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  • 1. Barimani, M
    et al.
    Jonas, W
    Zwedberg, Sofia
    Sophiahemmet University.
    Parents' experiences when students are present during labour and childbirth: A cross-sectional survey of parents in Sweden2019In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 77, p. 130-136, article id S0266-6138(19)30188-3Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Various student groups participate in clinical intrapartum care, but limited data are available on parents' perceptions of student presence during labour and childbirth. This study explored parents' experiences of having a student present during labour and childbirth.

    DESIGN AND PARTICIPANTS: Qualitative study based on an analysis of 362 parents' responses to one open-ended question from a cross-sectional survey.

    RESULTS: When they experienced students as interactive and supportive, parents reacted positively to student participation. Parents displayed clear willingness to contribute to students' learning. Some parents, however, reported unexpected, uncomfortable, or inappropriate experiences that they attributed to insufficient autonomy or undergoing many vaginal examinations.

    KEY CONCLUSIONS: Parents, clinical supervisors, and students can benefit from clinical learning situations, but women's needs must be prioritised and student involvement balanced with women's right to choose who is with them during labour and childbirth.

  • 2. Kornaros, Katarina
    et al.
    Zwedberg, Sofia
    Sophiahemmet University.
    Nissen, Eva
    Salomonsson, Björn
    A hermeneutic study of integrating psychotherapist competence in postnatal child health care: Nurses' perspectives2018In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 17, article id 42Article in journal (Refereed)
    Abstract [en]

    Background: There is a considerable prevalence of and an increasing attention to emotional problems in families with infants. Yet, knowledge is scant of how to create efficient and accessible mental health services for this population. The study qualitatively explored public health nurses' conceptions of a clinical project, in which psychotherapists provided short-term consultations and supervisions for nurses at Child Health Centres in Stockholm.

    Methods: In-depth interviews with fifteen nurses. The guideline of the interviews contained open-ended questions that were analysed applying a hermeneutical approach.

    Results: Four main themes crystallized; The nurses' conceptions of their psychosocial work, Trespassing on another professional role, Interprofessional collaboration at the Child Health Centre, and The nurses' conceptions of the psychotherapist's function. In a second step, an analysis that clustered the nurses' attitudes towards handling mental health problems yielded one last theme with three "Ideal types"; nurses who expressed "I don't want to", "I want to but I cannot", and "I want to and I can" (take care of families' emotional problems at the CHC).

    Conclusion: The nurses appreciated the easy referral and accessibility to the psychotherapists, and the possibilities of learning more about perinatal mental illness and parent-infant interactions. For a successful cooperation with the nurses, the therapist should be a team member, be transparent about his/her work, and give feedback about cases in treatment. The study also shows how the organization needs to clarify its guidelines and competence to improve psychological child health care. The paper suggests improvements for an integrated perinatal mental health care.

  • 3. Kornaros, Katarina
    et al.
    Zwedberg, Sofia
    Sophiahemmet University.
    Nissen, Eva
    Salomonsson, Björn
    A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents' perspectives2020In: Infant Mental Health Journal, ISSN 0163-9641, E-ISSN 1097-0355, Vol. 41, no 1, p. 108-125Article in journal (Refereed)
    Abstract [en]

    A child's emotional and social development depends on the parents' provision of optimal support. Many parents with perinatal distress experience difficulties in mastering parenthood and seek help from professionals within primary healthcare. A clinical project was launched in Stockholm, where psychodynamic psychotherapists provided short-term consultations at Child Health Centers. This study qualitatively explored parents' experiences of perinatal distress and of receiving help by nurses and therapists in the project. Thirteen parents were interviewed, and their responses were analyzed with a hermeneutical method. Three main themes crystallized; accessibility of psychological help and detection of emotional problems; experiences of therapy at the Child Health Center; and the therapists' technique. Parents were also clustered into three so-called ideal types: the insecure; parents in crisis; and parents with lifelong psychological problems. Parents experienced obstacles in accessing psychological care within primary healthcare. Psychotherapists with a holistic family perspective and who managed to oscillate between insight-promoting and supportive interventions were especially appreciated. Patient categories who benefitted from insight promotion and support, respectively, were identified.

  • 4. Kylberg, Elisabeth
    et al.
    Westlund, Mia
    Zwedberg, Sofia
    Sophiahemmet University.
    Amning i dag2018 (ed. 3)Book (Other academic)
  • 5. Melin, Amanda
    et al.
    Björklund, Philicia
    Zwedberg, Sofia
    Sophiahemmet University.
    Pediatricians' experiences of working with breastfeeding: An interview study2018In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 16, p. 218-223Article in journal (Refereed)
  • 6. Melin, Amanda
    et al.
    Björklund, Philisia
    Zwedberg, Sofia
    Sophiahemmet University.
    Pediatricians' experiences of working with breastfeeding: an interview study2019Conference paper (Other academic)
  • 7. Sjödin, Marie
    et al.
    Rådestad, Ingela
    Sophiahemmet University.
    Zwedberg, Sofia
    A qualitative study showing women's participation and empowerment in instrumental vaginal births2018In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 31, no 3, p. e185-e189, article id S1871-5192(17)30525-5Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: An instrumental birth with a ventouse or forceps is a complicated birth, possibly resulting in fear of childbirth which could influence the entire birth experience negatively. Patients who are actively involved in their care have a stronger sense of satisfaction and a sense of participation can contribute to shorter hospital stays.

    AIM: To describe the experience of participation for women involved in an instrumental delivery with ventouse or forceps.

    METHOD: Qualitative semi-structured interviews with 16 women who gave birth aided by a ventouse or forceps. Their answers were analyzed through qualitative content analysis. In addition the women were asked to evaluate their experience during the delivery. Using a numerical scale (NRS) the birth experience was graded by choosing a number between 0 (worst possible experience) and 10 (best conceivable experience).

    FINDINGS: Two themes were extracted from the data: To be part of a team and To feel empowered. Five categories were identified from the women's descriptions of the experience of involvement during the instrumental delivery: to cooperate; to understand; to have contact; to participate, and to not be involved. Those women who rated their experience as low grade, described a lack of involvement in their childbirth compared to those women who rated their experience as high.

    CONCLUSION: This study shows how cooperation and empowerment of the woman are two key factors in order for the women to have a positive experience of their instrumental vaginal births. The study also shows that empowerment is created when the woman is actively engaged and participates in the birth process which gives her the feeling of being part of the team, creating an environment based on mutual understanding.

  • 8.
    Zwedberg, Sofia
    et al.
    Sophiahemmet University.
    Barimani, Mia
    Wibke, Jonas
    Exploring the internship experiences of Swedish student midwives: a cross-sectional survey2019Conference paper (Other academic)
  • 9. Åhlund, Susanne
    et al.
    Rothstein, Emilia
    Rådestad, Ingela
    Sophiahemmet University.
    Zwedberg, Sofia
    Sophiahemmet University.
    Lindgren, Helena
    Urinary incontinence after uncomplicated spontaneous vaginal birth in primiparous women during the first year after birth2019In: International Urogynecology Journal, ISSN 0937-3462, E-ISSN 1433-3023Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION AND HYPOTHESIS: Urinary incontinence (UI) is associated with pregnancy and parity and can cause health problems for women. Our objective was to explore risk factors for UI and its effect on women's daily activities, psychological health and wellbeing 9-12 months postpartum in a low-risk primiparous population.

    METHODS: In this prospective cohort study, first-time mothers in a low-risk population with a spontaneous vaginal birth reported the occurrence of UI and its effect on daily activities and on their psychological health and wellbeing in a questionnaire completed 1 year after birth. Descriptive and comparative statistics were employed for the analysis.

    RESULTS: A total of 410 women (75.7%) completed the questionnaire. The self-reported rates of stress urinary incontinence, urge urinary incontinence and mixed urinary incontinence were 45.4%, 38.0% and 27.0% respectively. Neither the duration of the second stage of labour, the baby's head circumference or its birth weight were associated with the incidence of UI. There was an association between reported negative impact on daily activities and more negative psychological wellbeing (p < 0.001).

    CONCLUSIONS: Urinary incontinence was common among primiparous women at 9-12 months postpartum. Women whose symptoms had a negative impact on their daily activities reported more psychological suffering.

  • 10. Åhlund, Susanne
    et al.
    Rådestad, Ingela
    Sophiahemmet University.
    Zwedberg, Sofia
    Sophiahemmet University.
    Edqvist, Malin
    Lindgren, Helena
    Haemorrhoids - A neglected problem faced by women after birth2018In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 18, p. 30-36, article id S1877-5756(18)30042-9Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To investigate the prevalence and severity of haemorrhoids after birth among first-time mothers in relation to management during the second stage of labour and to describe the women's experiences with haemorrhoids.

    METHOD: A mixed method explanatory sequential design was used. Nulliparous women were allocated to an intervention group for whom the second-stage of labour practice followed the MIMA model (Midwives management during second stage of labour) or to a control group for whom standard-care practice was followed. Data were collected three weeks and 1.5 years after birth.

    RESULT: A total of 496 (82.1%) women responded to the questionnaire three weeks after birth, 120 (70%) responded to the questionnaire 1.5 years after the birth. The women in the intervention group had fewer symptoms from haemorrhoids three weeks after birth compared to the women in the control group (adj. OR 0.6 95% CI 0.4-0.9). Half of the women in the intervention and control group (50.8%) who reported problems with haemorrhoids three weeks after birth still experienced problems after 1.5 years. The majority of all women did not seek medical care due to their symptoms. The women who described that they experienced haemorrhoids as a problem after birth felt neglected by the healthcare system.

    CONCLUSION: A substantial percentage of women had symptoms from haemorrhoids after birth. Many of these women felt that their problems were neglected. Women who experienced a slow birth of the baby's head and spontaneous pushing suffered less from haemorrhoids 3 weeks after birth.

  • 11. Åhlund, Susanne
    et al.
    Rådestad, Ingela
    Sophiahemmet University.
    Zwedberg, Sofia
    Sophiahemmet University.
    Lindgren, Helena
    Perineal pain the first year after childbirth and uptake of post-partum check-up: A Swedish cohort study2019In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 78, p. 85-90, article id S0266-6138(19)30208-6Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this prospective cohort study was to investigate the prevalence of perineal pain related to the perineal injury within the first year after childbirth. The study further explored the rates of postpartum check-up attendance, and whether they had undergone a vaginal examination, pelvic floor assessment and exercise advice.

    RESEARCH DESIGN: The primary outcome was women's self-perceived and selfreported occurrence of pain related to perineal injuries (within three, six and 12 months) after birth. Secondary outcomes were uptake of postpartum check-up six to 12 weeks after birth and care received at the check-up. A postal questionnaire was completed one year after birth. Descriptive data was used to present data.

    FINDINGS: A total of 461 Swedish women (77%) were included in the study. The majority of women with severe perineal injuries (75.0%), and 61.8% of those with moderate injuries II suffered from perineal pain three months postpartum, while 60% with severe injuries and 38.7 with moderate injuries II still had perineal pain six months after birth. The postpartum check-up was attended by 90.6%. However, one out of four had not been given a pelvic examination or advised about pelvic floor exercises.

    KEY CONCLUSION: Many primiparas suffer from pain related to perineal injuries during the first year after birth. One out of ten women has problems with perineal pain one year postpartum. It is essential to investigate and recognize the impact of perineal pain on women's daily life and psychological and emotional wellbeing at the postpartum checkup.

  • 12. Åhlund, Susanne
    et al.
    Zwedberg, Sofia
    Sophiahemmet University.
    Hildingsson, Ingegerd
    Edqvist, Malin
    Lindgren, Helena
    Midwives experiences of participating in a midwifery research project: A qualitative study2018In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 31, no 2, p. e115-e121, article id S1871-5192(17)30140-3Article in journal (Refereed)
    Abstract [en]

    PROBLEM AND BACKGROUND: In an earlier research project midwives were asked to perform women-centered care focusing on the assumption that the physiological process in the second stage of labour could be trusted and that the midwives role should be encouraging and supportive rather than instructing. There is no knowledge about how midwives participating in such a research project, uses their skills and experience from the study in their daily work.

    AIM: The aim in this study was to investigate how midwives experienced implementing woman-centered care during second stage of labour.

    METHODS: A qualitative study was designed. Three focus groups and two interviews were conducted. The material was analysed using content analysis.

    FINDINGS: The participating midwives' experiences were understood as increased awareness of their role as midwives. The overarching theme covers three categories 1) establishing a new way of working, 2) developing as midwife, 3) being affected by the prevailing culture. The intervention was experienced as an opportunity to reflect and strengthen their professional role, and made the midwives see the women and the birth in a new perspective.

    CONCLUSIONS: Implementing woman-centered care during second stage of labour gave the midwives an opportunity to develop in their professional role, and to enhance their confidence in the birthing women and her ability to have a physiological birth. To promote participation in, as well as conduct midwifery research, can enhance the development of the midwives professional role as well as contribute new knowledge to the field.

1 - 12 of 12
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