| 1. |
- Anderberg, Eva, et al.
(författare)
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Diabetes and pregnancy: women's opinions about the care provided during the childbearing year.
- 2009
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 1471-6712 .- 0283-9318. ; 23:1, s. 161-170
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Tidskriftsartikel (refereegranskat)abstract
- Scand J Caring Sci; 2009 Diabetes and pregnancy: women's opinions about the care provided during the childbearing yearBackground: The extended programmes for pregnant women with diabetes, needed to improve pregnancy outcome, might negatively influence the experience of expecting a baby. Aim: To investigate opinions about care during pregnancy, childbirth and the postnatal period among women with diabetes mellitus (DM) and gestational DM (GDM). Method: A four-part questionnaire was constructed, covering the childbearing year, with a focus on treatment and information. A total of 156 women were asked to participate (53 DM, 103 GDM), three refused. The questionnaire was anonymous. Results: The reply frequency was 94%. Of all answers, 95% fell in neutral-satisfied range (Lickert scale 2-5). Three answering patterns deviated positively (care on Specialist Antenatal Clinic, accessibility, and participation-responsibility-respect). Four patterns deviated negatively (information flow, preparation, postpartum care and postpartum check-up). Increased supervision caused problems with time for the family and at work. Comments showed focus on diabetes, forcing the healthy pregnancy aspects into the background. The answers concerning treatment indicated satisfaction (4 + 5 Lickert scale). Women with GDM felt badly prepared before the glucose tolerance test. It was doubtful whether they had been able to make an informed choice about participating. Lack of knowledge among staff was pointed out. Need for more written material was expressed. Conclusion: Satisfaction with care was shown. A discussion about the implication of informed choice with both staff and mothers are needed. Sharper implementation of the diabetes-care-chain was also an area for improvement.
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| 2. |
- Andolf, Ellika, et al.
(författare)
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Ultrasonography for early detection of ovarian carcinoma
- 1986
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Ingår i: British Journal of Obstetrics and Gynaecology. - : Wiley. - 1365-215X .- 1470-0328 .- 1471-0528. ; 93:12, s. 1286-1289
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Tidskriftsartikel (refereegranskat)abstract
- Ultrasound scan for detection of ovarian enlargements was performed in a target group of out-patients attending the clinic for various reasons in the 40-70 years range. Overall 805 women were examined, in 99% of whom the ovaries and/or their vessels could be identified. Pathological findings were suspected in 83 patients at the first scan, and were confirmed in 50 after a repeat scan, 39 of whom subsequently underwent surgery. Various ovarian lesions were found in 35 women, including five mucinous and serous cystadenomas, one carcinoma, two borderline tumours, and a cancer of the caecum. None of the borderline or malignant ovarian lesions were found by manual pelvic examination. Ultrasound screening appears to be a useful diagnostic aid, though its usefulness might be further improved if other risk factors such as heredity and period of ovulatory activity are taken into consideration.
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| 3. |
- Bergevi, Charlotte, et al.
(författare)
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From passive passenger to participating co-pilot - Pregnant women's expectations of being able to access their online journal from antenatal care
- 2018
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Ingår i: Sexual & Reproductive HealthCare. - : Elsevier. - 1877-5756 .- 1877-5764. ; 15, s. 35-39
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of the study was to describe pregnant women's expectations of being able to access their electronic health records from antenatal care. Methods: Nine pregnant women passing 25 full gestational weeks were interviewed individually. Collected data were analysed with an inductive approach using content analysis. The study was performed in antenatal care units in southern Sweden. Results: The following five categories emerged from the analysis: Being able to achieve increased participation, being able to have more control, being more knowledgeable about the pregnancy, identification of possible risks, and perceptions of one's own well-being can predict usage. The five categories led to one main category: 'Shift in power from passive passenger to participating co-pilot'. Conclusion: The pregnant women expected that having access to electronic health records would give them more control, make them more knowledgeable and increase their participation. Access to electronic health records may empower pregnant women and contribute to a more person-centred approach. This could provide greater knowledge for the woman and her partner about her health, thus, allowing them to make evidence-based choices in relation to the newborn baby and the woman's health.
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| 4. |
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| 5. |
- Crang Svalenius, Elizabeth, et al.
(författare)
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Factors influencing informed choice of prenatal diagnosis: women's feelings and attitudes
- 1998
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Ingår i: Fetal Diagnosis and Therapy. - : S. Karger AG. - 1015-3837 .- 1421-9964. ; 13:1, s. 53-61
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To obtain knowledge about factors that could influence women's informed choice and extent of prenatal diagnosis, her feelings when implementing it, and her satisfaction. METHOD: A questionnaire including Visual Analogue Scale was given to 823 women and replies received from 662 (80.4%). Ease of choice was the basis for the statistical analysis. RESULTS: The factors that most often influenced choice were the fetus health, maternal age, and knowledge of the consequences. The choice was easy to make, only 2% finding it very difficult. The time period from the amniocentesis until the results were available was the most difficult time reported. CONCLUSIONS: The choice of method for prenatal diagnosis was very easy for most women. Satisfaction with choice was high (98%). Extra support can be needed while awaiting results of invasive prenatal diagnosis.
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| 6. |
- Crang Svalenius, Elizabeth, et al.
(författare)
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Intrauterine growth of the fetus at term. A prospective and longitudinal study with real-time ultrasound
- 1990
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Ingår i: Journal of Ultrasound in Medicine. - 1550-9613. ; 9:1, s. 35-38
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Tidskriftsartikel (refereegranskat)abstract
- Intrauterine fetal growth was followed in a prospective study of 654 consecutive singleton pregnancies. Ultrasound fetometry was performed in gestational weeks 17, 32, and 39, and then weekly until delivery took place. A total of 408 fetuses were examined in the 39th week and 55 investigations were performed in the postterm period. This enabled us to follow the intrauterine growth of the normal fetus both at term and postterm. We found that the intrauterine rate of growth continued constantly, even postterm, for the biparietal diameter, abdominal diameter, and femur length.
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| 7. |
- Crang Svalenius, Elizabeth, et al.
(författare)
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Maternal serum screening for Down syndrome - opinions on acceptance from Swedish women
- 2003
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 1471-6712 .- 0283-9318. ; 17:1, s. 30-34
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Tidskriftsartikel (refereegranskat)abstract
- Background: Different screening procedures are becoming an important part of health care. information about screening and its consequences can be difficult to both impart and understand. This study examined women's theoretical acceptance of a new screening procedure, before its introduction. Methods: A group of women (n = 823), who had made an informed choice about the form of foetal diagnosis they wished for, were also asked, in a questionnaire, about their opinion on the acceptability of serum screening for Down syndrome. The main purpose of the this was to ascertain their feelings when making a choice. Results: Replies were received from 80.4%. The answers indicated that serum screening would be acceptable to 86% of the women who had chosen a second trimester ultrasound examination. Of the women who had chosen amniocentesis, 51% would consider the test acceptable as a first alternative. Conclusions: The ease with which the women were able to make their choice of prenatal diagnosis had bearing on their degree of acceptance of serum screening for Down syndrome.
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| 8. |
- Crang Svalenius, Elizabeth, et al.
(författare)
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Normal ultrasonic fetal growth ratios evaluated in cases of fetal disproportion
- 1991
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Ingår i: Journal of Ultrasound in Medicine. - 1550-9613. ; 10:2, s. 89-92
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Tidskriftsartikel (refereegranskat)abstract
- During a 2-year period, 5476 normal routine obstetrical ultrasound investigations were performed in the 2nd trimester (16th to 20th week). Data on biparietal diameter (BPD), abdominal diameter (AD) and femur length (FL) have been obtained from this material. Ratios between BPD/AD and BPD/FL have been calculated, and from these ratios, graphs were constructed. Only nine normal fetuses (0.2%) were found to be outside mean +/- 3 SD, and none of the normal cases were +/- 4 SD, so this is perhaps a better guideline for those warranting further investigation. To evaluate if these ratios could better reflect disproportional fetal growth, three cases of triploidy and four cases of dwarfism were tested against these ratios. Triploidy was obvious on the BPD/AD graph and dwarfism on the BPD/FL graph. The ratios were not found to be conclusive in the intrauterine diagnosis of trisomy 21 or of trisomy 18, as only 4 of 17 cases were obvious on the graphs.
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| 9. |
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| 10. |
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| 11. |
- Crang Svalenius, Elizabeth
(författare)
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The use of routine ultrasound in pregnancy : with special reference to normal and abnormal foetal growth, information and informed choice and the womens' experiences of the prenatal diagnostic aspects
- 1997
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The development of real-time ultrasound in the 1970's made indelible inpact on antenatal care. Assessing foetal growth and detecting deviations from normal in both growth and foetal anatomy became fesible. Expectant parents could also 'see' their foetus. Normal foetal growth parameters at term were consituted and selected parameters from the second trimester were evaluated in the detection of chromosome abnormalities. It became necessary to study the level of apprehension caused by an ultrasound examination, information recalled about option and that deviations from normal could found. This in turn led to more parental involvement in the choice of method for prenatal diagnosis. The results show that foetal size increased at the same rate in the post-term period and that BDD/FL graphs in the second trimester did not help in the detecting Down Syndrome. Information about option and malformations was difficult to recall. When informed choice was made an ultrasound investigation was not refused, but 1%(p=0.0003) of women < 35 years of age chose an early examination without anatomical assessment. Requests for amniocentesis increased by 6%(P=<0.0001) in this age group. Decision making about prenatal diagnosis was generally very easy. Difficulty was mainly felt concerning aspects of amniocentesis. Satisfaction with choice was high (98.8%). Higher education and work within the health proffesiona/occupations influenced requests for amniocentesis. Maternal serum screening for Down Syndrome was cosidered an acceptable addition to ultrasound but not a first alternative to amniocentesis. Given objective information about methods for prenatal diagnosis women can handle choice but can need support in difficult situations.
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| 12. |
- Crang Svalenius, Elizabeth, et al.
(författare)
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Women's informed choice of prenatal diagnosis: early ultrasound examination-routine ultrasound examination-age-independent amniocentesis
- 1996
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Ingår i: Fetal Diagnosis and Therapy. - 1015-3837. ; 11:1, s. 20-25
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Tidskriftsartikel (refereegranskat)abstract
- The antenatal clinics in the catchment area of the Department of Obstetrics and Gynecology, University Hospital, Lund, were divided into a study group and a control group. At the study antenatal clinics during a 15-month period 1,004 pregnant women received a written and verbal information that a routine ultrasound examination during gestational week 18 should be considered as a prenatal diagnostic method. They even got information on alternatives: to decline all, to have an early abdominal ultrasound examination, or to have both a routine ultrasound examination and an amniocentesis performed. At the control antenatal clinics, 1,408 pregnant women received standard information. No women in either group chose not to have an ultrasound examination performed, but 1% chose an early abdominal examination in the study group. The percentage of women older than 35 years who asked for an amniocentesis was equal in the two groups. However, women younger than 35 years in the study group requested amniocentesis significantly more frequently than the women in the control group.
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| 13. |
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| 14. |
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| 15. |
- Ekelin, Maria, et al.
(författare)
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A qualitative study of mothers' and fathers' experiences of routine ultrasound examination in Sweden.
- 2004
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Ingår i: Midwifery. - : Elsevier BV. - 1532-3099 .- 0266-6138. ; 20:4, s. 335-344
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Tidskriftsartikel (refereegranskat)abstract
- Objective: to conceptualise mothers’ and fathers’ thoughts and feelings before, during and after the routine ultrasound examination during the second trimester of pregnancy. Design, setting and participants: a grounded theory study. Two to four weeks after their ultrasound examination, 22 Swedish mothers and 22 fathers were interviewed in their homes. Findings: the basic social process was confirmation of a new life. The four categories, visualising—the evident option, overwhelming to see life; becoming a family and reassuring, all represent a time span in the parents’ process towards confirmation of a new life. The caregivers’ way of assisting and supporting the process by information and treatment was very important to parents. Key conclusions and implications for practice: as the ultrasound examination is perceived as a confirmation of a new life it is an extremely important milestone for both parents so the father should be encouraged to participate. It is an important and unique event for both women and men in their process towards becoming parents. This process was largely dependent on the treatment the parents had received during the examination and the information given. The findings of this study are of interest to midwives and others who perform ultrasound examinations as it explains why adequate time must be allowed for the examination and the importance of the information given before hand. When introducing new forms of fetal diagnosis in the future it should be kept in mind that this might irrevocably be accepted by parents who long for confirmation of a new life.
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| 16. |
- Ekelin, Maria, et al.
(författare)
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Developing the PEER-U scale to measure parents' expectations, experiences and reactions to routine ultrasound examinations during pregnancy
- 2008
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Ingår i: Journal of Reproductive and Infant Psychology. - : Informa UK Limited. - 0264-6838 .- 1469-672X. ; 26:3, s. 211-228
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to develop and test a specific questionnaire to measure parents' expectations, experiences and reactions in connection with routine ultrasound examinations during pregnancy. A questionnaire consisting of ultrasound specific questions was constructed in two parts, one to be used before and one after the examination. It was examined for face validity and a pilot study was then conducted with women and their partners (n=156). Explorative factor analysis and Cronbach's alpha were used to test validity and reliability. Factor analysis gave a solution where part one measures seven dimensions of expectations before the ultrasound examination and part two five dimensions of experiences and reactions. The dimensions that measured the parents' state of mind were used to calculate an index. The index was also compared to the results of State and Trait Anxiety Inventory (STAI) and Sense of Coherence Scale (SOC). The PEER-U questionnaire was tested and showed satisfactory validity and reliability. The ultrasound state of mind index can be used to measure the impact of an ultrasound examination on the parents, before and after this takes place.
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| 17. |
- Ekelin, Maria, et al.
(författare)
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Midwives' attitudes to and knowledge about a newly introduced foetal screening method.
- 2004
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 1471-6712 .- 0283-9318. ; 18:3, s. 287-293
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Tidskriftsartikel (refereegranskat)abstract
- A number of screening procedures are offered by midwives during pregnancy and the number is increasing rapidly. The measurement of nuchal translucency is a fairly new ultrasound method for antenatal screening, primarily for Down syndrome. The results give a better risk calculation than maternal age alone and can mean a decrease in the number of invasive procedures needed to identify this syndrome prenatally. The aim of this study was to gain insight into the midwives' point of view concerning the introduction of the method in two different hospitals. In one hospital it had been introduced as part of a research project while in the other it had been integrated as an offer in the antenatal care programme. A questionnaire was sent to the 80 midwives working in the antenatal clinics serving these two hospitals. A total of 79% of the questionnaires were answered. The results indicate that in both districts, the similarities are greater than the differences with regard to the midwives' education, knowledge and their own opinions of their ability to inform pregnant women about the method. Although most of the respondents were positive to it, a number of midwives felt that, in general, information about foetal diagnosis was a difficult part of their work, mentioning both ethical and practical aspects. This highlights the need for continuing education, standardized policy and an ongoing ethical debate.
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| 18. |
- Ekelin, Maria, et al.
(författare)
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Parental expectations, experiences and reactions, sense of coherence and grade of anxiety related to routine ultrasound examination with normal findings during pregnancy.
- 2009
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Ingår i: Prenatal Diagnosis. - : Wiley. - 1097-0223 .- 0197-3851. ; 29, s. 952-959
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate parents' expectations, experiences and reactions, sense of coherence and anxiety before and after a second-trimester routine ultrasound examination, with normal findings. METHODS: Before and after ultrasound questionnaires including the scales parents' expectations, experiences and reactions to routine ultrasound examination (PEER-U state of mind index), sense of coherence (SOC) and state and trait anxiety inventory (STAI), were sent to a 1-year cohort of women and their partners. Replies received were 2183. RESULTS: Both parents had significantly less worried state of mind (PEER-U) after the examination than before. Women had a lower grade of state anxiety after than before, but for men there was no significant change. Before the ultrasound, women had a higher degree of worried state of mind, as well as a higher grade of state and trait anxiety and a lower sense of coherence, than men. The women showed a greater reduction in worried state of mind than the men after the ultrasound examination. There were no significant differences in sense of coherence before and after ultrasound. CONCLUSIONS: Women and men are affected in their psychological well-being in relation to a routine ultrasound examination, but their sense of coherence remains stable. Copyright (c) 2009 John Wiley & Sons, Ltd.
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| 19. |
- Ekelin, Maria, et al.
(författare)
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Parents' experiences, reactions and needs regarding a nonviable fetus diagnosed at a second trimester routine ultrasound.
- 2008
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Ingår i: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing. - : Elsevier BV. - 1552-6909 .- 0884-2175. ; 37:4, s. 446-454
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To conceptualize women's and their partners' experiences and ways of handling the situation before, during, and after second trimester ultrasound examination with the diagnosis of a nonviable fetus. Design: A grounded theory study. Setting: A Swedish regional hospital. Participants: Nine women and 6 men (n=15) were interviewed within a year of the event. Results: The core category was Unexpected change in life. Four categories that were encompassed by the core category emerged: (a) Deceived by a false sense of security; (b) Confronting reality; (c) Grieving; and (d) Reorientation. Conclusion: These parents were unprepared for the diagnosis of a nonviable fetus. In addition to the crisis reaction, they realized that the sense of security they had experienced was false. As different care givers were involved, the need for a care plan was evident. Support from care givers was a very important factor.
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| 20. |
- Ekelin, Maria, et al.
(författare)
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To know or not to know – parents’ attitudes to and preferences for prenatal diagnosis
- 2016
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Ingår i: Journal of Reproductive and Infant Psychology. - : Informa UK Limited. - 0264-6838 .- 1469-672X. ; 34:4, s. 356-369
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To highlight expectant parents’ attitudes concerning prenatal diagnosis, what the parents wish to know and what they chose not to know about their unborn baby, also in what form and to what extent they wish for prenatal diagnosis. Background: Parents have to make decisions concerning prenatal diagnosis. Screening programmes change rapidly and there is a need for parental influence on this development. Methods: An interview study with 10 women in late pregnancy and six partners. Results: The main categories ‘A time for preparation’ and ‘A lot but not everything’ included the parents’ positive attitudes towards prenatal diagnosis, especially if it could be carried out in early pregnancy and was of help for the baby, but also their negative attitudes toward information about possible future diseases that could not be prevented and towards invasive diagnosis. The parents had confidence in the caregivers’ offers of screening programmes, but described their own attitudes as changing from before pregnancy, when newly pregnant and after their ultrasound examination. The parents described themselves as partly lacking knowledge about what the existing options for prenatal diagnosis involved. Conclusions: There is a great need for competent caregivers to inform the parents-to-be about the different methods for fetal diagnosis available to them and also what information the different methods can give. Partners need to be involved in the decision-making process.
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| 21. |
- Finnbogadottir, Hafrún, et al.
(författare)
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Expectant first-time fathers’ experiences of pregnancy
- 2003
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Ingår i: Midwifery. - : Elsevier. - 0266-6138 .- 1532-3099. ; 19:2, s. 96-105
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Tidskriftsartikel (refereegranskat)abstract
- Objective: to describe first-time-expectant fathers’ experiences of pregnancy.Design: an inductive method using narrative interview formand qualitative content textanalysis.The text of the transcriptswas coded and categorised.Settings and participants: seven first-time-expectant fathers living in a multicultural industrial town in southern Sweden were interviewed individually when their partner was in the 38th to 39thweek of pregnancy.Measurements and findings: all the fathers-to-be experienced some psychological, socialand/or physical change during the pregnancy. The main category, was ‘time of transition’. Eight categories were found under this. They were: ‘feelings of unreality, ‘insufficiency and inadequacy’, ‘exclusion’, ‘reality’, ‘social changes’, ‘physical changes’, ‘responsibility, and development’.Key conclusion: the fathers’-to-be special needs for support and encouragement durin gpregnancymay be as important as those of the mothers’-to-be. The caregiver needs to be as aware of and sensitive to these needs. However, before any interventions can be recommendedmore research is needed.
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| 22. |
- Gustavii, Björn, et al.
(författare)
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Transabdominal chorionic villi sampling
- 1986
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Ingår i: Contributions to Gynecology and Obstetrics. - 0304-4246. ; 15, s. 41-44
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Tidskriftsartikel (refereegranskat)
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| 23. |
- Johnsen, Helle, et al.
(författare)
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Nordic fathers’ willingness to participate during pregnancy
- 2017
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Ingår i: Journal of Reproductive and Infant Psychology. - : Informa UK Limited. - 0264-6838 .- 1469-672X. ; 35:3, s. 223-235
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Tidskriftsartikel (refereegranskat)abstract
- Objective: This study aims to illuminate expectant first-time fathers’ experiences of participation during pregnancy in three Nordic countries. Background: Fathers’ participation in pregnancy is associated with improved health for the family as a whole. Research so far has primarily explored fathers’ participation in pregnancy within health care settings. It is important to know more about how fathers today engage in all aspects of pregnancy. Methods: Content analysis was used to analyse semi-structured interviews with 31 first time fathers from Denmark, Finland and Sweden. Interviews were undertaken when their partner was pregnant 30 weeks or more. Results: Data analysis resulted in the main category ‘Willingness to participate’ and the two generic categories: ‘Being beside the “bump”’ and ‘Cementing the partnership’. ‘Being beside the “bump”’ was supported by the subcategories: ‘Visualising the unborn child’, ‘Being included in the rites of motherhood,’ ‘Lacking full control’, ‘Compensating for lack of embodiment’ and ‘Adopting an active father role’. ‘Cementing the partnership’ encompassed the subcategories: ‘Strengthening the partner relationship’, ‘Meeting the professionals, ‘Sharing experiences with peers’ and ‘Protecting their child and their partner’. Conclusion: Fathers wanted to participate and be responsible from the beginning of pregnancy. Fathers’ participation in pregnancy involves a wide range of activities and strategies both within the domestic and the professional care-giving sphere. Health care professional’s approaches to the father-to-be can enhance or reduce experiences of inclusion in antenatal care.
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| 24. |
- Jörgensen, Connie, et al.
(författare)
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Ultrasound measurement of the fetal cerebral ventricles: a prospective, consecutive study
- 1986
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Ingår i: Journal of Clinical Ultrasound. - : Wiley. - 0091-2751 .- 1097-0096. ; 14:3, s. 185-190
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Tidskriftsartikel (refereegranskat)abstract
- Real-time ultrasound was used in 654 consecutive pregnancies to obtain standard growth parameters for the fetal brain. Measurement of the width of the lateral ventricle (LVW) and hemisphere and their relationships to menstrual age, biparietal diameter, and birth weight were determined. The growth of the LVW was to a great extent independent of birth weight but dependent on menstrual age. Thirteen fetuses with a single ventricular width measurements exceeding +2 SD from the mean were separately evaluated, and all but one case were found to be normal.
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| 25. |
- Kheladze, Nino, et al.
(författare)
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Experiences of using a continuous glucose monitoring system in children—a descriptive study with parents in the republic of Georgia
- 2021
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Ingår i: Healthcare. - : MDPI AG. - 2227-9032. ; 9:11
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Tidskriftsartikel (refereegranskat)abstract
- The benefits of medical devices are often multifaceted and may have an important impact on patients’ and relatives’ physical, mental and/or social well-being. Diabetes is a metabolic disorder and a continuous subcutaneous glucose monitoring sensor can suggest increasing treatment satisfaction. The purpose of this study was to describe parents’ experiences during their daily lives and support needs when a child uses a Flash Glucose Monitoring system (FGM). Twenty parents (n = 3 men vs. n = 17 women) to children (age ranged between 22 months and 16 years) with diabetes disease type 1, treated with an FGM unit (used for an average of 7 months (range 1–72)) at home, participated in this study. A qualitative questionnaire survey with open questions including follow-up dialogues was distributed to the parents, and collected data were analysed using qualitative content analysis. Overall satisfaction with the Libre device was Md 10 (IQR 9.25–10). One main theme “Advances in technology significantly improved everyday life” emerged from 2 categories: Improvements in quality of life and Elements of challenges. In conclusion, this qualitative study determined that parents of children with DMT1 experience a great improvement in daily life when given the opportunity to use the Libre device.
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| 26. |
- Koçak, Vesile, et al.
(författare)
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What are the factors affecting parents' postnatal sense of security?
- 2021
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Ingår i: European Journal of Midwifery. - : E.U. European Publishing. - 2585-2906. ; 5
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: The postpartum period is part of an important process for mothers and fathers. A sense of security is central as it might influence a parent's journey towards becoming a successful parent. The aim was to determine factors affecting parents' postnatal sense of security (PPSS) before postpartum discharge from a hospital in Konya, Turkey.METHODS: A descriptive study was conducted. From January 2019 to March 2019, a questionnaire was given to a convenience sample of 188 couples discharged from a regional hospital in Turkey. The sense of security was assessed using the PPSS instrument, with low scores defined as those less than the mean.RESULTS: Low and high sense of security was based on the mean in the population, for mothers 49.36 and for fathers 34.90. It was found that 43.6% of mothers and 69.7 % of fathers had a low score, which was linked to some specific factors in the postpartum period. These were the type of birth, being ready to take responsibility for baby care, being ready to be discharged, being healthy, having any concern about the baby's health, social support presence, having professional support, and presence of a sense of security.CONCLUSIONS: Many parents, particularly fathers, have a low postnatal sense of security. In the postpartum period, it is very important for midwives, who are always with the family, to identify the risks for a low sense of security during this period and provide effective care. More studies in different settings with larger samples are recommended.
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| 27. |
- Larsson, Anna-Karin, et al.
(författare)
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Information for better or for worse: interviews with parents when their foetus was found to have choroid plexus cysts at a routine second trimester ultrasound.
- 2009
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Ingår i: Journal of Psychosomatic Obstetrics and Gynecology. - : Informa UK Limited. - 0167-482X .- 1743-8942. ; 30:1, s. 48-57
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to gain a theoretical understanding of parents' experiences and handling of the situation, when their foetus was diagnosed as having choroid plexus cysts, at a routine second trimester ultrasound examination. Nine couples and one mother were interviewed using one open question. Analysis method was Grounded Theory. The main concern was anxiety and the core category became need for knowledge. The other categories were frightening and confusing, judging risk and making a choice and comforting. The parents felt information during the ultrasound examination was insufficient. The time delay between the diagnosis and the doctor's appointment was also often criticized. Most of the parents in this study wanted to know what can be diagnosed by ultrasound, even if there is a small risk that the child will have a malformation or chromosome abnormality. However, when the diagnosis is made, they need adequate information, otherwise unnecessary anxiety arises. By giving sufficient information without days of delay, anxiety can hopefully be minimized. Some written information was also requested. It is of utmost importance that the staff use the same terminology and the correct name of the soft marker to the parents.
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| 28. |
- Larsson, Anna-Karin, et al.
(författare)
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Parental level of anxiety, sense of coherence and state of mind when choroid plexus cysts have been identified at a routine ultrasound examination in the second trimester of pregnancy: a case control study.
- 2009
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Ingår i: Journal of psychosomatic obstetrics and gynaecology. - : Informa UK Limited. - 1743-8942 .- 0167-482X. ; 30:2, s. 95-100
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to compare parents' experience of a routine ultrasound examination in the second trimester, when a choroid plexus cyst/cysts (CPC) were found (Study group; n = 22), with matched controls where no fetal deviations were identified (Control group, n = 66). All the parents had participated in a larger cohort study. The instruments used for measuring anxiety were STAI-state/trait, sense of coherence (SOC) and Parents' Expectations, Experiences, Reactions to an Ultrasound examination during pregnancy (PEER-U, State of Mind Index). Regarding the SOC and STAI-state/trait no significant differences were found between the cases and controls or within the respective group before and after the ultrasound examination. The cases had an increase in anxiety (more anxious) as measured by the instrument PEER-U after the examination, while the controls showed a significant better level of State of Mind Index (less anxious) after the examination, compared to before. Therefore PEER-U can be a more reliable instrument when studying state of mind (anxiety) in connection with ultrasound examinations, and as it is specific for this situation it does not appear to be time dependent.
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| 29. |
- Larsson, Anna-Karin, et al.
(författare)
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Parents’ Worried State of Mind When Fetal Ultrasound Shows an Unexpected Finding
- 2009
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Ingår i: Journal of ultrasound in medicine. - 0278-4297 .- 1550-9613. ; 28:12, s. 1663-1670
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Tidskriftsartikel (refereegranskat)abstract
- Objective. Most parents yearn for a second-trimester ultrasound examination and feel excitement about it, but some also worry about what the examination will show. According to prior research, using only generic instruments or specific questionnaires, anxiety decreases when the ultrasound findings are normal. The aim of this study was to compare parents’ worry (Parents’ Expectations, Experiences, and Reactions to Ultrasound [PEER-U] State of Mind Index) and sense of coherence before and after a routine second-trimester ultrasound examination when it showed normal or abnormal findings. Methods. A 1-year cohort study was performed at a Swedish university hospital. A total of 2049 parents who had their second-trimester ultrasound examinations there filled in a questionnaire consisting of 2 parts before and after the examinations. Results. Parents with normal ultrasound findings were less worried than parents with abnormal findings. The group with normal findings also showed less worry after the examination than before. A sex analysis showed similar patterns. Conclusions. Parents with abnormal ultrasound findings are more worried and anxious. The new instrument, the PEER-U State of Mind Index, not only measures parents’ worry but can also expose what influences their ultrasound examination experience.
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| 30. |
- Löf, Maria, et al.
(författare)
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Factors that influence first-time mothers' choice and experience of early discharge.
- 2006
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 1471-6712 .- 0283-9318. ; 20:3, s. 323-330
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of this study was to describe factors that influenced first-time mothers’ choice of and experiences during the first postnatal week, after early discharge without a domiciliary visit by the midwife. Design: Interviews were analysed using content analysis. Settings and participants: The nine participants were recruited from the Maternity Department at a University Hospital in Sweden. The catchment area included both an urban and rural population. Measurements and findings: One main category and three subcategories emerged from the text. The main category was a feeling of confidence and security and the subcategories were being able to meet the needs of the baby, feeling ‘back to normal’ and receiving support. Key conclusion: Factors that influenced first-time mothers’ choice and experience of early discharge were their sense of confidence and security, that they had support from their partner and that they could trust the follow-up organization. Implications for practice: A booked telephone call and a follow-up visit to the midwife can be sufficient as a programme for first-time mothers choosing early discharge.
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| 31. |
- Montan, Sven, et al.
(författare)
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Placental grading with ultrasound in hypertensive and normotensive pregnancies. A prospective, consecutive study
- 1986
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Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - 1600-0412. ; 65:5, s. 477-480
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Tidskriftsartikel (refereegranskat)abstract
- Placental grading was studied prospectively with real-time ultrasound in 654 consecutive pregnancies. The placental maturation was clearly demonstrated in both unselected and hypertensive pregnancies. No differences in placental grading were found between normotensive and hypertensive pregnancies. Fetal outcome was not associated with different placental grades and a grade III placenta was not predictive of an adverse outcome. The value of antenatal placental grading in unselective and hypertensive pregnancies could not be demonstrated.
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| 32. |
- Nges, Benedicta, et al.
(författare)
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“It was a good… good, bad situation.” : Cameroonian fathers’ experiences of childbirth in Sweden
- 2022
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Ingår i: Midwifery. - : Elsevier BV. - 0266-6138. ; 113
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: In Sweden, partner's presence during childbirth is generally recommended. However, cultural values and norms in some immigrant societies can be an obstacle to this. Objective: To examine the experiences of Cameroonian fathers during their women's labour and childbirth in Sweden. Design: An exploratory qualitative study with semi-structured interviews were used for data collection and analysed with thematic content analysis. Setting: Scania County, South of Sweden. Participants: Twelve fathers accessed through sociocultural associations. Findings: Conflicting feelings was identified as the main category, which was further divided into three subcategories; (a) Ambivalent feelings, (b) Cooperation and finding one's place in a foreign area and (c) Knowledge, insight and transition. Key conclusion: Pre-knowledge about childbirth, cooperation between fathers and medical staff are key factors which impacted the labour/childbirth experiences of Cameroonian fathers living in Southern Sweden. Clinical implications: This study emphasises the importance to individualise information and support given to fathers during labour and childbirth.
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| 33. |
- Stjernquist, Martin, et al.
(författare)
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Applying the Case Method for Teaching within the Health Professions - Teaching the Students.
- 2007
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Ingår i: Education for Health. - 1469-5804. ; 20:1, s. 15-15
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Tidskriftsartikel (refereegranskat)abstract
- Context: When using the Case Method in teaching situations, problem-solving is emphasized and taught, in order to acquire the skills and later be able to apply them in new situations. The basis of the learning process is the students’ own activity in the situation and is built on critical appraisal and discussion. Objectives: To explain what the Case Method is, what it is not and to describe when and where to use the Case Method. The objective is also to describe how to write a ‘case’, how to lead a ‘case’ discussion and how to deal with problems. Why one should use the Case Method is also highlighted. Application The case used should be founded on a real life situation, containing a problem that must be handled. The structure and use of the white board plays a central part. It is important that the setting allows the teacher to interact with all the students. Groups of up to 30 students can be handled with ease, though larger groups are feasible in the right physical setting. Within the health professions, the Case Method can be used at all levels of training and to a certain extent the same case can be used - the depth with which it is addressed depends on the student’s prior knowledge. Different professions and specialists can take part. A whole curriculum can be built up around the Case Method, but more often it is used together with other pedagogic methods. Conclusion: The Case Method is a well-structured, student-activating way of teaching, well-suited to hone problem-solving skills within health education programmes.
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| 34. |
- Stjernquist, Martin, et al.
(författare)
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Problem based learning and the case method--medical students change preferences during clerkship.
- 2007
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Ingår i: Medical Teacher. - : Informa UK Limited. - 0142-159X .- 1466-187X. ; 29:8, s. 814-820
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The Case Method (Case) and Problem Based Learning (PBL) are two student active methods, increasingly used in medical education. AIM: The aim of this study was to compare medical student satisfaction with the two different active methods of learning and to see if there was any variation in preference between two stages in medical training. METHODS: A short questionnaire was given out to 254 students during the eighth and eleventh term of medical training. Answers were obtained from 221 students. The results were computer analysed. RESULTS: Students in the eighth term rated both methods high, while students in the eleventh term rated Case even higher while PBL decreased in popularity. Traditional lectures were given constant neutral rating. Case was rated better for problem solving. CONCLUSIONS: It seems that Case is more suitable than PBL for the later stages of medical training when clinical problem-solving skills need to be honed.
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| 35. |
- Wedin, Kathe, et al.
(författare)
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Group antenatal care: new pedagogic method for antenatal care-a pilot study.
- 2010
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Ingår i: Midwifery. - : Elsevier BV. - 1532-3099 .- 0266-6138. ; 26, s. 389-393
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: to investigate how women who attended group antenatal care experienced the information they received, compared with women who attended traditional antenatal care, and their satisfaction with the form of care. The aim was also to determine the effect of group antenatal care on women's social networks compared with traditional antenatal care. DESIGN AND SETTING: a pilot study with an intervention group (group antenatal care) and a control group (traditional antenatal care). Both groups were selected through informed choice. A questionnaire and a follow-up telephone call, using a structured questionnaire, were used to evaluate both groups. PARTICIPANTS: for each woman who had chosen to be in the intervention group, two women who had chosen traditional antenatal care were selected from the same antenatal clinic and given the same questionnaire. FINDINGS: 35/45 (77%) women in the intervention group returned a completed questionnaire, compared with 40/85 (48%) women in the control group. There was little difference in satisfaction with information between the two groups, and overall satisfaction was high. KEY CONCLUSIONS: at six months post partum, the women who attended group antenatal care still met others from the group more regularly than the women who attended traditional antenatal care. IMPLICATIONS FOR PRACTICE: group antenatal care is well accepted by women, and can better utilise midwives' time.
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| 36. |
- Westgren, M, et al.
(författare)
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Spontaneous cephalic version of breech presentation in the last trimester
- 1985
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Ingår i: British Journal of Obstetrics and Gynaecology. - : Wiley. - 1365-215X .- 1470-0328 .- 1471-0528. ; 92:1, s. 19-22
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Tidskriftsartikel (refereegranskat)abstract
- A prospective longitudinal investigation of spontaneous cephalic version from breech presentation in the last trimester is reported. All pregnancies were assessed with ultrasound in the 32nd week of gestation, and were thereafter checked weekly. Of the 310 singleton breech presentations identified at 32 weeks, spontaneous cephalic version occurred in 177 (57%) while breech presentation persisted in 133 patients (43%). Of 140 patients with a breech presentation at delivery 95% were already presenting by the breech in the 32nd week. Spontaneous cephalic version was less likely in pregnancies with extended fetal legs, low birth-weight, short umbilical cord and primiparity.
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