| 1. |
- Hildingsson, Ingegerd M
(författare)
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New parents' experiences of postnatal care in Sweden
- 2007
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Ingår i: Women and Birth. - : Elsevier BV. - 1871-5192 .- 1878-1799. ; 20:3, s. 105-113
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim was to study new parents' satisfaction with postnatal care and to estimate the proportion of fathers who were given the option of spending the night at the postnatal ward. PROCEDURES: A questionnaire was mailed to new parents 6 months after the birth of their child in a Swedish hospital. The main outcome was overall satisfaction with postnatal care. FINDINGS: Two hundred and ninety-four new mothers and 280 new fathers completed the questionnaire. Thirty-four percent of the mothers were dissatisfied with the overall postnatal care. The strongest associated factors for new mothers' dissatisfaction were: unfriendly and unhelpful staff (RR 10.3; 3.2-32), lack of support from staff (RR 6.4; 2.3-17.5), new fathers not permitted to stay overnight (RR 5.2; 1.8-14.5), dissatisfaction with postnatal checks of the woman herself (RR 2.6; 1.1-6.3) and dissatisfaction with practical breast-feeding support (RR 1.6; 1.2-2.1). Sixty-three percent of the fathers were given the option of spending the night at the postnatal ward. The fathers who chose not to spend the night on the ward were older, had other children and were dissatisfied that they were not allowed to play a greater role in the care of their newborn baby. MAIN CONCLUSIONS: In order to increase patient satisfaction, the needs of the new family must be highlighted and more support and help provided to new parents on the postnatal ward. It is essential to have family oriented postnatal care and to give fathers the opportunity to stay overnight and involve them in the care of their newborn baby.
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| 2. |
- Hildingsson, Ingegerd, et al.
(författare)
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Partner support in the childbearing period : a follow up study
- 2008
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Ingår i: Women and birth. - : Elsevier BV. - 1878-1799 .- 1871-5192. ; 21:4, s. 141-148
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Social support is important during pregnancy and childbirth and the partner is usually the main source of support. Lack of partner support is associated with less emotional well-being and discontinuation of breastfeeding. RESEARCH PROBLEM: The purpose of the study was to investigate the proportion of women dissatisfied with partner support in early pregnancy, and to identify risk factors associated with dissatisfaction through a follow up 2 months and 1 year after childbirth. PARTICIPANTS AND METHODS: A national cohort of 2430 Swedish speaking women recruited in early pregnancy and followed up 2 months and 1 year postpartum. Data were collected by means of three postal questionnaires. RESULTS: Five percent of women were dissatisfied with partner support in early pregnancy. Women dissatisfied with partner support were more likely to be multiparas, not living with their partner in early pregnancy and to report unfavorable timing of pregnancy. They experienced more physical symptoms, and less emotional well-being in terms of more depressive symptoms, more major worries and a lower sense of coherence. One year after childbirth a higher rate of divorces and disappointment with the partner's participation in childcare and household chores and understanding from partner was found in women being dissatisfied in early pregnancy. DISCUSSION AND CONCLUSIONS: This study shows that it might be possible to identify women who are lacking partner support already in early pregnancy. Women's social network and their support from partner should be investigated by health care providers and women in need of additional support should be refereed to available community resources.
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| 3. |
- Karlström, Annika, et al.
(författare)
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Swedish caregivers’ attitudes towards caesarean section on maternal request
- 2009
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Ingår i: Women and Birth. - : Elsevier BV. - 1871-5192 .- 1878-1799. ; 22:2, s. 57-63
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Tidskriftsartikel (refereegranskat)abstract
- Background Caesarean section (CS) is not an option that women in Sweden can chose themselves, although the rise in CS rate has been attributed to women. This study describes obstetricians’ and midwives’ attitudes towards CS on maternal request. Methods A qualitative descriptive study, with content analysis of 5 focus group discussions where 16 midwives and 9 obstetricians participated. Results The overarching theme was identified as “Caesarean section on maternal request—a balance between resistance and respect”. On the one hand, CS was viewed as a risky project; on the other hand, request for a CS was understood and respected when women had had a previous traumatic birth experience. Still, a CS was not really seen as a solution for childbirth related fear. Five categories were related to the theme. Overall, our findings indicate that caregivers blamed the women for the increase, they considered the management of CS on maternal request difficult, and they suggested preventive methods to reduce CS and means to strengthen their professional roles. Key conclusions and implication for practice Both midwives and obstetricians considered the management of CS on maternal request difficult, and the result showed that they balanced between resistance and respect. The result also showed that the participants stressed the importance of professionals advocating natural birth with evidence-based knowledge and methods to prevent maternal requests. Ongoing discussions among health professionals on attitudes and practice would strengthen their professional roles and lead to a decrease in CS rates in Sweden. Background: Caesarean section (CS) is not an option that women in Sweden can chose themselves,although the rise in CS rate has been attributed to women. This study describesobstetricians’ and midwives’ attitudes towards CS on maternal request. Methods: A qualitative descriptive study, with content analysis of 5 focus group discussions where16 midwives and 9 obstetricians participated. Results: The overarching theme was identified as ‘‘Caesarean section on maternal request–—abalance between resistance and respect’’. On the one hand, CS was viewed as a risky project; on theother hand, request for a CS was understood and respected when women had had a previoustraumatic birth experience. Still, a CS was not really seen as a solution for childbirth related fear.Five categorieswere related to the theme.Overall, our findings indicate that caregivers blamed thewomen for the increase, they considered the management of CS on maternal request difficult, andthey suggested preventive methods to reduce CS and means to strengthen their professional roles. Key conclusions and implication for practice: Both midwives and obstetricians considered the
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| 4. |
- Waldenström, U
(författare)
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Normal childbirth and evidence based practice
- 2007
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Ingår i: Women and birth : journal of the Australian College of Midwives. - : Elsevier BV. - 1871-5192. ; 20:4, s. 175-80
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Tidskriftsartikel (refereegranskat)
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