shh.sePublications
Change search
Link to record
Permanent link

Direct link
Publications (10 of 26) Show all publications
Svensson, K. & Zwedberg, S. (2022). Amning: En kort historisk tillbakablick (2ed.). In: Reproduktiv hälsa: Barnmorskans kompetensområde (pp. 819-826). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Amning: En kort historisk tillbakablick
2022 (Swedish)In: Reproduktiv hälsa: Barnmorskans kompetensområde, Lund: Studentlitteratur AB, 2022, 2, p. 819-826Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022 Edition: 2
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:shh:diva-4692 (URN)9789144138237 (ISBN)
Available from: 2022-12-20 Created: 2022-12-20 Last updated: 2022-12-20Bibliographically approved
Svensson, K. & Zwedberg, S. (2022). Amning i praktiken (2ed.). In: Helena Lindgren, Kyllike Christensen & Anna-Karin Dykes (Ed.), Reproduktiv hälsa: Barnmorskans kompetensområde (pp. 827-862). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Amning i praktiken
2022 (Swedish)In: Reproduktiv hälsa: Barnmorskans kompetensområde / [ed] Helena Lindgren, Kyllike Christensen & Anna-Karin Dykes, Lund: Studentlitteratur AB, 2022, 2, p. 827-862Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022 Edition: 2
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:shh:diva-4693 (URN)9789144138237 (ISBN)
Available from: 2022-12-20 Created: 2022-12-20 Last updated: 2022-12-20Bibliographically approved
Molin, B., Zwedberg, S., Berger, A.-K., Sand, A. & Georgsson, S. (2022). Disempowering women: A mixed methods study exploring informational support about pain persisting after childbirth and its consequences. BMC Pregnancy and Childbirth, 22(1), Article ID 510.
Open this publication in new window or tab >>Disempowering women: A mixed methods study exploring informational support about pain persisting after childbirth and its consequences
Show others...
2022 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 22, no 1, article id 510Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Access to information is essential to achieving individual empowerment; meaning the ability to exercise control, manage one's own condition and make informed decisions. However, studies have shown that information provided to women regarding physiological changes during the postpartum period and postpartum health was inadequate, incorrect, or inconsistent.

METHODS: The aim of this study was to explore informational support about pain persisting after childbirth and its consequences. A sequential explanatory mixed methods design was used. In the first, quantitative phase, 1,171 women, who gave birth eight months earlier, completed a self-administered questionnaire. In the second, qualitative phase, 20 women who experienced chronic pain were interviewed. Descriptive statistics and qualitative content analysis were used to analyse the data.

RESULTS: The majority of the women did not receive information about pain persisting after childbirth, or the information was insufficient or incorrect. They did not know when and where to seek help and did not consult health care professionals. In addition, the lack of information had a negative impact on women's psychological well-being. All women expressed the need to be informed by health care professionals, irrespective of the individual risk of developing chronic pain.

CONCLUSIONS: Health services should ensure availability of information to give the women opportunity to achieve empowerment to make good health decisions, increase control over their health and well-being as well as to enhance their self-efficacy. We propose that a booklet or leaflet with relevant information about the risk of developing chronic pain, symptoms and treatment, along with advice about appropriate health care settings should be provided as part of antenatal or postnatal care.

Keywords
Childbirth, Chronic pain, Empowerment, Information, Mixed methods
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:shh:diva-4540 (URN)10.1186/s12884-022-04841-6 (DOI)35739466 (PubMedID)
Available from: 2022-07-04 Created: 2022-07-04 Last updated: 2022-12-15Bibliographically approved
Svensson, K. & Zwedberg, S. (2022). När amningen känns svår: Några vanliga bröstkomplikationer. In: Helena Lindgren, Kyllike Christensen & Anna-Karin Dykes (Ed.), Reproduktiv hälsa: Barnmorskans kompetensområde (pp. 881-886). Lund: Studentlitteratur AB
Open this publication in new window or tab >>När amningen känns svår: Några vanliga bröstkomplikationer
2022 (Swedish)In: Reproduktiv hälsa: Barnmorskans kompetensområde / [ed] Helena Lindgren, Kyllike Christensen & Anna-Karin Dykes, Lund: Studentlitteratur AB, 2022, p. 881-886Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:shh:diva-4694 (URN)9789144138237 (ISBN)
Available from: 2022-12-20 Created: 2022-12-20 Last updated: 2022-12-20Bibliographically approved
Barimani, M., Zwedberg, S. & Ulfsdottir, H. (2022). Open dialogue: A grounded theory study on peer learning at birthing units. Midwifery, 111, Article ID 103355.
Open this publication in new window or tab >>Open dialogue: A grounded theory study on peer learning at birthing units
2022 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 111, article id 103355Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Peer learning in clinical settings is supported in nursing research but has rarely been studied in the context of student midwives at birthing units.

AIM: To create a theoretical model of peer learning in the context of birthing units.

SETTINGS: Four hospitals and maternity units in Stockholm, Sweden.

METHODS: A Straussian approach to grounded theory was applied. Data consisted of interviews with fifteen final-term student midwives and 21 preceptors. Further, six peer learning seminars were held with approximately 200 midwives. At these, data was collected from fourteen preceptors presenting their experiences of working with peer learning.

FINDINGS: The core of the action emerging was the Open dialogue describing the communication between the pair of students, between students-preceptor and students-becoming parents, that developed skills in communication, participation and reduced prestige and hierarchy. It facilitated social interaction and reinforced a dynamic way of learning and teaching midwifery.

CONCLUSIONS: With preparation and a clear framework, peer learning can be used with midwifery students at birthing units. The open dialogue includes the becoming family in decision making and fits in a woman centered care providing support, safety, and participation. The pedagogical benefits are consistent with previous studies on nursing students.

Keywords
Clinical education, Clinical training, Maternity units, Peer learning, Preceptorship, Student midwives
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:shh:diva-4498 (URN)10.1016/j.midw.2022.103355 (DOI)35584561 (PubMedID)
Available from: 2022-06-01 Created: 2022-06-01 Last updated: 2023-01-03Bibliographically approved
Lilliesköld, S., Zwedberg, S., Linnér, A. & Jonas, W. (2022). Parents' experiences of immediate skin-to-skin contact after the birth of their very preterm neonates. Journal of Obstetric, Gynecologic and Neonatal Nursing, 51(1), 53-64, Article ID S0884-2175(21)00276-8.
Open this publication in new window or tab >>Parents' experiences of immediate skin-to-skin contact after the birth of their very preterm neonates
2022 (English)In: Journal of Obstetric, Gynecologic and Neonatal Nursing, ISSN 0884-2175, E-ISSN 1552-6909, Vol. 51, no 1, p. 53-64, article id S0884-2175(21)00276-8Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To explore parents' experiences of immediate skin-to-skin contact after the birth of their very preterm neonates and their perceptions regarding care and support from staff.

DESIGN: A descriptive qualitative study.

SETTING: Birth and neonatal units within a university hospital in Sweden.

PARTICIPANTS: Six parent couples who co-cared for their very preterm neonates with skin-to-skin contact throughout the first 6 hours after birth.

METHODS: We analyzed individual interviews using reflexive thematic analysis as described by Braun and Clarke.

RESULTS: The parents' experiences of immediate skin-to-skin contact with their very preterm neonates were represented by the following three themes: A Pathway to Connectedness, Just Being in a Vulnerable State, and Creating a Safe Haven in an Unknown Terrain. Skin-to-skin contact helped the parents attain their roles as essential caregivers and provided a calming physical sensation that promoted parents' feelings of connectedness with their newborns. When parents provide skin-to-skin contact at birth, staff members need to recognize and address their vulnerability. A good relationship with nursing staff, which was mediated through staff behaviors and availability, facilitated skin-to-skin contact.

CONCLUSION: Skin-to-skin contact initiated at birth with very preterm neonates was a valuable and empowering experience for parents and enhanced early bonding between parents and their newborns. Staff members should recognize that skin-to-skin contact between parents and neonates is an interactive process that has challenges and requires adequate support. Future research is warranted to understand the needs of nursing staff who provide initial care in the postpartum period. Furthermore, we recommend the implementation of maternal-neonatal couplet care.

Keywords
Kangaroo care, Neonatal couplet care, Parent, Preterm birth, Qualitative, Skin-to-skin contact, Thematic analysis
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:shh:diva-4291 (URN)10.1016/j.jogn.2021.10.002 (DOI)34767779 (PubMedID)
Available from: 2022-01-22 Created: 2022-01-22 Last updated: 2022-03-31Bibliographically approved
Zwedberg, S. & Barimani, M. (2022). When student midwives are present during labour and childbirth in a peer-learning model: An interview study of parents in Sweden. Midwifery, 104, Article ID 103173.
Open this publication in new window or tab >>When student midwives are present during labour and childbirth in a peer-learning model: An interview study of parents in Sweden
2022 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 104, article id 103173Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: For peer learning to be useful in clinical practice, we need to know how parents experience peer learning during labour and childbirth. This study explored how parents experienced having two students present during labour and childbirth in a peer-learning model.

DESIGN: A qualitative approach using individual interviews followed by thematic inductive analysis.

SETTING: Three hospitals and obstetric units in Stockholm, Sweden.

PARTICIPANTS: Eleven women and nine partners.

FINDINGS: The overarching theme was that of a fruitful model of health care, in which there were gains for both parents and students. Parents described feeling seen and cared for, being made aware of what was going on, and never being left alone (subtheme 1, Trustful relationship). Parents appreciated being able to observe student midwives' attendance to the tasks at hand and that they, the two students, learned from each other (subtheme 2, Advantages for students).

CONCLUSIONS: The parent couple was able to build a trustful relationship with both students. Furthermore, could parents only see advantages for students in a peer-learning model. Parents reported generous support and were willing to contribute to student education. Parents took advantage of the learning taking place between the two students. The model deserves to be incorporated in the midwifery-student internships to complement more individually assisted births.

Keywords
Clinical practice, Labour and childbirth, Parent experiences, Peer learning, Student midwives
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:shh:diva-4258 (URN)10.1016/j.midw.2021.103173 (DOI)34736017 (PubMedID)
Available from: 2021-12-08 Created: 2021-12-08 Last updated: 2022-01-03Bibliographically approved
Kylberg, E., Westlund, M. & Zwedberg, S. (2021). Amning i dag (4ed.). Stockholm: Gothia Kompetens AB
Open this publication in new window or tab >>Amning i dag
2021 (Swedish)Book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Gothia Kompetens AB, 2021. p. 189 Edition: 4
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:shh:diva-4205 (URN)9789177413011 (ISBN)
Available from: 2021-10-13 Created: 2021-10-13 Last updated: 2021-10-13Bibliographically approved
Zwedberg, S. (2021). Amningsrådgivning. In: Marie Oscarsson & Susanne Georgsson (Ed.), Etik för barnnmorskor: (pp. 161-178). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Amningsrådgivning
2021 (Swedish)In: Etik för barnnmorskor / [ed] Marie Oscarsson & Susanne Georgsson, Lund: Studentlitteratur AB, 2021, p. 161-178Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2021
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:shh:diva-4024 (URN)9789144133324 (ISBN)
Available from: 2021-04-29 Created: 2021-04-29 Last updated: 2021-04-29Bibliographically approved
Molin, B., Zwedberg, S., Berger, A.-K., Sand, A. & Georgsson, S. (2021). Grieving over the past and struggling forward: A qualitative study of women's experiences of chronic pain one year after childbirth. Midwifery, 103, Article ID 103098.
Open this publication in new window or tab >>Grieving over the past and struggling forward: A qualitative study of women's experiences of chronic pain one year after childbirth
Show others...
2021 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 103, article id 103098Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To describe women's experiences of chronic pain related to childbirth approximately one year after labour.

DESIGN: A qualitative design with face-to-face interviews analysed using inductive qualitative content analysis.

PARTICIPANTS: Twenty women who reported chronic pain, with onset during pregnancy and/or following labour, approximately one year after childbirth.

FINDINGS: The analysis revealed an essential theme, "Grieving over the past and struggling forward", and three categories "Mourning the losses", "Struggling with the present" and "Managing the future".

CONCLUSIONS: This study provides new knowledge about women's experiences of chronic pain one year after childbirth. The pain severely reduced women´s previous ability to perform physical and social activities, negatively impacted psychological well-being and altered their self-image. Most of the women adopted a positive attitude and hoped for improved health in the future, although constantly struggling with the pain and its consequences.

IMPLICATIONS FOR PRACTICE: This knowledge is particularly important as chronic pain may not diminish with time in predisposed individuals who may need help and support from health professionals in their endeavour to manage their pain. Healthcare providers, i.e. midwives, gynaecologists and general practitioners need to understand women´s experiences of chronic pain from their own perspective to improve identification and treatment of pain following childbirth, thus preventing women's suffering and potential long-term health problems. Future studies are warranted to further explore and discuss women's coping strategies, health seeking behaviour and experiences of health care.

Keywords
Pregnancy, Childbirth, Chronic pain, Experiences, Labour, Qualitative
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:shh:diva-4188 (URN)10.1016/j.midw.2021.103098 (DOI)34339902 (PubMedID)
Available from: 2021-09-03 Created: 2021-09-03 Last updated: 2022-12-15Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3638-3827

Search in DiVA

Show all publications