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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005372naa a2200913 4500
001oai:DiVA.org:du-38911
003SwePub
008211125s2002 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:1930213
024a https://urn.kb.se/resolve?urn=urn:nbn:se:du-389112 URI
024a https://doi.org/10.1054/midw.2002.03102 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:19302132 URI
040 a (SwePub)dud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Wiklund, Ingelau Karolinska Institutet4 aut0 (Swepub:du)iwi
2451 0a A comparative study in Stockholm, Sweden of labour outcome and women's perceptions of being referred in labour
264 1b Churchill Livingstone,c 2002
338 a print2 rdacarrier
520 a Objective: to study the outcome of labour and women's perceptions of being referred after onset of labour. Design: a comparative study carried out between October 1998 and April 1999. Setting: prospective parents in Stockholm, Sweden are offered a choice of which of the five hospitals in which they want to give birth. In reality, there is a lack of maternity beds in Stockholm to implement this policy and therefore nearly 10% of labouring women are being referred during labour. Participants: the study population was selected from one of the five hospitals. Included in the study were 266 labouring women, with a 37-42 weeks uncomplicated pregnancy, fetus presenting by the vertex and spontaneous onset of labour. During pregnancy, all the women had chosen the same labour ward where they planned to deliver. However, at the onset of labour half of the women, case group I (n = 133) were referred to another maternity unit due to lack of space in the labour ward. For every referred woman a control woman matched for age, parity and date of delivery was selected, with the same inclusion criteria, except being referred, control group II (n = 133). Methods: a questionnaire with closed and open questions was posted to the women after birth and used to collect quantitative and qualitative data on the outcome of labour and the women's perceptions of referral during labour. Findings: routines such as epidural analgesia (EDA) (p < 0.002), episiotomies (p < 0.015) and morphine/pethidine during labour (p < 0.023) were more common in the referred group. The women in the referred group considered to a higher extent that referral during labour had affected their emotional state (p < 0.001). Women in both groups had been worried during pregnancy by the thought of having to be referred when labour had started and the referral had caused practical problems, stress and a feeling of not being welcome in the referral labour ward. Key conclusion and implications for practice: referral during established normal labour may affect labour outcome, and the possibility that they may be referred worries women during pregnancy. Maternity policies and practices should be organised so that caring goals, such as continuity of care and women's' participation in birth planning, can be met. © 2002 Elsevier Science Ltd. All rights reserved.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng
653 a morphine
653 a pethidine
653 a adult
653 a article
653 a controlled study
653 a emotion
653 a epidural anesthesia
653 a episiotomy
653 a female
653 a health care
653 a health care planning
653 a health care policy
653 a human
653 a information processing
653 a intermethod comparison
653 a labor
653 a maternal care
653 a motivation
653 a patient referral
653 a perception
653 a pregnancy
653 a qualitative analysis
653 a quantitative analysis
653 a questionnaire
653 a Sweden
653 a adaptive behavior
653 a adolescent
653 a comparative study
653 a delivery
653 a literature
653 a nursing
653 a nursing evaluation research
653 a nursing methodology research
653 a patient satisfaction
653 a psychological aspect
653 a social support
653 a Adaptation
653 a Psychological
653 a Anecdotes
653 a Delivery
653 a Obstetric
653 a Humans
653 a Labor
653 a Obstetric
653 a Questionnaires
653 a Referral and Consultation
653 a Women
700a Matthiesen, A. -S4 aut
700a Klang, B.u Karolinska Institutet4 aut
700a Ransjö-Arvidson, A. -Bu Karolinska Institutet4 aut
710a Karolinska Institutet4 org
773t Midwiferyd : Churchill Livingstoneg 18:3, s. 193-199q 18:3<193-199x 0266-6138x 1532-3099
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:du-38911
8564 8u https://doi.org/10.1054/midw.2002.0310
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:1930213

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Wiklund, Ingela
Matthiesen, A. - ...
Klang, B.
Ransjö-Arvidson, ...
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MEDICAL AND HEALTH SCIENCES
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Midwifery
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Karolinska Institutet

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