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1.
  • Premberg, Åsa, 1955, et al. (author)
  • Experiences of the first year as father.
  • 2008
  • In: Scandinavian journal of caring sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 22:1, s. 56-63
  • Journal article (peer-reviewed)abstract
    • BACKGROUND AND AIMS: The importance of fathers' participation for development of the child and the well-being of the family is recognized from earlier research. In Sweden, legislation allows fathers to share the parental leave equally with the mother even so fathers only use a small of their paid leave. The aim of the study was to explore experiences of the first year as a father. METHOD: A phenomenological life world approach was used. Ethical approval was obtained. Ten men, recruited by a purposive sample, were interviewed 12-14 months after the delivery of their first child. The data collection was performed during June and August 2004 in the south-west area of Sweden. FINDINGS: The essence of the experiences of the first year as father was to place the baby in the centre without giving up one's own person. The child provided warmth and happiness in the family and men experienced a deeper relationship to their partner. The contact between father and child was facilitated by engagement and time spent alone with the child. The major constituents identified from the findings were 'To be overwhelmed', 'To master the new situation' and 'To get a new completeness in life'. DISCUSSION AND CONCLUSION: To master fatherhood maintenance of integrity and possibility to develop an independent relationship with the child is important. Fathers are invited to participate in postnatal childbirth education but the activities address women's needs and it is doubtful if the fathers benefit from participation. Though fathers entered the delivery room some decades ago, as a support to the woman, health personnel of today must be aware of fathers' own needs and the impact gender aspects have on their professional support.
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2.
  • Berg, Marie, 1955 (author)
  • A Midwifery Model of Care for Childbearing women at High Risk: Genuine Caring in Caring for the Genuine
  • 2005
  • In: Journal of Perinatal Education. - : Lamaze International. - 1058-1243 .- 0000-0000. ; 14:1, s. 9-21
  • Journal article (peer-reviewed)abstract
    • According to this paper's synthesis of research, three constituents of ideal midwifery care emerge. First, a dignity-protective action takes place in a midwife's caring relationship with a childbearing woman at high risk and includes mutuality, trust, ongoing dialogue, enduring presence, and shared responsibility. Secondly, the midwife's embodied knowledge is based on genuineness to oneself and consists of theoretical, practical, intuitive, and reflective knowledge. Finally, nurse-midwives have a special responsibility to balance the natural and medical perspectives in the care of childbearing women at high risk, especially by promoting the woman's inborn capacity to be a mother and to give birth in a natural manner. This midwifery model of care is labeled "Genuine Caring in Caring for the Genuine." Here, the word genuine expresses the nature of midwifery care, as well as the nature of each pregnant woman being cared for as a unique individual.
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4.
  • Berg, Marie, 1955, et al. (author)
  • Early random capillary glucose level screening and multidisciplinary antenatal teamwork to improve outcome in gestational diabetes mellitus
  • 2007
  • In: Acta Obstet Gynecol Scand. ; 86:3, s. 283-90
  • Journal article (peer-reviewed)abstract
    • BACKGROUND: This study describes maternal and neonatal characteristics and delivery outcome in women with gestational diabetes mellitus [GDM], compared to a control group. METHODS: A retrospective observational study of 719 women with GDM was undertaken in a Swedish urban district. All other parturients at the same hospital served as the control group. GDM was diagnosed using random capillary glucose levels at fixed intervals, beginning early in pregnancy. An oral glucose tolerance test was performed at glucose levels>or=7.0 mmol/l (127.8 mg/dl). Data was analysed according to glucose levels at diagnosis, ie, mild or severe GDM. RESULTS: GDM was diagnosed in 2.28% of the women who were older and had higher Body Mass Index [BMI]. A high proportion was of non-Nordic origin (44.5%); they had severe GDM more often (49.1%) than the Nordic group (33.1%). The GDM-mild group had less complications and abnormalities, compared to the GDM-severe group, although both groups differed from the control group in this respect. Delivery was spontaneous in 70.2% of GDM-mild, 65.7% of GDM-severe and 81.0% of the control group. LGA (+2 SD) was found in 4.8, 10.5 and 3.2%, respectively. CONCLUSION: Early non-fasting random universal screening and multidisciplinary antenatal teamwork intervention seems to be favourable, with low rates of excessive fetal growth, instrumental vaginal delivery and caesarean section.
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5.
  • Berg, Marie, 1955, et al. (author)
  • Evidence-based care and childbearing - A critical approach
  • 2008
  • In: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; :3, s. 239-247
  • Journal article (peer-reviewed)abstract
    • Developing the best care for clients and patients is a paramount aim of all health care practices, which therefore, should be based on best evidence. This is also crucial for care during the childbearing period here defined as pregnancy, childbirth, and infancy. However, due to dominance of the evidence-based medicine (EBM) model, health care practice has encountered problems especially regarding its relationship to qualitative research. In this article, we analyze and discuss how research based on a lifeworld perspective fits with evidence-based care (EBC), and how a circular model instead of a hierarchy is suitable when attributing value to knowledge for EBC. The article focuses on the history of EBM and EBC, the power of the evidence concept, and EBC from a narrow to a broad view. Further qualitative research and its use for developing EBC is discussed and examples are presented from the authors’ own lifeworld research in the Nordic childbearing context. Finally, an alternative circular model of knowledge for EBC is presented. In order to develop evidence-based care, there is need for multiple types of scientific knowledge with equal strength of evidence, integrated with clinical experience, setting, circumstances and health care resources, and incorporating the experiences and clinical state of the childbearing woman and her family.
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6.
  • Berg, Marie, 1955, et al. (author)
  • Experiences of professional support during pregnancy and childbirth- a qualitative study of women with type 1 diabetes
  • 2009
  • In: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 9:27, s. 1-8
  • Journal article (peer-reviewed)abstract
    • Background Women with type 1 diabetes are at high risk of complications during both pregnancy and childbirth. Stringent monitoring of blood sugar is required in order to improve the chance of giving birth to a healthy child; however, this increases the incidence of severe hypoglycaemia. The aim of this study was to explore the need for and experience of professional support during pregnancy and childbirth among women with type 1 diabetes. Methods The study has a lifeworld research approach. Six focus groups and four individual interviews were conducted with 23 women, 6–24 months after delivery. The participants were encouraged to narrate their experiences of pregnancy and childbirth in relation to glycaemic control, well-being and provided care. Data analysis was directed towards discovering qualitative meanings by identifying and clustering meaning units in the text. Further analysis identified eight themes of meaning, classified under pregnancy or childbirth, forming a basis for a final whole interpretation of the explored phenomenon. Results The women felt worry about jeopardizing the baby's health and this was sometimes made worse by care providers' manner and lack of competence and support. The increased attention from care providers during pregnancy was experienced as related to the health of the unborn child; not the mothers. Women who during pregnancy received care in a disconnected diabetes organisation were forced to act as messengers between different care providers. Conclusion Clarity in terms of defining responsibilities is necessary during pregnancy and childbirth, both among care providers and between the woman and the care provider. Furthermore, a decision must be made concerning how to delegate, transfer or share diabetes responsibility during labour between the care providers and the parents-to-be.
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7.
  • Berg, Marie, 1955, et al. (author)
  • Postpartum consultation: Occurrence, needs and expectations
  • 2008
  • In: BMC pregnancy and childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 8:29, s. 1-8
  • Journal article (peer-reviewed)abstract
    • BACKGROUND: As a matter of routine, midwives in Sweden have spoken with women about their experiences of labour in a so-called 'postpartum consultation'. However, the possibility of offering women this kind of consultation today is reduced due to shortage of both time and resources. The aim of this study was to explore the occurrence, women's requirements of, and experiences of a postpartum consultation, and to identify expectations from women who wanted but did not have a consultation with the midwife assisting during labour. METHODS: All Swedish speaking women who gave birth to a live born child at a University Hospital in western Sweden were consecutively included for a phone interview over a three-week period. An additional phone interview was conducted with the women who did not have a postpartum consultation, but who wanted to talk with the midwife assisting during labour. Data from the interviews were analysed using qualitative content analysis. RESULTS: Of the 150 interviewed women, 56% (n = 84) had a postpartum consultation of which 61.9% (n = 52) had this with the midwife assisting during labour. Twenty of the 28 women who did not have a consultation with anyone still desired to talk with the midwife assisting during labour. Of these, 19 were interviewed. The content the women wanted to talk about was summarized in four categories: to understand the course of events during labour; to put into words, feelings about undignified management; to describe own behaviour and feelings, and to describe own fear. CONCLUSION: The survey shows that the frequency of postpartum consultation is decreasing, that the majority of women who give birth today still require it, but only about half of them receive it. It is crucial to develop a plan for these consultations that meets both the women's needs and the organization within current maternity care.
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8.
  • Berg, Marie, 1955 (author)
  • Pregnancy and Diabetes: How Women Handle the Challenges
  • 2005
  • In: Journal of Perinatal Education. - 1058-1243. ; 14:3, s. 23-32
  • Journal article (peer-reviewed)abstract
    • In order to optimize the possibilities for the birth of a healthy child, pregnant women with type 1 diabetes mellitus (type 1 DM) work hard to achieve normoglycemia. In the research presented here, pregnant, diabetic women's experiences of dealing with life circumstances are summarized as a construct of duality: to master or to be enslaved. The overall experience of challenges and managing is understood to depend on the individual woman's identity, attitude, and resources including health professionals and social environment. Health professionals in antenatal care have a special responsibility to give care that not only optimizes the biological possibility for a healthy child to be born but also supports the woman with type 1 DM to master the situation and, thus, promote her health, well-being, and motherhood.
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9.
  • Berg, Marie, 1955, et al. (author)
  • Swedish women's experiences of doula support during childbirth
  • 2006
  • In: Midwifery. - 0266-6138. ; :22, s. 330-338
  • Journal article (peer-reviewed)abstract
    • Objective: to describe women's experiences of having a doula present during childbirth. Design and setting: a qualitative study with a phenomenological approach in two large Swedish cities. Data were collected via open-ended taped interviews 12 months after childbirth. The analysis of the text of transcripts included search for meaning units sorted into clusters for a final expression of the essential structure of the phenomenon. Data: interviews from 10 women aged between 25 and 35 years, both primiparous and multiparous. Findings: women's needs during childbirth were described in a metaphor, as a puzzle consisting of different pieces where the doula was the necessary missing piece. She was a mainstay functioning as an experienced adviser, an affirmative person, a mediator, a guarantor, a fixer and as an accessible presence. Key conclusion: for these women, the doula fulfilled important needs. The roles of the midwife and the doula differ, yet some of the evolved doula supportive functions are also essential in the midwife's care. When a birthing woman has chosen a doula, the challenge for the midwife is to support her in collaboration with the doula and the partner if present. More research is needed in order to determine whether the presence of a doula for the midwife is an asset or a hindrance, and to find the essential prerequisites for midwifedoula collaboration to be possible.
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10.
  • Berg, Marie, 1955 (author)
  • Värdegrunden för barnmorskans yrkesutövning
  • 2009
  • In: Lärobok för barnmorskor. Annette Kaplan et al. (red.). - Lund : Studentlitteratur. - 9789144052106 ; , s. 47-51
  • Book chapter (other academic/artistic)
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11.
  • Berntsson, Leeni, 1938, et al. (author)
  • Adolescents' experiences of well-being when living with a long-term illness or disability.
  • 2007
  • In: Scandinavian journal of caring sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 21:4, s. 419-25
  • Journal article (peer-reviewed)abstract
    • Present-day society has produced changes in family living patterns and conditions and this has resulted in new stressors and health problems. Most children and adolescents with chronic diseases and disabilities, who were previously cared for at hospitals and institutions for long periods, are now integrated in society and they are expected to live a normal life in the conditions that currently prevail. The number of young people with long-term illnesses/disability has increased worldwide during the last decades. There is lack of studies relating to the way young people regard their daily lives and factors that are important for their well-being. The aim of this study was to describe the meaning of feeling good in daily life in adolescents living with a long-term illness or disability. Eight boys and seven girls, aged between 12 and 19 years, with different conditions of long-term illness or disability, participated in the study. Tape-recorded interviews were conducted between the years 2003-2004 and the data were analysed using content analysis. The results revealed that the adolescents with long-term illness generally experienced well-being like everybody else. Three themes were found to be important in order to feel good: 'a feeling of acceptance of illness/disability as a natural part of life', 'a feeling of support' and 'a feeling of personal growth'. This study concludes that adolescents with long-term illness or disabilities experience well-being when they are allowed to prepare for living a normal life integrated in society.
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13.
  • Hellström, Anna-Lena, 1946, et al. (author)
  • Feeling good in daily life: from the point of view of boys with posterior urethral valves
  • 2006
  • In: J Urol. - 0022-5347. ; 176:4 Pt 2, s. 1742-6
  • Journal article (peer-reviewed)abstract
    • PURPOSE: We determined what is important to feel good in daily life when living with a long-term illness that requires daily treatment routines. MATERIALS AND METHODS: Seven boys between 6 and 16 years old who were born with posterior urethral valves narrated their experiences with daily life. They were on clean intermittent catheterization, had impaired renal function and 2 had undergone transplantation. RESULTS: Being involved in decisions about themselves was important, as was having their own doctor and nurse. Friends were important. Clean intermittent catheterization was something that worried them in relation to friends and made them feel uncertain about how they would react to it. The boys accepted the catheterization procedure as something that had to be done but they needed strategies to be able to comply. A single event, such as no available toilet, was enough to interrupt treatment. CONCLUSIONS: In these boys prescribed treatment was a surprisingly small part of their lives. The clean intermittent catheterization routine was sometimes experienced as an obstacle in company with friends. The new challenge might be to achieve compliance with the treatment routine in daily life in a long-term perspective.
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15.
  • Johansson, Marianne, 1951, et al. (author)
  • Quality of life for couples 4-5.5 years after unsuccessful IVF treatment
  • 2009
  • In: Acta Obstet Gynecol Scand. - London : Wiley. ; 88:3, s. 291-300
  • Journal article (peer-reviewed)abstract
    • OBJECTIVE: To describe quality of life in men and women who had terminated in vitro fertilization (IVF) within the public health system 4-5.5 years previously, and for whom treatment did not result in childbirth. DESIGN: Cross-sectional study. SETTING: Reproductive Unit, Sahlgrenska University Hospital, Gothenburg, Sweden. SAMPLE: Four hundred pairs were invited to participate, 71% accepted and 68% completed questionnaires. METHODS: Questionnaire study. Study subgroups were compared with a control group with children and with each other. MAIN OUTCOME MEASURE: Psychological General Well-Being (PGWB), Sense of Coherence (SOC), experience of infertility, demographic-socio-economic and health characteristics were measured. RESULTS: Surprisingly, 76.7% had or lived together with children; 39.6% had biological children, 34.8% had adopted and 3.7% were parents to both biological and adopted children. No differences were found between the study and the control groups, except in SOC which scored lower in the study group. The study group with children had a higher PGWB index than the 23.3% without children and the controls. SOC scored higher in the subgroup with than those without children. Infertility was still a central issue in the subgroup without children. CONCLUSION: Despite having undergone unsuccessful IVF within the public health system, more than 75% lived with children 4-5.5 years later. This subgroup had a better quality of life, compared to those without children. Additional IVF treatment may result in increased quality of life.
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16.
  • Johansson, M, 1951, et al. (author)
  • Women's experiences of childlessness 2 years after the end of in vitro fertilization treatment.
  • 2005
  • In: Scand J Caring Sci. - 0283-9318. ; :19, s. 58-63
  • Journal article (peer-reviewed)abstract
    • Approximately 15% of all couples in the reproductive age are involuntarily childless. Many of these couples consult medical experts for diagnosis and treatment but not all of them achieve the results. This paper describes a study of women's experiences of childlessness 2 years after the end ofin vitrofertilization (IVF) treatment, which represents the end of infertility treatment in Swedish society. Giorgi's method, based on Husserl's phenomenology with the lifeworld theory, was used. The participants were eight women treated at the Clinic of Reproductive Medicine, Department of Obstetrics and Gynaecology, Sahlgrenska University Hospital, Göteborg, Sweden. Data were generated from transcriptions of taped interviews. Five constituents emerged from the analysis: (i) childlessness is a central issue in life, (ii) IVF is a positive and important part of life, (iii) contact with other people is not an important issue, (iv) the hope of achieving pregnancy still exists and (v) attempts to identify other central issues in life. The essence of all constituents islife-grief and expresses the grief of being childless, of not reproducing, and being unable to confirm one's relationship through parenthood. The result is important in professional caring and presents a challenge to all midwives, nurses, physicians and other staff who are involved in the care of involuntarily childless women.
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17.
  • Lundblad, Barbro, 1947, et al. (author)
  • Experiences of children treating functional bladder disturbances on schooldays.
  • 2007
  • In: Journal of pediatric urology. - : Elsevier BV. - 1873-4898 .- 1477-5131. ; 3:3, s. 189-93
  • Journal article (peer-reviewed)abstract
    • OBJECTIVE: After clinical urotherapeutic guidance, schoolchildren suffering from functional bladder disturbances are expected to manage treatment at school. To comply with treatment instructions the children have to visit the toilet at least every 3h, find the sitting position facilitating relaxation of the pelvic floor, and then empty the bladder as completely as possible. They often blame failing to comply on their experiences of the school toilet. We describe the experiences of children treating functional bladder disturbances on schooldays. METHOD: The study consisted of open-ended interviews of 20 schoolchildren aged 8-14years undergoing treatment for functional bladder disturbances, and qualitative content analysis was performed. RESULTS: Conflicting rules, a risky toilet environment and uncertainty concerning social support at school were experienced. The children had difficulty in reconciling treatment compliance with their psychological needs. They used various tricks to avoid disclosing their bladder disturbances and enabling postponement of toilet visits. Most children gave their psychological needs priority over carrying out treatment. CONCLUSION: The physical and social school environment was not adapted to these children's needs.
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19.
  • Selin, Lotta, et al. (author)
  • Dystocia in labour - risk factors, management and outcome: a retrospective observational study in a Swedish setting
  • 2008
  • In: Acta Obstetricia et Gynecologica Scandinavica. - : Wiley. - 1600-0412 .- 0001-6349. ; 87:2, s. 216-221
  • Journal article (peer-reviewed)abstract
    • Background. Labour dystocia (LD) is associated with adverse maternal and child outcomes. This study investigated obstetric risk factors, frequency of interventions and delivery outcomes for LD. Methods. A retrospective, observational, study of 1,480 deliveries was undertaken in a Swedish district hospital during 2000 and 2001. Results. LD was identified in 21% of deliveries, 16.7% of which ended in caesarean section (CS) compared to 1.7% of deliveries without LD. Multiparity with no previous vaginal delivery (OR = 6.0), epidural analgesia (EDA) at cervical dilation ≤5 cm (OR = 4.6), primiparity (OR = 4.5), gestational age ≥42 weeks (OR = 3.1), birth weight >4,000 g (OR = 2.7) and EDA at cervical dilation >5 cm (OR = 2.0) were major independent risk factors for LD. Conclusions. In delivery management, special attention should be directed to primiparous women and multiparous women with no previous vaginal delivery. Women given EDA, especially at cervical dilation ≤5 cm are also of particular interest. Furthermore, rigorous routines for LD diagnosis and oxytocin augmentation are important.
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20.
  • Selin, Lotta, et al. (author)
  • Use and abuse of oxytocin for augmentation of labor.
  • 2009
  • In: Acta obstetricia et gynecologica Scandinavica. - : Wiley. - 1600-0412 .- 0001-6349. ; 88:12, s. 1352-7
  • Journal article (peer-reviewed)abstract
    • OBJECTIVE: To investigate the use of oxytocin for augmentation of labor and its relation to labor progress and delivery outcome. DESIGN AND SETTING: A retrospective observational study undertaken in a Swedish hospital during 2000-2001. SAMPLE: Singleton pregnancies at > or = 37 weeks of gestation with cephalic presentation and spontaneous onset of labor. METHODS: Data were collected from 1,263 clinical records. The partogram was used to diagnose labor dystocia (LD). MAIN OUTCOME MEASURES: Prevalence of oxytocin administration, LD and operative delivery. RESULTS: Oxytocin was administered to 55% of the women (75% of primiparas and 38.1% of multiparas); a majority did not meet LD criteria. LD frequency was 19.8% (32.7% in primiparas and 7.4% in multiparas). Oxytocin was started both 'too early' and 'too late' in relation to the diagnosis of LD. Cesarean section (CS) was performed on 17.1% of primiparous and 2.4% of multiparous oxytocin recipients with LD, compared to 2.3 and 1.5%, respectively, of oxytocin recipients without diagnosed LD. CONCLUSIONS: Oxytocin augmentation was undertaken in an unstructured manner; some women were inadequately treated and others were treated unnecessarily. Oxytocin recipients with LD underwent operative delivery to a higher extent than oxytocin recipients without LD, suggesting that the main reason for CS was the underlying problem of LD rather than the oxytocin augmentation itself.
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21.
  • Wigert, Helena, 1960, et al. (author)
  • Conditions for parents’ participation in the care of their child in neonatal intensive care – a field study
  • 2008
  • In: BMC Pediatrics. - : Springer Science and Business Media LLC. - 1471-2431. ; 8:3, s. 1-9
  • Journal article (peer-reviewed)abstract
    • BACKGROUND: To promote participation by parents in the care of their child in neonatal intensive care units (NICU), health professionals need better understanding of what facilitates and what obstructs participation. The aim was to elucidate conditions for parents' participation in the care of their child in NICUs. METHODS: A field study with a hermeneutic lifeworld approach was used and data were collected at two NICUs through participative observations and interviews with representatives of management, staff and parents. RESULTS: The results point to a number of contradictions in the way parents were offered the opportunity to participate in neonatal intensive care. Management and staff both had good ambitions to develop ideal care that promoted parent participation. However, the care including the conditions for parental participation was driven by the terms of the staff, routines focusing on the medical-technical care and environment, and budgetary constraints. CONCLUSION: The result shows that tangible strategies need to be developed in NICUs aimed at optimising conditions for parents to be present and involved in the care of their child.
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22.
  • Wigert, Helena, 1960, et al. (author)
  • Health care professionals' experiences of parental presence and participation in neonatal intensive care unit
  • 2007
  • In: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 2:1, s. 45-54
  • Journal article (peer-reviewed)abstract
    • In a neonatal intensive care unit (NICU), the care is carried out not only by health care professionals but also by parents. The aim was to describe from a lifeworld hermeneutics approach, health care professionals’ experience of parents’ presence and participation in the care of their child in the NICU. Twenty health care professionals in two NICUs were interviewed. The interpretations of four themes indicate that the care personnel in NICU were ambivalent towards the presence of parents and set limits including dictating conditions for parental participation. In the encounter with the parents, they balanced between closeness and distance and had difficulty in meeting worried parents. There was little ability to deal with parents in crisis in the correct manner and sometimes an avoiding attitude was present. The care environment obstructed the personnel’s endeavours to involve the parents in the care of their child. The result shows there is a need to train personnel in the art of dealing with parents in crisis. This should include developing the care environment to allow parents to be present and take part in the care of their child but also give personnel the prerequisites to make this possible.
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23.
  • Wigert, Helena, 1960, et al. (author)
  • Mothers' experiences of having their newborn child in a neonatal intensive care unit.
  • 2006
  • In: Scandinavian journal of caring sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 20:1, s. 35-41
  • Journal article (peer-reviewed)abstract
    • BACKGROUND: From birth the child has an ability to respond to the environment, which influences the interaction between mother and child. If this attachment is interrupted, the child's emotional development is negatively influenced. When the child needs care in a neonatal intensive care unit (NICU) it is difficult to establish contacts between mother and child. Separation from the child is found to be the most difficult aspect for mothers when their newborn child is hospitalized in a NICU. AIM: The aim of this study was to describe mothers' experiences when their full-term newborn child was cared for in a NICU during the postpartum maternity care period. METHOD: A phenomenological hermeneutic interview study was performed. Ten mothers were interviewed once, 6 months to 6 years after the experience. RESULTS: The essence of the experience is understood as an alternation between two opposite concepts, exclusion and participation, with emphasis on exclusion. A feeling of exclusion dominates when the new mother feels a lack of interaction and a sense of not belonging to either the maternity care unit or the NICU. This has a negative effect on her maternal feelings. On the contrary, when a feeling of participation dominates, a continuous dialogue exists and the mother is cared for as a unique person with unique needs. This supports her maternal feelings in a positive direction. The implication of the result for nurses is that it is important to decrease mothers' experience of exclusion and to increase their feeling of participation when their child is cared for in a NICU. A return visit to the responsible nurse to go through the treatment and experiences should be offered to all parents whose child has been cared for in a NICU.
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24.
  • Ågren, A, 1965, et al. (author)
  • Tactile massage and severe nausea and vomiting during pregnancy - women's experiences
  • 2006
  • In: Scand J Caring Sci. - 0283-9318. ; :20, s. 169-176
  • Journal article (peer-reviewed)abstract
    • Nausea and vomiting during pregnancy is a condition with an obscure aetiology. The treatment is symptomatic but there is a lack of alternative treatments. Tactile massage is known to give relaxation and increased well-being in connection with different illnesses, but has never been studied on women with severe nausea and vomiting during pregnancy (SNVP). The aim of this study was to describe hospitalized women's experiences of SNVP and of tactile massage. A phenomenological method was used. Ten hospitalized women with SNVP were included. Each woman was given tactile massage on three separate occasions. After the final massage an open interview was used covering both the experience of severe nausea and vomiting, and of tactile massage. The findings revealed an essential meaning summarizing the experience: to obtain a relieving moment of rest and access to the whole body when nausea rules life. When nausea is experienced as controlling a woman's life, tactile massage is experienced as promoting relaxation and gives her an opportunity to regain access to her body. The findings suggest that tactile massage is a good alternative and complement to traditional treatment of SNVP.
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