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  • 1. Barimani, M
    et al.
    Jonas, W
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Parents' experiences when students are present during labour and childbirth: A cross-sectional survey of parents in Sweden2019Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 77, s. 130-136, artikel-id S0266-6138(19)30188-3Artikel i tidskrift (Refereegranskat)
    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. Barimani, Mia
    et al.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Ulfsdottir, Hanna
    Open dialogue: A grounded theory study on peer learning at birthing units2022Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 111, artikel-id 103355Artikel i tidskrift (Refereegranskat)
    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.

  • 3. Kornaros, Katarina
    et al.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Nissen, Eva
    Salomonsson, Björn
    A hermeneutic study of integrating psychotherapist competence in postnatal child health care: Nurses' perspectives2018Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 17, artikel-id 42Artikel i tidskrift (Refereegranskat)
    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.

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  • 4. Kornaros, Katarina
    et al.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Nissen, Eva
    Salomonsson, Björn
    A hermeneutic study of integrating psychotherapist competence in postnatal Child Health Care: Parents' perspectives2020Ingår i: Infant Mental Health Journal, ISSN 0163-9641, E-ISSN 1097-0355, Vol. 41, nr 1, s. 108-125Artikel i tidskrift (Refereegranskat)
    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.

  • 5. Kylberg, Elisabeth
    et al.
    Westlund, Mia
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Amning i dag2018 (uppl. 3)Bok (Övrigt vetenskapligt)
  • 6. Kylberg, Elisabeth
    et al.
    Westlund, Mia
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Amning i dag2021 (uppl. 4)Bok (Övrigt vetenskapligt)
  • 7. Lilliesköld, Siri
    et al.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Linnér, Agnes
    Jonas, Wibke
    Parents' experiences of immediate skin-to-skin contact after the birth of their very preterm neonates2022Ingår i: Journal of Obstetric, Gynecologic and Neonatal Nursing, ISSN 0884-2175, E-ISSN 1552-6909, Vol. 51, nr 1, s. 53-64, artikel-id S0884-2175(21)00276-8Artikel i tidskrift (Refereegranskat)
    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.

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  • 8. Melin, Amanda
    et al.
    Björklund, Philicia
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Pediatricians' experiences of working with breastfeeding: An interview study2018Ingår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 16, s. 218-223Artikel i tidskrift (Refereegranskat)
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  • 9. Melin, Amanda
    et al.
    Björklund, Philisia
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Pediatricians' experiences of working with breastfeeding: an interview study2019Konferensbidrag (Övrigt vetenskapligt)
  • 10.
    Molin, Beata
    et al.
    Sophiahemmet Högskola.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Berger, Anna-Karin
    Sand, Anna
    Georgsson, Susanne
    Chronic pain related to childbirth: A qualitative study of women's experiences of healthcare professionals' supportManuskript (preprint) (Övrigt vetenskapligt)
  • 11.
    Molin, Beata
    et al.
    Sophiahemmet Högskola.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Berger, Anna-Karin
    Sand, Anna
    Georgsson, Susanne
    Disempowering women: A mixed methods study exploring informational support about pain persisting after childbirth and its consequences2022Ingår i: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 22, nr 1, artikel-id 510Artikel i tidskrift (Refereegranskat)
    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.

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  • 12.
    Molin, Beata
    et al.
    Sophiahemmet Högskola.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Berger, Anna-Karin
    Sand, Anna
    Georgsson, Susanne
    Grieving over the past and struggling forward: A qualitative study of women's experiences of chronic pain one year after childbirth2021Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 103, artikel-id 103098Artikel i tidskrift (Refereegranskat)
    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.

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  • 13. Svensson, Kristin
    et al.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Amning: En kort historisk tillbakablick2022Ingår i: Reproduktiv hälsa: Barnmorskans kompetensområde, Lund: Studentlitteratur AB, 2022, 2, s. 819-826Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 14. Svensson, Kristin
    et al.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Amning i praktiken2022Ingår i: Reproduktiv hälsa: Barnmorskans kompetensområde / [ed] Helena Lindgren, Kyllike Christensen & Anna-Karin Dykes, Lund: Studentlitteratur AB, 2022, 2, s. 827-862Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 15. Svensson, Kristin
    et al.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    När amningen känns svår: Några vanliga bröstkomplikationer2022Ingår i: Reproduktiv hälsa: Barnmorskans kompetensområde / [ed] Helena Lindgren, Kyllike Christensen & Anna-Karin Dykes, Lund: Studentlitteratur AB, 2022, s. 881-886Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 16.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Amningsrådgivning2021Ingår i: Etik för barnnmorskor / [ed] Marie Oscarsson & Susanne Georgsson, Lund: Studentlitteratur AB, 2021, s. 161-178Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 17.
    Zwedberg, Sofia
    et al.
    Sophiahemmet Högskola.
    Alnervik, Malin
    Barimani, Mia
    Student midwives' perception of peer learning during their clinical practice in an obstetric unit: A qualitative study2021Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 99, artikel-id 104785Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Evidence supports peer learning in clinical settings, but it has not been studied in obstetric units. In Sweden, obstetric units are a challenging learning area for student midwives because of the lack of attention to student needs and the stress of attaining the final number of 50 assisted births.

    OBJECTIVES: To explore how student midwives experienced peer learning during clinical placement in an obstetric unit.

    DESIGN: Qualitative approach.

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

    PARTICIPANTS: Fifteen student midwives in a peer-learning model during clinical placement.

    METHODS: Individual interviews followed by deductive content analysis using Boud's (2001) theoretical descriptions of peer learning.

    RESULTS: The students shared skills, experience, and knowledge as equals and took responsibility for their peers' learning while supporting women in labor and childbirth. Students shared ideas, thoughts, and knowledge and gained perspective while learning as peers on an equal level. Students used each other to work independently without much involvement from the preceptor. Feedback was welcomed as encouragement.

    CONCLUSIONS: Peer learning had positive consequences as an educational model in the clinical context in obstetric units.

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  • 18.
    Zwedberg, Sofia
    et al.
    Sophiahemmet Högskola.
    Barimani, Mia
    Kamratlärande (peer-learning) inom förlossningsvården - är det möjligt?2021Konferensbidrag (Övrigt vetenskapligt)
  • 19.
    Zwedberg, Sofia
    et al.
    Sophiahemmet Högskola.
    Barimani, Mia
    When student midwives are present during labour and childbirth in a peer-learning model: An interview study of parents in Sweden2022Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 104, artikel-id 103173Artikel i tidskrift (Refereegranskat)
    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.

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  • 20.
    Zwedberg, Sofia
    et al.
    Sophiahemmet Högskola.
    Barimani, Mia
    Jonas, Wibke
    Exploring the internship experiences of Swedish final term student midwives: A cross-sectional survey2020Ingår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 26, artikel-id 100543Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Today, student midwives in Sweden spend half of their midwifery education at various internships. Practice reality demonstrates that there is an insufficient number of preceptors for the students, and the workload is demanding. Therefore, the present study aimed to explore the experiences of final term Swedish students during their midwifery internship and whether other paedagogical learning experiences beyond the apprenticeship model were included. A cross-sectional survey was distributed to 288 final year midwifery students at all universities offering the midwifery programme in Sweden. This paper focuses on open-ended questions, which were answered by 108 students, and analysed inductively via thematic analysis. Students described an intensive period with pressure during their internship. They expressed a desire for fewer parallel tasks and a better-structured internship. Students revealed that it was both a challenge and stressful to be under constant high performance while practising clinically. Furthermore, students described feelings of competition towards fellow peers in regard to attaining the final number of 50 assisted births. As to the paedagogical methods, the classical preceptorship model with a one-to-one student-preceptor relationship was predominately used. Preceptors were perceived as crucial role models. However, this learning experience was considered suboptimal for learning in the event where preceptors were not engaged or felt insecure regarding their knowledge, or if the preceptor was changed. For the students, the most optimal setting would be if preceptors were selected, trained, and supported in their role to supervise students, instead of being assigned any available preceptor, who was, at times, not a midwife.

  • 21.
    Zwedberg, Sofia
    et al.
    Sophiahemmet Högskola.
    Barimani, Mia
    Wibke, Jonas
    Exploring the internship experiences of Swedish student midwives: a cross-sectional survey2019Konferensbidrag (Övrigt vetenskapligt)
  • 22.
    Zwedberg, Sofia
    et al.
    Sophiahemmet Högskola.
    K, Forslund Frykedal
    M, Rosander
    A, Berlin
    M, Barimani
    Midwives' experiences as preceptors and the development of good preceptorships in obstetric units2020Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 87, artikel-id 102718Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To study midwives' experience in their role as a preceptor and their perception on how to best support midwifery students in obstetrics units. Obstetric units are an important learning area for student midwives but knowledge on how to become a good midwife preceptor is limited.

    DESIGN: This qualitative study explores midwife preceptors' experience of supervising midwifery students in three obstetric units in Sweden. Following ethical approval seventeen midwife preceptors were interviewed and data were analysed thematically.

    FINDINGS: Thematic analysis of the interviews resulted in the identification of two themes and five subthemes: (1) self-efficacy in the preceptor role which involves (a) being confident in the professional position and (b) having the support of management and colleagues and (2) supporting the student to attain self-confidence and independence which entails (a) helping the student to grow, (b) facilitating reflection in learning situations, and (c) "taking a step back".

    KEY CONCLUSION: Good preceptorship occurs when midwives achieve full self-efficacy, when they master the preceptor role, and when they have enhanced their abilities to help, the student reach confidence and independence.

    IMPLICATIONS FOR PRACTICE: Health care organisations needs to develop and support midwifery preceptorships.

  • 23. Åhlund, Susanne
    et al.
    Rothstein, Emilia
    Rådestad, Ingela
    Sophiahemmet Högskola.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Lindgren, Helena
    Urinary incontinence after uncomplicated spontaneous vaginal birth in primiparous women during the first year after birth2020Ingår i: International Urogynecology Journal, ISSN 0937-3462, E-ISSN 1433-3023, Vol. 31, nr 7, s. 1409-1416Artikel i tidskrift (Refereegranskat)
    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.

  • 24. Åhlund, Susanne
    et al.
    Rådestad, Ingela
    Sophiahemmet Högskola.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Edqvist, Malin
    Lindgren, Helena
    Haemorrhoids - A neglected problem faced by women after birth2018Ingår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 18, s. 30-36, artikel-id S1877-5756(18)30042-9Artikel i tidskrift (Refereegranskat)
    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.

  • 25. Åhlund, Susanne
    et al.
    Rådestad, Ingela
    Sophiahemmet Högskola.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Lindgren, Helena
    Perineal pain the first year after childbirth and uptake of post-partum check-up: A Swedish cohort study2019Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 78, s. 85-90, artikel-id S0266-6138(19)30208-6Artikel i tidskrift (Refereegranskat)
    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.

  • 26. Åhlund, Susanne
    et al.
    Zwedberg, Sofia
    Sophiahemmet Högskola.
    Hildingsson, Ingegerd
    Edqvist, Malin
    Lindgren, Helena
    Midwives experiences of participating in a midwifery research project: A qualitative study2018Ingår i: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 31, nr 2, s. e115-e121, artikel-id S1871-5192(17)30140-3Artikel i tidskrift (Refereegranskat)
    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.

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