and lateral positions enables flexibility in the pelvis and facilitates the extension of the outlet. Before implementing a change in birthing positions in our clinics we need to review evidences available and context valid related to duration of second stage of labor and birthing positions. Therefore this review aimed to examine the effect of maternal flexible sacrum birth position on duration of second stage of labor.MethodThe research searched articles using bibliographical Databases: Medline/PUBMED, SCOPUS, Google scholar and Google. All study designs were considered while investigating the impact of maternal flexible sacrum birthing positioning in relation duration of second stage of labor. Studies including laboring mothers with normal labor and delivery. A total of 1985 women were included in the reviewed studies. We included both qualitative and quantitative analysis.ResultsWe identified 1680 potential citations, of which 8 articles assessed the effect of maternal upright birth positioning on the reduction during the duration of second stage of labor. Two studies were excluded because of incomplete reports for meta analysis. The result suggested a reduction in duration of second stage of labor among women in a flexible sacrum birthing position, with a mean duration from 3.2–34.8. The pooled weighted mean difference with random effect model was 21.118(CI: 11.839–30.396) minutes, with the same significant heterogeneity between the studies (I2 = 96.8%,p < 000).ConclusionThe second stage duration was reduced in cases of a flexible sacrum birthing position. Even though the reduction in duration varies across studies with considerable heterogeneity, laboring women should be encouraged to choose her comfortable birth position. Researchers who aim to compare different birthing positions should consider study designs which enable women to choose birthing position.Prospero registration number[CRD42019120618]
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| 21. |
- Bråred Christensson, Johanna, 1965, et al.
(författare)
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An international multicentre study on the allergenic activity of air-oxidized R-limonene
- 2013
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Ingår i: Contact Dermatitis. - : Wiley. - 0105-1873. ; 68:4, s. 214-223
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Tidskriftsartikel (refereegranskat)abstract
- Background. Limonene is a common fragrance terpene that, in its pure form, is not allergenic or is a very weak allergen. However, limonene autoxidizes on air exposure, and the oxidation products can cause contact allergy. Oxidized R-limonene has previously been patch tested in multicentre studies, giving 2–3% positive patch test reactions in consecutive patients. Objectives. To investigate whether oxidized R-limonene 3.0% in petrolatum, with a stable concentration of the main haptens, limonene hydroperoxides (Lim-OOHs), could be a useful tool for the detection of contact allergy in an international setting. Methods. Oxidized R-limonene 3.0% (Lim-OOHs 0.33%) pet. was tested in 2900 consecutive dermatitis patients in Denmark, the United Kingdom, Singapore, Spain, Sweden, and Australia. Results. Overall, 5.2% (range 2.3–12.1%) of the patients showed a positive patch test reaction to oxidized R-limonene. Doubtful reactions were found in 7.0% of the patients (range 0–24%). Few irritant reactions were seen. Conclusions. Oxidized R-limonene at 3.0% pet. with a specified content of Lim-OOHs 0.33% is a standardized and useful tool for the detection of contact allergy in dermatitis patients. Many patients showing positive patch test reactions to oxidized R-limonene would not be informed of their fragrance allergy if this specific test had not been performed.
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| 23. |
- Carlander, A. -KK., et al.
(författare)
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Contact between mother, child and partner and attitudes towards breastfeeding in relation to mode of delivery
- 2010
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Ingår i: Sexual & Reproductive HealthCare. - : Elsevier BV. - 1877-5756 .- 1877-5764. ; 1:1, s. 27-34
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate contact between mothers and their newborn child and study if there are differences between those who requested an elective caesarean section compared to women who had a vaginal birth and those who underwent an elective caesarean section due to obstetrical indication. The psychometric properties of a scale that measure the contact between mother and child were also investigated. Design: A prospective cohort study. Setting: Danderyd Hospital, Stockholm, Sweden. Sample: 510 primiparas from three groups: women undergoing caesarean section on maternal request (n = 96), women undergoing caesarean section on obstetrical indication (n = 116) and women planning a vaginal delivery (n = 198). The later were further divided into subgroups; women who underwent assisted vaginal delivery (n = 35) and women who had an emergency caesarean section (n = 65). Methods: The instrument used was the Alliance Scale. Main outcome measure: The contact between mother and child in relation to mode of delivery. Results: The contact with the child was rated as positive on all occasions: there were no significant differences between the groups. The relation to the partner was rated as positive at all occasions. Mothers with a vaginal delivery experienced breastfeeding less stressful than the mothers with a caesarean delivery. Three and nine months after delivery the mothers with a caesarean delivery on request reported more breastfeeding problems than mothers in the other groups. Mothers with a vaginal delivery rated less sadness at every occasion. Conclusion: Mode of delivery does not seem to affect how mothers experience their contact towards the newborn child. © 2009 Elsevier B.V. All rights reserved.
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| 24. |
- Christensson, Bengt, et al.
(författare)
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Analysis of Particle Emission During Simulated Processing of Multifilament Fibres
- 1994
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Ingår i: Composites Testing and Standardisation: ECCM-CTS 2. - 1855731878 ; , s. 633-640
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Konferensbidrag (refereegranskat)abstract
- The use of multifilament fibres in composites is increasing. For usability, health effects and comfort it is important to include human aspects already in the development of materials and handling techniques. This paper presents a pilot experiment for designing further experiments on emission of particles and fibres from multifilament fibres during friction, bending and tensile forces.
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- Ekeus, C, et al.
(författare)
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Socioeconomic characteristics of fathers of children born to teenage mothers in Stockholm, Sweden
- 2003
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Ingår i: Scandinavian journal of public health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 31:1, s. 73-76
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Tidskriftsartikel (refereegranskat)abstract
- Aims: Teenage childbearing has been associated with adverse outcomes for the mother and the child. Despite this, no study in Sweden has focused on the fathers of those children. The aim of the present study was to describe and compare the socioeconomic situation of fathers of children born to teenage mothers with those of children born to average-aged mothers. Methods: A descriptive comparative study was conducted, which comprised 132 fathers of children born to teenage mothers (Group A) and the same number of fathers of children born to older mothers (Group B). All fathers answered a structured questionnaire regarding socioeconomic and reproductive factors. Results: On certain critical variables the Group A fathers were more likely to have had a more compromised and difficult socioeconomic background. Compared with the Group B fathers they were more likely to have tried illicit drugs and to be involved in criminality. In addition, the Group A fathers often came from single-parent households. Conclusion : Many fathers of children born to teenage mothers showed problem behaviours, which may negatively influence their ability to engage in successful parenting. Therefore increased attention should be paid to the fathers at an early stage of pregnancy, during the antenatal visits.
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| 36. |
- Forsberg, A., et al.
(författare)
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The Immune Response of the Human Brain to Abdominal Surgery
- 2017
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Ingår i: Annals of Neurology. - : Wiley. - 0364-5134 .- 1531-8249. ; 81:4, s. 572-582
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Surgery launches a systemic inflammatory reaction that reaches the brain and associates with immune activation and cognitive decline. Although preclinical studies have in part described this systemic-to-brain signaling pathway, we lack information on how these changes appear in humans. This study examines the short-and long-term impact of abdominal surgery on the human brain immune system by positron emission tomography (PET) in relation to blood immune reactivity, plasma inflammatory biomarkers, and cognitive function. Methods: Eight males undergoing prostatectomy under general anesthesia were included. Prior to surgery (baseline), at postoperative days 3 to 4, and after 3 months, patients were examined using [C-11]PBR28 brain PET imaging to assess brain immune cell activation. Concurrently, systemic inflammatory biomarkers, ex vivo blood tests on immunoreactivity to lipopolysaccharide (LPS) stimulation, and cognitive function were assessed. Results: Patients showed a global downregulation of gray matter [C-11]PBR28 binding of 26 +/- 26% (mean +/- standard deviation) at 3 to 4 days postoperatively compared to baseline (p=0.023), recovering or even increasing after 3 months. LPS-induced release of the proinflammatory marker tumor necrosis factor-a in blood displayed a reduction (41 +/- 39%) on the 3rd to 4th postoperative day, corresponding to changes in [C-11]PBR28 distribution volume. Change in Stroop Color-Word Test performance between postoperative days 3 to 4 and 3 months correlated to change in [C-11]PBR28 binding (p=0.027). Interpretation: This study translates preclinical data on changes in the brain immune system after surgery to humans, and suggests an interplay between the human brain and the inflammatory response of the peripheral innate immune system. These findings may be related to postsurgical impairments of cognitive function.
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| 40. |
- Harder, Maria, et al.
(författare)
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Undergoing an immunization is effortlessly, manageable or difficult according to five-year-old children
- 2015
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 29:2, s. 268-276
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Tidskriftsartikel (refereegranskat)abstract
- Background: To prevent diseases among children they regularly undergo immunizations. Previous research show different approaches available to facilitate immunization-procedures for children to protect them from harm. To complement this research and provide care suited for children, research recognizing their perceptions of undergoing such a procedure is needed. Aim: The aim of this study was to describe 5-year-old children's perceptions of undergoing an immunization. Method: A phenomenographic approach and analysis was used to describe the children's (n = 21) various perceptions. The data-collection was accomplished directly after the immunization to grasp the children's immediate perceptions. Drawings and reflective talks were used as they are considered as suitable methods when involving young children in research. The right to conduct research with children was approved by the appropriate research ethics committee and also by each child and the parents. Results: The findings show that children's perceptions of an immunization-procedure may vary from effortlessly, to manageable or difficult. Regardless of how the child perceive the immunization-procedure each perception embrace the children's descriptions of actors and articles in the situation, their feelings in the situation and also their actions to deal with the immunization. Nevertheless, these descriptions vary according to how the children perceive the immunization as effortlessly, manageable or difficult. Conclusion: Children's and adults' perceptions of medical procedures may differ and children need guidance, time and space to deal with them. Recognizing children's perceptions of undergoing an immunization contributes to the promotion of their right to be involved in their own health care and towards the development of child-centred care.
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| 41. |
- Hildingsson, Ingegerd, et al.
(författare)
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Swedish women's expectations about antenatal care and change over time - A comparative study of two cohorts of women
- 2014
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Ingår i: Sexual and Reproductive Healthcare. - : Elsevier BV. - 1877-5764 .- 1877-5756. ; 5:2, s. 51-57
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Tidskriftsartikel (refereegranskat)abstract
- A decade ago a national cohort of Swedish-speaking women were surveyed about their expectations on antenatal care. Today, antenatal care in Sweden still operates under similar circumstances while changes have occurred in society and the pregnant population. Objective: To compare expectations of antenatal care in pregnant women recruited 2009-2010 to those of pregnant women from a national cohort in 1999-2000. An additional aim was to compare antenatal expectations in women recruited to a clinical trial and subsequently received group based or standard antenatal care. Methods: A cross-sectional pre-study of 700 women recruited to a clinical trial and a historical cohort of 3061 women from a Swedish national survey. Data was collected by a questionnaire in early pregnancy for both cohorts and before the clinical trial started. Results: In early pregnancy 79% of the women in the study sample reported a preference for the recommended number of visits, which is slightly higher than in the national cohort (70%). Continuity of the caregiver was still important with 95% vs 97% of the women rated it important to meet the same midwife at subsequent antenatal visits. The content of care rank order showed a change over time with lower expectations in health check-ups and emotional content and higher expectations in information needs, respect and partner involvement. Conclusion: Women approached in early pregnancy had lower expectations about medical and emotional check-ups and parent education but higher expectations regarding information, being met with respect and the involvement of the partner compared to women 10. years ago. Continuity of a midwife caregiver was still important and women seem more willing to follow the recommended number of antenatal visits. Clinical implications: Asking women about their expectations regarding antenatal care could be a means to individualize the care. © 2014 Elsevier B.V.
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| 42. |
- Karjalainen, Suvi, et al.
(författare)
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A pilot study on the relationship between primary-school teachers’ well-being and the acoustics of their classrooms
- 2020
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Ingår i: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 17:6
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Tidskriftsartikel (refereegranskat)abstract
- Although teachers’ well-being and vocal health are affected by noise, research on classroom sound environment from the teachers’ perspective is scarce. This study investigated the relationship between teachers’ well-being and classroom acoustics. The possible influence of teachers’ age, experience, teaching grade and class size on the relationship was also investigated. In this study, well-being refers to self-reported vocal health, stress, burnout and self-efficacy. Twenty-three primary-school teachers answered questionnaires on well-being. In each teacher’s classroom, the acoustical properties were measured with the variables reverberation time, clarity of speech (C50) and ventilation system noise (VSN). A series of non-parametric correlations were run to determine the relationship between teachers’ well-being and classroom acoustics. Initially, there was a significant bivariate correlation between burnout and VSN, as well as voice symptoms correlated with VSN and teaching grade. Although the results became not significant after correction for multiple tests, the findings indicate that higher degree of burnout is associated with higher levels of VSN in classrooms, and voice symptoms increase with higher VSN. Teachers working in lower grades had more voice symptoms than those working in higher grades. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.
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| 43. |
- Karjalainen, Suvi, et al.
(författare)
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Teachers' voice use and wellbeing in relation to the classroom acoustics and background noise
- 2023
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Ingår i: Proceedings of the 10<sup>th</sup> Convention of theEuropean Acoustics Association Forum Acusticum 2023. - : European Acoustics Association, EAA. - 9788888942674
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Konferensbidrag (refereegranskat)abstract
- Although many studies have shown that teachers' vocal health is challenged by noise and the room acoustics, research on classroom sound environment from the perspective of teachers' well-being is scarce. This study aimed to explore the relationship between teachers' wellbeing, voice use and classroom acoustics. In this study, wellbeing refers to self-reported vocal health, self-assessed level of stress, burnout and self-efficacy. Twenty-three primary-school teachers answered questionnaires on well-being. In each teacher's classroom, the acoustical properties were measured with the variables reverberation time, clarity of speech (C50) and ventilation system noise (VSN). A series of non-parametric correlations were run to determine the relationship between teachers' well-being and classroom acoustics. There was a significant bivariate correlation between burnout and VSN, (dBA), that, however, after correction for multiple analyses remained non significant, Voice symptoms correlated with VSN and teaching grade. This study indicates that higher degree of burnout in teachers is associated with higher levels of VSN in classrooms. Moreover, teachers' voice symptoms increase with higher levels of VSN. Teachers teaching lower grades had more voice symptoms than those teaching higher grades.
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| 44. |
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| 45. |
- Lilja, H, et al.
(författare)
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Prostate-specific antigen in serum occurs predominantly in complex with alpha 1-antichymotrypsin
- 1991
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Ingår i: Clinical Chemistry. - : Oxford University Press (OUP). - 0009-9147 .- 1530-8561. ; 37:9, s. 25-1618
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Tidskriftsartikel (refereegranskat)abstract
- Immunologic measurements of the serum concentration of prostate-specific antigen (PSA), an abundant prostatic-secreted serine proteinase, are frequently used to monitor patients with prostate cancer, though it has not been ascertained whether this immunoreactivity represents a PSA zymogen, the active proteinase, or PSA complexed to extracellular proteinase inhibitors. To characterize the PSA immunoreactivity in serum, we used monoclonal antibodies produced against PSA and a polyclonal rabbit IgG against alpha 1-antichymotrypsin in the design of three noncompetitive PSA assays: assay T, which detected PSA both when present as the active proteinase and when complexed to alpha 1-antichymotrypsin; assay F, which recognized the active proteinase but most poorly detected PSA complexed to alpha 1-antichymotrypsin; and assay C, which was specific for PSA complexed to alpha 1-antichymotrypsin. We used the three assays to measure PSA immunoreactivity in 64 patients' sera and in the effluent after gel chromatography of sera from four patients. This identified an 80- to 90-kDa complex between PSA and alpha 1-antichymotrypsin as the predominant fraction of the PSA immunoreactivity in blood plasma; an immunoreactive 25- to 40-kDa compound was the minor fraction.
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| 46. |
- Lindberg, I, et al.
(författare)
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Midwives' experience of using videoconferencing to support parents who were discharged early after childbirth
- 2007
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Ingår i: Journal of Telemedicine and Telecare. - : SAGE Publications. - 1357-633X .- 1758-1109. ; 13:4, s. 202-205
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Tidskriftsartikel (refereegranskat)abstract
- Videoconferencing was used to support parents who were discharged early after childbirth. In a one-year pilot study, 23 videoconferences took place between midwives and parents at home. To ensure good picture quality, a high-speed, 10 Mbit/s broadband connection was used. We used a combination of quantitative and qualitative research methods to describe the participants' experience. Seven midwives with experience of supporting nine couples/new parents completed a questionnaire. The 20 responses (87%) showed that the main reason for contact was routine and the most frequent advice concerned breastfeeding. The quality of sound and picture were judged to be good and very good, respectively. The experience of communicating with the parents via videoconferencing was also investigated through semi-structured interviews. Analysis of the interviews revealed that videoconferencing was: easy to handle and useful for making assessments; a valuable and functional complement to usual practice; almost like a real-life encounter. The results suggest that videoconferencing may be a useful tool in postpartum care.
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| 47. |
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| 48. |
- Lindgren, Helena, et al.
(författare)
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Perceptions of risk and risk management among 735 women who opted for a home birth
- 2010
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Ingår i: Midwifery. - : Elsevier BV. - 0266-6138 .- 1532-3099. ; 26:2, s. 163-172
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Tidskriftsartikel (refereegranskat)abstract
- Home birth is not included in the Swedish health care system and the rate for planned home births is less than one in a thousand. The aim was to describe women’s perceptions of risk related to childbirth and the strategies for managing these perceived risks. Design and setting A nationwide study including all women who had given birth at home in Sweden was conducted between 1 January 1992 and 31 July 2005. Participants A total of 735 women had given birth to 1038 children. Of the 1038 questionnaires sent to the women, 1025 (99%) were returned. Measurements Two open questions regarding risk related to childbirth and two questions answered by using a scale were investigated by content analysis. Findings Regarding perceived risks in a hospital birth, three categories, all related to loss of autonomy, were identified: 1) being in the hands of strangers; 2) being in the hands of routines and unnecessary interventions and 3) being in the hands of structural conditions. Perceived risks related to a home birth were associated with a sense of being beyond help; 1) worst case scenario and 2) distance to the hospital. The perceived risks were managed by using extrovert activities and introvert behaviour and by avoiding discussions concerning risks with health care professionals. Conclusion Women who plan for a home birth in Sweden do consider risks related to childbirth but they avoid talking about the risks with health care professionals. Implications for practice To understand why women choose to give birth at home, health care professionals must learn about the perceived beneficial effect of doing so.
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