| 1. |
- Berg, Marie, 1955, et al.
(författare)
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Att bli förälder
- 2010
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Ingår i: Att stödja och stärka : vårdande vid barnafödande / Marie Berg, Ingela Lundgren (red.). - 9789144068206 ; , s. 69-84
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Bokkapitel (refereegranskat)
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| 2. |
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| 3. |
- Josefsson, Ulrika, 1965, et al.
(författare)
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Person-centred web-based support - development through a Swedish multi-case study.
- 2013
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Ingår i: BMC medical informatics and decision making. - : Springer Science and Business Media LLC. - 1472-6947. ; 13:1
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Tidskriftsartikel (refereegranskat)abstract
- Departing from the widespread use of the internet in modern society and the emerging use of web applications in healthcare this project captures persons' needs and expectations in order to develop highly usable web recourses. The purpose of this paper is to outline a multi-case research project focused on the development and evaluation of person-centred web-based support for people with long-term illness. To support the underlying idea to move beyond the illness, we approach the development of web support from the perspective of the emergent area of person-centred care. The project aims to contribute to the ongoing development of web-based supports in health care and to the emerging field of person-centred care.Methods/designThe research design uses a meta-analytical approach through its focus on synthesizing experiences from four Swedish regional and national cases of design and use of web-based support in long-term illness. The cases include children (bladder dysfunction and urogenital malformation), young adults (living close to persons with mental illness), and two different cases of adults (women with breast cancer and childbearing women with type 1 diabetes). All of the cases are ongoing, though in different stages of design, implementation, and analysis. This, we argue, will lead to a synthesis of results on a meta-level not yet described.
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| 4. |
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| 5. |
- Premberg, Åsa, 1955, et al.
(författare)
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Father for the first time - development and validation of a questionnaire to assess fathers' experiences of first childbirth (FTFQ).
- 2012
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Ingår i: BMC pregnancy and childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 12:1
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Tidskriftsartikel (refereegranskat)abstract
- ABSTRACT: BACKGROUND: A father's experience of the birth of his first child is important not only for their birth-giving partner but also for the father himself, his relationship with the mother and the newborn. No validated questionnaire assessing first-time fathers' experiences during childbirth is currently available. Hence, the aim of this study was to develop and validate an instrument to assess first-time fathers' experiences of childbirth. METHOD: Domains and items were initially derived from interviews with first-time fathers, and supplemented by a literature search and a focus group interview with midwives. The comprehensibility, comprehensiveness and relevance of the items were evaluated by four paternity research experts and a preliminary questionnaire was pilot tested in eight first-time fathers. A revised questionnaire was completed by 200 first- time fathers (response rate = 81%) Exploratory factor analysis using principal component analysis with varimax rotation was performed and multitrait scaling analysis was used to test scaling assumptions. External validity was assessed by means of known-groups analysis. RESULTS: Factor analysis yielded four factors comprising 22 items and accounting 48% of the variance. The domains found were Worry, Information, Emotional support and Acceptance. Multitrait analysis confirmed the convergent and discriminant validity of the domains; however, Cronbach's alpha did not meet conventional reliability standards in two domains. The questionnaire was sensitive to differences between groups of fathers hypothesized to differ on important socio demographic or clinical variables CONCLUSIONS: The questionnaire adequately measures important dimensions of first-time fathers' childbirth experience and may be used to assess aspects of fathers' experiences during childbirth. To obtain the FTFQ and permission for its use, please contact the corresponding author.
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| 6. |
- Premberg, Åsa, 1955, et al.
(författare)
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First time fathers´experiences of childbirth
- 2010
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Ingår i: Book of Abstracts. The 18th Congress of the Nordic Federation of Midwives June 2010..
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Konferensbidrag (refereegranskat)abstract
- A description of first time fathers´experience of childbirth
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| 7. |
- Premberg, Åsa, 1955, et al.
(författare)
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First-time Fathers’ Experiences of Childbirth
- 2011
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Ingår i: Book of abstracts, ICM 29th Triennial Congress. International Confederation of Midwives. Durban 18-23 June 2011. ; :ICM 29th Triennial Congress. International Confede
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Konferensbidrag (refereegranskat)abstract
- Abstract for oral presentation at ICM 29th Triennial Congress Durban, South Africa 19 - 23 June 2011 Title: First- time Fathers’ Experiences of Childbirth- a Phenomenological Study. Name and title of all authors: Åsa Premberg; RNM, MSc, Doctoral student, Gunilla Carlsson , RN, PhD, Associate Professor; Anna-Lena Hellström; RN, Phd, Professor ,Marie Berg; RNM, MNSc, MPH, PhD, Associate Professor Contact e-mail: asa.premberg@gu.se Background and Aim: Fathers have become routine participants during labor and delivery, but since the fathers entered the delivery room in the 1970s, their positions have been ambiguous. The aim of the study was to describe fathers’ experiences during childbirth including caregivers’ support. Setting: The study was performed in the Southwest area of Sweden during the autumn 2008. Ten fathers were located at two hospitals and interviewed 4-6 weeks after the childbirth. Ethical approval was obtained from the Regional Ethical Review Board in Gothenburg Methods: A qualitative method with phenomenological life world approach was chosen. The interviews were guided by a re-enactment method and carried out and analyzed in accordance with Dahlberg (2008). Preliminary results: First-time fathers’ experienced childbirth as a mutually shared process for the couple. This means that the man, in cooperation with the midwife, is highly involved in childbirth with engagement in the process of support and care to the woman in her suffering. However, experience of the woman’s pain, fear of the unknown combined with the gendered preconceptions of masculine hegemony can be hard to bear for the father to be. To maintain and strengthen childbirth as a mutually shared experience for the couple, the father needs to be recognised and supported as a parent to be. Midwives and other caregivers have to acknowledge the fathers role as valued participant, but also support a significant position for the father. Further results, discussion and conclusions are going to be presented at the congress. Keywords. First time Fathers, Childbirth, Experience, Support,
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| 8. |
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| 9. |
- Premberg, Åsa, 1955, et al.
(författare)
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First-time fathers' experiences of childbirth-A phenomenological study.
- 2011
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Ingår i: Midwifery. - : Elsevier BV. - 1532-3099 .- 0266-6138. ; 27:6, s. 848-853
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: to describe fathers' experiences during childbirth. DESIGN: qualitative method with phenomenological lifeworld approach. A re-enactment interview method, with open-ended questions analysed with a phenomenological method, was used. PARTICIPANTS AND SETTING: 10 first-time fathers from two hospitals were interviewed four to six weeks after childbirth in Southwest Sweden during the autumn of 2008. FINDINGS: the essential meaning of first-time fathers' lived experience of childbirth was described as an interwoven process pendulating between euphoria and agony. The four themes constituting the essence was: 'a process into the unknown', 'a mutually shared experience', 'to guard and support the woman' and 'in an exposed position with hidden strong emotions'. KEY CONCLUSIONS: childbirth was experienced as a mutually shared process for the couple. The fathers' high involvement in childbirth, in cooperation with the midwife, and being engaged in support and care for his partner in her suffering is fulfilling for both partners, although the experience of the woman's pain, fear of the unknown and the gendered preconceptions of masculine hegemony can be difficult to bear for the father-to-be. IMPLICATIONS FOR PRACTICE: in order to maintain and strengthen childbirth as a mutually shared experience for the couple, the father needs to be recognised and supported as a parent-to-be. Midwives have to acknowledge fathers as valued participants and support their significant position.
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| 10. |
- Premberg, Åsa, 1955, et al.
(författare)
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How to use first-time father questionnaire (FTFQ) - fathers experiences of childbirth
- 2014
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Ingår i: The International Confederation of Midwives. ICM 30th Triennial Congress. 1-5 June 2014 Prague, Czech Republic.
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Konferensbidrag (refereegranskat)abstract
- Background: The quality of first-time fathers’ participation during childbirth is important not only for his birth-giving partner but also for the father himself, his relationship with the mother and the newborn. No validated questionnaire assessing first-time fathers’ experiences during childbirth was available. The aim of this study was to develop and validate an instrument to assess first-time fathers’ experiences of childbirth (FTFQ). The study was approved by the Regional Ethical Review Board in Gothenburg and was conducted in accordance with ethical principles of the Declaration of Helsinki [27] Method: The questionnaire was constructed with items derived from interviews with first-time fathers, and a questionnaire, completed by 200 first-time fathers (response rate=81 %), was tested and validated. An exploratory factor analysis using principal component analysis with varimax rotation was performed and multitrait scaling analysis was used to test scaling assumptions. The external validity was assessed by means of known-groups analysis. Results: Factor analysis yielded four factors comprising 22 items and accounting 48 % of the variance. The domains found were Worry, Information, Emotional support and Acceptance. Multitrait-scaling analysis confirmed the convergent and discriminant validity of the domains; however, Cronbach’s alpha did not meet conventional reliability standards in two domains. The questionnaire was sensitive to differences between groups of fathers hypothesized to differ on important socio demographic or clinical variables Conclusions: The questionnaire adequately measures important dimensions of first-time fathers’ childbirth experiences’ and may be used to assess aspects of fathers’ experience during childbirth. Implications: At the seminar the main focus will be an instruction on how to use the First-Time Father Questionnaire. Key words: Fathers, childbirth, questionnaire, factor analysis
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| 11. |
- Ranerup, Agneta, 1960, et al.
(författare)
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Role of Theories in the Design of Web-Based person-Centered Support: A Critical Analysis
- 2014
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Ingår i: International Journal of Chronic Diseases. - New York, NY : Hindawi Limited. - 2356-6981 .- 2314-5749. ; 2014
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Tidskriftsartikel (refereegranskat)abstract
- Objective.The aim of this study was to provide a critical understanding of the role of theories and their compatibility with a person centered approach in the design and evaluation of web-based support for themanagement of chronic illness. Methods. Exploration of web-based support research projects focusing on four cases: (1) preschool children aged 4–6 with bladder dysfunction and urogenital malformation; (2) young adults aged 16–25 living with mental illness; (3) women with type 1 diabetes who are pregnant or in early motherhood; and (4) women who have undergone surgery for breast cancer. Data comprised interviews with research leaders and documented plans. Analysis was performed bymeans of a cross-case methodology. Results.The used theories concerned design, learning, health and well-being, or transition. All web support products had been developed using a participatory design (PD). Fundamental to the technology design and evaluation of outcomes were theories focusing on learning and on health and wellbeing. All theories were compatible with a person-centered approach. However, a notable exception was the relatively collective character of PD and Communities of Practice. Conclusion. Our results illustrate multifaceted ways for theories to be used in the design and evaluation of web-based support.
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| 12. |
- Skärsäter, Ingela, 1952, et al.
(författare)
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Web-based learning and support – a person-centred care approach in long-term illness.
- 2012
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Ingår i: Scandinavian Conference on Health Informatics.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The poster outlines a research project that aims to develop and evaluate a person-centred model of web-based learning and support for people with long-term illness. Departing from the widespread use of the internet in modern society and the emerg-ing use of web interventions in healthcare 1-3 the multi-case project captures persons’ needs and expectations in order to develop highly usable web recourses. To support the underly-ing idea to move beyond the illness, we approach the develop-ment of web support from the perspective of the emergent area of person-centred care (PCC).
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| 13. |
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| 14. |
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| 15. |
- Sparud-Lundin, Carina, 1964-, et al.
(författare)
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Use of participatory design in the development of person-centred web-based support for persons with long-term illness
- 2013
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Ingår i: European Journal for Person Centered Healthcare. - Buckingham, UK : University of Buckingham Press. - 2052-5648 .- 2052-5656. ; 1:2, s. 369-380
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Tidskriftsartikel (refereegranskat)abstract
- Background: E-health solutions are increasingly being developed to meet patients’ preferences and promote their participation in healthcare. Few studies have explored the participatory design process from the perspective of person-centeredness, including how it becomes materialized in technology. This paper explores how applied participatory approaches and the design of 4 web-based interventions directed towards long-term illness correspond to key areas of person-centeredness. Methods: Data were collected during 2009 to 2012, from 4 Swedish research projects. The analysis followed an inductive approach involving a step-wise cross-case analysis. The purpose was to create shared knowledge and understanding of each separate case and to generate relevant categories.Results: A number of question areas describe the dialogue with the case participants. Results of the dialogue are categorized into 4 support areas: psychological/emotional, personal, information and technical. Person-centeredness becomes visible in the participatory design process as the approach promotes the development of a holistic view of the person and the illness and a partnership between patients and carers. The use of communication technology exemplifies concrete materialization of person-centeredness in the design of the web-based supports. The purpose of the web supports and the shaping of the actual use of the functionalities are more abstract forms of materialization.Conclusions: Our results contribute to a central development area within eHealth involving increased opportunities for patients to contribute actively in real time, obtaining access to information and sometimes interacting with carers. However, neither participatory approaches nor technology for online information and communication, can guarantee person-centeredness in isolation.
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| 16. |
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| 17. |
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| 18. |
- Adolfsson, Annsofie, 1960-, et al.
(författare)
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A web-based support for pregnant women and new mothers with type 1 diabetes mellitus in Sweden (MODIAB-Web) : study protocol for arandomized controlled trial
- 2014
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Ingår i: Trials. - : Springer Science and Business Media LLC. - 1745-6215. ; 15, s. 513-
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Background: Women with type 1 diabetes face particular demands in their lives in relation to childbearing. During pregnancy, in order to optimize the probability of giving birth to a healthy child, their blood glucose levels need to be as normal as possible. After childbirth, they experience a 'double stress': in addition to the ordinary challenges they face as new mothers, they also need to focus on getting their blood glucose levels normal. To improve self-management of diabetes and overall well-being in women with type 1 diabetes, a person-centered web-based support was designed to be tested in a randomized controlled trial (RCT) to be used during pregnancy and early motherhood. This protocol outlines the design of this RCT, which will evaluate the effectiveness of the specially designed web-based support for mothers with type 1 diabetes in Sweden.Methods: The study is designed as an RCT. The web support consists of three parts: 1) evidence-based information, 2) a self-care diary, and 3) communication with peers. The primary outcome is general well-being evaluated with the Well-Being Questionnaire short version (W-BQ12) and diabetes management evaluated with the Diabetes Empowerment Scale, short version (SWE-DES). Women attending six hospital-based antenatal care centers in Sweden are invited to participate. The inclusion period is November 2011 to late 2014. The allocation of participants to web support (intervention group) and to usual care (control group) is equal (1:1). In total, 68 participants in each group will be needed to reach a statistical power of 80% with significance level 0.05.Discussion: The web support is expected to strengthen the women's personal capacity and autonomy during pregnancy, breastfeeding, and early motherhood, leading to optimal well-being and diabetes management.
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| 19. |
- Ahlborg, Tone, 1950, et al.
(författare)
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Föräldraskap och parrelation
- 2013
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Ingår i: Omvårdnad på avancerad nivå. Kärnkompetenser inom sjuksköterskans specialistområden. A-K. Edberg, A. Ehrenberg, F. Friberg, L. Wallin, H. Wijk & J. Öhlén (red). Artikelsamling på bokens webbutgåva.. - Lund : Studentlitteratur. - 9789144071459
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Bokkapitel (refereegranskat)abstract
- Att bli förälder är bland de största händelserna i livet med många förändringar, både på personnivå och vad gäller rutiner och andra praktikaliteter i dagligt liv. Det är en känslosam tid som möjliggör förändrad livsinriktning men också ger en ökad utsatthet. Föräldraskapet är livslångt. I detta kapitel beskrivs olika dimensioner i föräldrablivandet samt hur parrelationer kan påverkas av det tidiga föräldraskapet, d.v.s. de första åren som förälder. Målet med den hälso- sjukvård och omsorg som ges till par i samband med övergången till föräldraskap är att främja hälsa och välbefinnande. Barnmorskan på Mödravårdscentral och inom förlossningsverksamhet har en nyckelroll i vård och stöd till blivande och nyblivna föräldrar. Specialistsjuksköterskan vid neonatalvårdsenhet och barnavårdscentral har också central roll. Andra specialistsjuksköterskor kan komma att vårda blivande och nyblivna föräldrar och oftast sker detta i samband med att komplikationer inträffar1. Också andra professioner är centrala och har stor möjlighet att i samverkan stödja de nyblivna föräldrarna i föräldraskapet och i deras parrelation. Centralt vid vård och omsorg som ges i samband med parrelation och föräldraskap, precis som i all hälso- och sjukvård, är att den är evidensbaserad, samt anpassad till och centrerad på den enskilda personen med fungerande kommunikation och tillräcklig information.
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| 20. |
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Att stödja och stärka- vårdande vid barnafödande
- 2010
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- I Sverige behöver var tionde nyfött barn särskild vård under nyföddhetsperioden, s.k neonatalvård. Föräldrarna välkomnas att vara hos sitt barn dygnet runt vilket dock inte alltid är praktiskt möjligt då det kan saknas boende för dem på sjukhuset. De uppmuntras även att tilsammans med vårdpersonalen delta i sitt barns vård. Ofta är föräldrarna mycket oroliga, både för att mista sitt barn och för att barnet tar skada av behandling och undersökning. Vårdpersonalens kompetens, öppenhet och emotionella stöd är viktiga faktorer för föräldrarna. Idealt sett bör vårdandet i neonatalperioden företas av både föräldrar och professionella i samspel- ofta kallat familjeinriktad vård.
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| 21. |
- Begley, Cecily, 1954, et al.
(författare)
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A systematic review identifying outcomes to measure the effect of oxytocin used in treating delay in labour
- 2014
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Ingår i: Optimizing childbirth across Europe - an intedisciplinary maternity care conference. 9-10 April 2014, Brussels. Part of COST Action IS0907: Childbirth Cultures, Concerns & Consequences: Creating a dynamic EU framework for Optimal maternity care..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Different outcome measures have been used in studies examining the effects of oxytocin used to treat delay in labour. Comparison of study results is thus difficult, and evidence is inconsistent. Aims of review: To identify outcomes, including salutogenic, positive, health-focussed outcomes, used in systematic reviews and randomised trials designed to measure the effectiveness of oxytocin used to treat delay in labour. This review was supported by the European Commission under COST Action:IS0907. Search and review methodology: A comprehensive search strategy was employed, and eight relevant citation databases were searched up to January 2013. randomised trials, and systematic reviews of randomised trials, that measured effectiveness of oxytocin in treating delay in labour were included. Trials comparing different action lines on partograms or active management of labour were excluded. Two reviewers screened a total of 1918 citations identified and data were extracted independently. no results were to be used, therefore no quality assessment of papers was required. five systematic reviews and 26 randomised trials were included. Primary and secondary outcomes were recorded and frequency distributions calculated. Findings: Primary outcomes used most frequently were caesarean section (n=15, 46%), labour length (n=14, 42%), measurements of uterine activity (n=13, 39%) and mode of vaginal birth (n=9, 27%). maternal satisfaction was identified a priori by only one review and included by four papers as a secondary outcome. no further salutogenic or positive health-focussed outcomes were identified. Conclusions: heterogeneous outcomes were used to measure the effectiveness of oxytocin in treating delay in labour. Additional salutogenic, women-centred and health-focussed outcomes should be included in future randomised trials of oxytocin used as a treatment for delayed labour. An improved focus on salutogenesis in childbirth may result, with potential for increased resilience in women. A core outcome dataset, based on evidence and applicable for evaluating the effects of oxytocin in prolonged labour, should be generated to support future research.
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| 22. |
- Begley, Cecily, 1954, et al.
(författare)
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Outcome measures in studies on the use of oxytocin for the treatment of delay in labour: A systematic review
- 2014
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Ingår i: Midwifery. - : Elsevier BV. - 0266-6138. ; 30:9, s. 975-982
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Forskningsöversikt (refereegranskat)abstract
- Objectives: to identify primary and secondary outcome measures in randomised trials, and systematic reviews of randomised trials, measuring effectiveness of oxytocin for treatment of delay in the first and second stages of labour, and to identify any positive health-focussed outcomes used. Design: eight relevant citation databases were searched up to January 2013 for all randomised trials, and systematic reviews of randomised trials, measuring effectiveness of oxytocin for treatment of delay in labour. Trials of active management of labour or partogram action lines were excluded. 1918 citations were identified. Two reviewers reviewed all citations and extracted data. Twenty-six individual trials and five systematic reviews were included. Primary and secondary outcome measures were documented and analysed using frequency distributions. Findings: most frequent primary outcomes were caesarean section (n=15, 46%), length of labour (n=14, 42%), measurements of uterine activity (n=13, 39%) and mode of vaginal birth (n=9, 27%). Maternal satisfaction was identified a priori by one review and included as a secondary outcome by three papers. No further positive health-focussed outcomes were identified. Key conclusions: outcomes used to measure the effectiveness of oxytocin for treatment of delay in labour are heterogeneous and tend to focus on adverse events. Implications for practice: it is recommended that, in future randomised trials of oxytocin use for delay in labour, some women-centred and health-focussed outcome measures should be used, which may instil a more salutogenic culture in childbirth. © 2014 The Authors.
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| 23. |
- Berg, Marie, 1955, et al.
(författare)
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A midwifery model of childbirth care - Development and implementation in Sweden and Iceland
- 2014
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Ingår i: Optimizing childbirth across Europe - an intedisciplinary maternity care conference. 9-10 April 2014, Brussels. Part of COST Action IS0907: Childbirth Cultures, Concerns & Consequences: Creating a dynamic EU framework for Optimal maternity care..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: Theoretical models are important as tools for guiding health care practice, also when optimising quality of maternity care. Aim of study: The aim was to identify and implement an evidence based woman centred midwifery model of childbirth care in the cultural context of Sweden and Iceland. Research methodology: With a qualitative hermeneutic approach a woman centred model of care was developed by a synthesis and meta-interpretation of own published qualitative studies (n=12) about women´s and midwives´ experiences of child birthing. for purposes of validity and reliability the model was assessed in six focus group interviews with practising midwives (n=30). for implementation of the model in praxis we had discussions with midwives in practice and with midwifery teachers. Ethical approval: Ethical approval was obtained in the earlier studies. Study findings: The model includes five main themes. Three central intertwined themes with sub-themes that involve interactions with each woman and family are: a reciprocal relationship; a birthing atmosphere; and grounded knowledge. The remaining two themes around the others, which likewise influence care, are the cultural context with hindering and promoting norms of a midwifery approach and the balancing act in basing work on midwifery philosophies, facilitating woman-centred maternity care in cooperation with other health professionals. Implementation and evaluation of this salutogenic woman centred midwifery model is in progress. Conclusion: In an era of rising technicality, the model with its balancing act could have positive impact on provision and outcome of childbirth care, raise normality of all birth and interdisciplinary care. This midwifery model of care could be a broad theoretical framework in maternity care and applied to other cultural contexts for the benefit of the women, babies and families.
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| 24. |
- Berg, Marie, 1955, et al.
(författare)
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A midwifery model of intrapartum care - development and implementation
- 2014
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Ingår i: Leadership, learning and research in nursing and midwifery. Sigma Theta Tau International Honor Society, 2nd European regional conference. 16-18 June 2014 Gothenburg, Sweden..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 25. |
- Berg, Marie, 1955, et al.
(författare)
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A midwifery model of woman-centred childbirth care – In Swedish and Icelandic settings
- 2012
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Ingår i: Sexual & Reproductive Healthcare. - : Elsevier BV. - 1877-5756. ; 3:2, s. 79-87
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Tidskriftsartikel (refereegranskat)abstract
- Background: Theoretical models for health care practice are important both as tools for guiding daily practice and for explaining the philosophical basis for care. Aim: The aim of this study was to define and develop an evidence-based midwifery model of womancentred care in Sweden and Iceland. Method: Using a hermeneutic approach we developed a model based on a synthesis of findings from 12 of our own published qualitative studies about women’s and/or midwives’ experiences of childbirth. For validity testing, the model was assessed in six focus group interviews with 30 practising midwives in Iceland and Sweden. Findings: The model includes five main themes. Three central intertwined themes are: a reciprocal relationship; a birthing atmosphere; and grounded knowledge. The remaining two themes, which likewise influence care, are the cultural context (with hindering and promoting norms); and the balancing act involved in facilitating woman-centred care. Conclusion: The model shows that midwifery care in this era of modern medical technology entails a balancing act for enhancing the culture of care based on midwifery philosophies. The next step will be to implement the model in midwifery programmes and in clinical practice, and to evaluate its applicability.
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| 26. |
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| 27. |
- Berg, Marie, 1955, et al.
(författare)
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Breastfeeding and its impact on daily life in women with type 1 diabetes during the first six months after childbirth: a prospective cohort study
- 2012
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Ingår i: International Breastfeeding Journal. - London : Springer Science and Business Media LLC. - 1746-4358. ; 7:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: For mothers with diabetes, breastfeeding is a great challenge due to their struggle with potentially unstable blood glucose levels. This paper explores breastfeeding attitudes and impact of breastfeeding on the daily life of mothers with type 1 diabetes compared with non-diabetic mothers. Methods: We performed a prospective cohort study of 108 mothers with type 1 diabetes and a reference group of 104 mothers in the west of Sweden. Data were collected through medical records and structured telephone interviews at 2 and 6 months after childbirth. Results: Women in both the diabetes group and the reference group had high levels of confidence (84% and 93% respectively) in their breastfeeding capacity before childbirth, and 90% assessed breastfeeding as a positive and an important experience during the six months of follow-up. About 80% assessed breastfeeding as influencing daily life ‘very much’ or ‘quite a lot’ at 2 months as did 60% at 6 months, with no difference between the groups. Inmothers with diabetes, the impact of breastfeeding on the priority of other duties decreased over time, as did feelings of time pressure and negative effects on patterns of sleep. Compared to the reference group, mothers with diabetes at 6 months remained more affected by disruptions in daily life and they felt more worried about their health both at 2 and 6 months after childbirth. For the reference group mothers’ sensitivity to unexpected disruptions in daily routines decreased between 2 and 6 months after childbirth, and they expressed a greater need to organize their time than mothers with diabetes. Conclusion: Mothers with diabetes type 1 express more worry for own health and are more sensitive to distruptions. To balance their everyday life and to reduce the risk of stress and illhealth they are therefor, compared to other mothers, likely to need additional professional and peer support.
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| 28. |
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| 29. |
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| 30. |
- Berg, Marie, 1955
(författare)
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Midwifery relationship with childbearing women at increased risks
- 2010
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Ingår i: Kirkham M. The midwife-mother relationship 2nd edition.. - : Palgrave Macmillan. - 9780230577367
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- This chapter is part of a book sovering completely new topics areas, including the effects of emotional labour, poverty and health policy, the new edition of this ground-breaking text brings together classic and current research to establish key tenets for maternity care within hospital and home. It remains the definitive guide to the complex area of midwife-mother relations.
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| 31. |
- Berg, Marie, 1955, et al.
(författare)
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Normal förlossning
- 2013
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Ingår i: Omvårdnad på avancerad nivå. Kärnkompetenser inom sjuksköterskans specialistområden. A-K. Edberg, A. Ehrenberg, F. Friberg, L. Wallin, H. Wijk & J. Öhlén (red). Artikelsamling på bokens webbutgåva. - Lund : Studentlitteratur. - 9789144071459 ; , s. 1-7
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Begreppet normal förlossning diskuteras inom obstetriken och gränserna för vad som betraktas som normalt skiljer sig i tid och kultur. Det som var normalt i Sverige för 100 år sedan är inte det samma i dag. Ur ett globalt perspektiv, och såsom det senast definierats av världshälsoorganisationen (WHO 1996) och av Socialstyrelsen i Sverige (Socialstyrelsen 2001), ska följande kriterier vara uppfyllda i en normal förlossning: förlossningen ska starta med spontana värkar eller vattenavgång hos en kvinna som väntar ett barn och är i graviditetsvecka 37+0 – 41+6 (fullgången graviditet). Barnet ska ligga i huvudbjudning och hela förlossningsförloppet ska förlöpa utan komplikation hos mor och/eller barn, och utan onödiga medicinska interventioner. Kvinnan ska som helhet uppleva förlossningen positivt. I denna artikel ges en summarisk beskrivning av det centrala i ett normalt förlossningsförlopp och vård vid sådant. Ansvaret för vård under normal graviditet och förlossning ligger hos barnmorskeprofessionen. Förloppet vid normal förlossning beskrivs genom fyra situationer med helt normala förlossningsförlopp som handläggs av barnmorskor. Fördjupad information om normal förlossning och dess handläggning ges i Kaplan m.fl. (2009), Berg (2010) och Lundgren (2010). Verktyg för att stödja beskrivs mer ingående i Hallgren och Lundgren (2010).
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| 32. |
- Berg, Marie, 1955, et al.
(författare)
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Parental participation in the care of their child in neonatal intensive care
- 2011
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Ingår i: Thompson G, Dykes F, Downe S. Qualitative Insights in Midwifery and Childbirth: phenomenological Approaches. - Tonbtidge, kent : GreenGate Publishing Services. - 9780415575010
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Qualitative research particularly phenomenology is increasingly popular as a method for midwifery and health-related research. Thsi book brings together a range of phenomenological hermeneutic methods and insights.
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| 33. |
- Berg, Marie, 1955, et al.
(författare)
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Person-centered web support to women with type 1 diabetes in pregnancy early motherhood : the development process
- 2013
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Ingår i: Diabetes Technology & Therapeutics. - : Mary Ann Liebert. - 1520-9156 .- 1557-8593. ; 15:1, s. 20-25
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Tidskriftsartikel (refereegranskat)abstract
- Background: Pregnancy and early motherhood are extraordinarily demanding periods for women with type 1 diabetes, who therefore need optimal support. This article describes the process of developing person-centered Web-based support for women with type 1 diabetes during the period of pregnancy through early motherhood. Important aspects of perrsoncenteredness are a broader scope of medicine, viewing the patient as a person, shared decision-making to accomplish a therapeutic alliance, and the role of documentation.Materials and Methods: A participatory design was used in the development process to capture the target group’s knowledge, experiences, and needs, and a systematic process map for Web-based support was used to describe the process.Results: Content and layout in the Web support were developed collaboratively by project managers, advisory and scientific reference groups, technical producers, and representatives for the target group. Based on needs assessment and evidence synthesis, three main components of complementary Web-based support were identified: (1) specific information about pregnancy, childbirth, and early motherhood in relation to type 1 diabetes; (2) a self-care diary, including a device for documenting and evaluating blood glucose levels, insulin doses, food intake, physical activities, and overall well-being; and (3) a forum for communication between women with type 1 diabetes in the childbearing period.Conclusions: Using a perspective of person-centered care, a participatory design and the process map were fruitful for developing person-centered Web support for self-care and self-learning. The developed Web support product will be evaluated in a randomized controlled trial and further developed based on this result.
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| 34. |
- Berg, Marie, 1955
(författare)
-
. Promoting a normal focus in situations of high risk
- 2010
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Ingår i: Book of Abstracts, at: European Science Foundation (ESF EMRC/SCSS) Exploratory Workshop: Promoting Normality in Childbirth across Europe. The University of Dublin Trinity College, Faculty of health Sciences, Dublin Ireland 22-25 March 2010.. ; 2010
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Konferensbidrag (refereegranskat)
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| 35. |
- Berg, Marie, 1955, et al.
(författare)
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The use of a salutogenic framework in empirical studies of maternity care
- 2014
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Ingår i: Optimizing childbirth across Europe conference - part of COST Action IS0907: Childbirth Cultures, Concerns & Consequences: Creating a dynamic EU framework for Optimal maternity care. 9-10 April 2014, Brussels.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: There is general agreement that maternity care services should be organized in a way that improves health. In many European settings, this entails changing the lens of maternity care from one focused on risk and the prevention of ill-health to one stressing positive outcomes including strengths and resources. Several frameworks have been proposed for a positive health care approach within the salutogenic framework. The most wellknown, and with a strong evidence base, is Antonovsky´s Sense of Coherence Theory. Aim: To establish if and how a salutogenic theoretical approach has been used in empirical studies of maternity care. Objectives: To identify how salutogenesis has been defined in empirical research around the maternity episode, and how and in what kind of contexts salutogenic theory has been used in empirical research around the maternity episode. To generate discussion about what promotes salutogenic approaches in maternity care provision. method: A systematic literature review, based on a predetermined search strategy. no language restrictions were applied. Included studies were subject to narrative analysis. Ethical approval was not required. Findings: Eight papers met the criteria for inclusion, comprising seven areas in the antenatal, intrapartum and postnatal periods. Of these, two papers employed both a positive health philosophy and explicit use of Antonovsky's Sense of Coherence (SoC) scale. The remaining studies used discrete aspects of a salutogenic approach. Conclusion: These findings demonstrate that, to date, salutogenic framing is rarely used in maternity care research. To guide future policy making and service provision, salutogenic theory could be used to find out what works well in promoting wellbeing for those using maternity care, rather than simply minimizing ill-health and risk. Funding: The study is part of the EU-funded COST Action IS0907
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| 36. |
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| 37. |
- Berg, Marie, 1955, et al.
(författare)
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Utvärdering av manuella förlossningssimulatorer i barnmorskeutbildning - Ett pedagogiskt utvecklingsprojekt
- 2010
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Bakgrund och syfte: Sedan hösten 2008 används nyinköpta simulatorer i undervisningen i barnmorskeprogrammet. Detta möjliggjordes genom att programmet på beslut av dekanus och dåvarande grundutbildningsrådet beviljade 150 000 kr för inköp av nya simulatorer. Syftet med föreliggande projekt var att undersöka om färdighetsträning med hjälp av manuella förlossningssimulatorer kan förbättra barnmorskestudenters färdigheter inför den första verksamhetsförlagda utbildningen (VFU) inom förlossningsvård. Metod: Studien genomfördes som en intervention där träning med de nya simulatorerna jämfördes med träning enligt gängse rutin. Studiepopulationen utgjordes av en interventionsgrupp av 34 studenter från program med start hösten 2008, och en jämförelsegrupp av 33 studenter från program med start hösten 2007. Utvärdering skedde i form av sex frågeformulär. Resultat: Interventionsgruppen skiljde sig signifikant från jämförelsegruppen i flera avseenden. Redskapen och träningen i olika moment under förlossning var mer verklighetstrogna och de olika momenten under en förlossning hade tränats i högre grad. Vidare hade träningen i högre grad givit förståelse för såväl förlossningsförlopp som barnmorskans roll. I interventionsgruppen var fler studenter nöjda med förlossningsträningen, dock önskades ytterligare tillfällen av träning. Det fanns ingen skillnad mellan grupperna avseende självskattad känsla av säkerhet och trygghet innan påbörjad VFU. Efter avslutad VFU kände sig interventionsgruppen tryggare i förlossningssituation avseende handläggande av framfödandet av barnets huvud och axlar. Konklusion: Projektet visade att simulatorträning med de nya modellerna har gett bättre förståelse av förlossningsförloppet och god träning av olika moment. Simulatorträningen kan dock förbättras ytterligare utifrån givna konkreta förslag från studenterna.
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| 38. |
- Berg, Marie, 1955
(författare)
-
Vårdande vid barnafödande med ökade risker
- 2010
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Ingår i: Att stödja och stärka : vårdande vid barnafödande / Marie Berg, Ingela Lundgren (red.). - Lund : Studentlitteratur. - 9789144068206 ; , s. 145-168
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Bokkapitel (refereegranskat)
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| 39. |
- Berg, Marie, 1955
(författare)
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Vårdandets värdegrund vid barnafödande
- 2010
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Ingår i: Att stödja och stärka : vårdande vid barnafödande. - Lund : Studentlitteratur. - 9789144068206 ; , s. 29-44
-
Bokkapitel (refereegranskat)
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| 40. |
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| 41. |
- Berg, Marie, 1955, et al.
(författare)
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Värdegrunden för vårdandet vid barnafödande : Att stödja och stärka. Vårdande vid barnafödande
- 2010
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Många är rädda för att föda, trots att förutsättningarna i vårt land oftast är de bästa för att få en normal och lyckad förlossning. I denna bok, som är en revidering av 2004 års upplaga med tre helt nya kapitel, skriver elva författare om sin egen forskning kring möte, stöd och vårdorganisation vid barnafödande. Detta kunskapsområde lämpar sig framför allt för barnmorskor, men även för andra inom vården. Den professionella vårdaren bör tänka på att de egna grundvärderingarna påverkar både förhållningssättet och vården. Att ge tid och att möta föräldrar i en öppen dialog med förståelse och respekt är centralt för att kunna stärka dem. Det kan även innebära en balansgång mellan naturligt födande och att se till de medicinska behoven. P S-K
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| 42. |
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| 43. |
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| 44. |
- Bogren, Malin, 1970, et al.
(författare)
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Midwifery education, regulation and association in six South Asian countries--a descriptive report.
- 2012
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Ingår i: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives. - : Elsevier BV. - 1877-5764. ; 3:2, s. 67-72
-
Tidskriftsartikel (refereegranskat)abstract
- To describe the situation of midwifery education, regulation and association in six South Asian countries: Afghanistan, Bangladesh, Bhutan, India, Nepal, and Pakistan.Data were collected via three questionnaires, constructed by the International Confederation of Midwives (ICM) and United Nations Population Fund (UNFPA) Investing in Midwives Programme, used at a regional workshop in Bangladesh, 2010. Selected for the purpose of this study were 55 out of 134 questions of which two were open-ended. The answers from structured closed-ended questions were analyzed with descriptive statistics and the open ended answers with a qualitative content analysis.There was a variation in midwifery education across South Asia, in terms of entry level, competencies and requirements for teachers. None of the countries had national legislation that recognized midwifery as an autonomous profession. Four of the countries had a midwifery association. Two countries had a curriculum based on ICM's essential competences for basic midwifery practice. Main recommendations for improving formal midwifery education across the countries were development of legislation, strengthened formal midwifery education, strengthened professional value, and an improved learning environment.The findings might benefit the future midwifery profession in South Asia and is an important step in addressing the MDGs to reduce maternal and newborn morbidity and mortality in the region. With assistance, the area of South Asia will be able to create autonomous midwives that comply with ICM's global standards for midwifery education and regulation.
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| 45. |
- Bogren, Malin, 1970, et al.
(författare)
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Where midwives are not yet recognised: A feasibility study of professional midwives in Nepal
- 2013
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Ingår i: Midwifery. - : Elsevier BV. - 0266-6138. ; 29:10, s. 1103-1109
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Tidskriftsartikel (refereegranskat)abstract
- Background and objective: the professional midwife is a key person for promoting maternal and family health. Not all countries have yet reached the professional standard for midwives set by the International Confederation of Midwives (ICM) and Nepal is one of these countries. This study explores the feasibility to establish a professional midwifery cadre in Nepal that meets the global standards of competencies, and to define a strategy to each this. Method: a mixed-methods study comprised (1) policy-review (2) interviews and (3) observations. An assessment tool was designed for data collection and analysis using variables from three sources: ICM's Global Standards, the skilled birth attendant programme in Nepal, and JHPIEGO's site assessment tool for maternal health and new-born programmes. Data were collected in a desk review of education and policy documents, interviews with stakeholders, and site assessment of five higher education institutions and their hospital-based maternity departments. The analysis resulted in a recommended strategy. Findings: six levels of education of nurse staff providing midwifery care were identified; all regulated under the Nepal Nursing Council. No legislation was in place authorising midwifery as an autonomous profession. A post-basic midwifery programme on first cycle-bachelor level was under development. A well-organised midwifery association was established consisting of nurses providing maternal health care. Four university colleges offering higher education for nurses and clinicians had a capability to run a midwifery programme and the fifth had a genuine interest in starting a midwifery programme at bachelor level. The proposed strategy includes four strategic objectives and interventions in relation to four components identified by UNFPA: Legislation and regulation; Training and education; Deployment and utilisation; and Professional associations. Conclusion and implication for practice: the study has delivered a proposed strategy for the Government of Nepal for effective management of the midwifery workforce in order to enhance midwives' contribution in maternity care and thus promoting improved maternal and new-born health. The developed analytical framework could be used as an assessment tool also in other countries to establish professional midwifery cadres that meets the global standards of competencies. (c) 2013 Elsevier Ltd. All rights reserved.
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| 46. |
- Calais, E., et al.
(författare)
-
Skin-to-skin contact of fullterm infants: an explorative study of promoting and hindering factors in two Nordic childbirth settings
- 2010
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Ingår i: ACTA PAEDIATRICA. - : Wiley. - 0803-5253 .- 1651-2227. ; 99:7, s. 1080-1090
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To explore factors that promote or hinder skin-to-skin contact (SSC) during the first days after birth between parents and healthy fullterm infants. Methods: A total of 117 postnatal mothers and 107 fathers/partners attending two childbirth settings, where Kangaroo mother care (KMC) was implemented as a standard routine of care, one in Sweden and one in Norway, were recruited consecutively and answered questionnaires two weeks postpartum. Results: Satisfaction with support for SSC in postnatal care and being a mother in the Swedish setting was found to promote SSC during the first day postpartum; previous knowledge about SSC increased the practice also during the 2nd and 3rd days. Receiving visitors apart from partner and siblings emerged as a hindering factor. SSC was known of and practised to a larger extent in the Swedish setting, whereas parents in the Norwegian setting received more visitors and were more satisfied with the received information and support for SSC in postnatal care. Conclusions: The results highlight the need for caregivers to give parents adequate support for practising SSC with their newborn healthy fullterm infants and indicate the importance of developing information routines during the antenatal period as well as in relation to the birth of the child, to effectively introduce and implement SSC.
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| 47. |
- Dalbye, Rebecka, 1974, et al.
(författare)
-
Mothers' experiences of skin-to-skin care of healthy full-term newborns--a phenomenology study.
- 2011
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Ingår i: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives. - : Elsevier BV. - 1877-5764. ; 2:3, s. 107-11
-
Tidskriftsartikel (refereegranskat)abstract
- Previous reports have shown that skin-to-skin contact immediately after birth is the optimal form of care for a full-term, healthy infant and its mother. As this is rarely researched the aim of this study was to explore experiences of skin-to-skin care in healthy mothers of healthy, full-term infants in the first days after birth.
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| 48. |
- Dencker, Anna, 1956, et al.
(författare)
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Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument.
- 2010
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Ingår i: BMC pregnancy and childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 10:81
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Tidskriftsartikel (refereegranskat)abstract
- Background: Negative experiences of first childbirth increase risks for maternal postpartum depression and may negatively affect mothers' attitudes toward future pregnancies and choice of delivery method. Postpartum questionnaires assessing mothers' childbirth experiences are needed to aid in identifying mothers in need of support and counselling and in isolating areas of labour and birth management and care potentially in need of improvement. The aim of this study was to develop and evaluate a questionnaire for assessing different aspects of first-time mothers' childbirth experiences. Methods: Childbirth domains were derived from literature searches, discussions with experienced midwives and interviews with first-time mothers. A draft version of the Childbirth Experience Questionnaire (CEQ) was pilot tested for face validity among 25 primiparous women. The revised questionnaire was mailed one month postpartum to 1177 primiparous women with a normal pregnancy and spontaneous onset of active labor and 920 returned evaluable questionnaires. Exploratory factor analysis using principal components analysis and promax rotation was performed to identify dimensions of the childbirth experience. Multitrait scaling analysis was performed to test scaling assumptions and reliability of scales. Discriminant validity was assessed by comparing scores from subgroups known to differ in childbirth experiences. Results: Factor analysis of the 22 item questionnaire yielded four factors accounting for 54% of the variance. The dimensions were labelled Own capacity, Professional support, Perceived safety, and Participation. Multitrait scaling analysis confirmed the fit of the four-dimensional model and scaling success was achieved in all four sub-scales. The questionnaire showed good sensitivity with dimensions discriminating well between groups hypothesized to differ in experience of childbirth. Conclusion: The CEQ measures important dimensions of the first childbirth experience and may be used to measure different aspects of maternal satisfaction with labour and birth.
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| 49. |
- Dencker, Anna, 1956, et al.
(författare)
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Identification of latent phase factors associated with active labor duration in low-risk nulliparous women with spontaneous contractions
- 2010
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Ingår i: ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA. - 0001-6349. ; 89:8, s. 1034-1039
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Tidskriftsartikel (refereegranskat)abstract
- Objective. The aim of this prospective study was to identify latent phase predictors of active labor duration. Design. Prospective clinical study. Setting. Two delivery units in Sweden. Sample. Healthy nulliparous women with a normal pregnancy, spontaneous onset of active labor at term, and a cervical dilatation of 4 cm or more on admission to the delivery ward (n = 2,072). Methods. The women were asked to answer questions concerning their food and fluid intake, amount of rest and sleep during the preceding 24 hours and to assess their labor pain, sense of security and expectations of the childbirth on a visual analog scale (VAS). Duration and intervals of contractions, cervical dilatation, and position of the fetal head were noted by the midwife. A multiple regression analysis was performed with active labor duration as the outcome variable. Main outcome measure. Predictive factors of active labor duration. Results. Normal food intake during the preceding 24 hours was associated with short labor duration. A long latent phase, low levels of assessed labor pain and few hours of rest and sleep during the preceding 24 hours were significant independent predictors of extended active labor duration, when high birth weight, long contraction intervals, slight cervical dilatation, intact membranes within 2 hours of admission, high maternal age and malposition of the fetal head were controlled for. Conclusion. New findings are that latent phase duration as well as food intake and the amount of rest and sleep during the preceding 24 hours are independent predictors of labor duration. Read More: http://informahealthcare.com/doi/abs/10.3109/00016349.2010.499446
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| 50. |
- Dencker, Anna, 1956, et al.
(författare)
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Predictive factors related to labour duration in healthy nulliparous women with spontaneous onset of active labour - a prospective study
- 2011
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Ingår i: ICM 29th Triennial Congress i Durban, Sydafrika 19 - 23 Juni 2011.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Slow progress in labour is a major problem among nulliparous women as it is one of the main indications for emergency caesarean deliveries and related to several other adverse maternal and neonatal outcomes. Aim: To identify predictive factors of labour duration in healthy nulliparous women. Setting: Two delivery units in Sweden, between October 1998 and December 2003. Participants: Healthy nulliparous women (n=2.072) with a normal pregnancy, spontaneous onset of active labour at term and a cervical dilatation of 4 – 9 centimetres at admission to the delivery ward. All gave informed consent. Methods: At admission to the delivery ward the women were asked to answer questions concerning food and fluid intake, amount of rest/sleep the last 24 hours and to assess labour pain. Contractions, cervical dilation and the number and timing of interventions as epidural analgesia and oxytocin augmentation were noted by the midwife during childbirth. Key findings: Normal food intake during the preceding 24 hours was associated with short labor duration. A long latent phase, low levels of assessed labor pain and few hours of rest and sleep during the preceding 24 hours were significant independent predictors of extended active labor duration, when high birth weight, long contraction intervals, slight cervical dilatation, intact membranes within two hours of admission, high maternal age and malposition of the fetal head were controlled for. Amniotomy decreased and epidural analgesia increased labour duration. Use of oxytocin augmentation had most influence on decreased labour duration. Clinical implications: More attention should be devoted to latent phase factors in clinical practice and counseling to women who are about to give birth should include information about the benefits of food intake and rest during the latent phase.
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