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  • 1.
    Hildingsson, Ingegerd
    et al.
    Härnösands sjukhus.
    Häggström, Terttu
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Midwives' lived experiences of being supportive to prospective mothers/parents during pregnancy1999In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 15, no 2, p. 82-91Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To elucidate midwives' narrated experiences of being supportive to prospective mothers or parents during pregnancy. DESIGN: Phenomenological hermeneutic analysis of transcribed text from seven tape-recorded interviews. SETTING: Midwifery clinics in five health centres in the context of Swedish primary health care. PARTICIPANTS: Seven midwives working in antenatal care. FINDINGS: The interpretation of the text showed that through perception and intuition the midwives seemed to become aware that some women needed increased support. The situations of these prospective mothers were often characterised by difficult social problems or fears. The prospective fathers were mostly absent in the narratives. The midwives acted on both a personal and a professional level with ethical perspectives in mind, when they were advocating their clients' rights to receive proper care. The comprehensive understanding of the interpretation revealed that the midwife sometimes perceived herself as being metaphorically 'The Good Mother'. KEY CONCLUSIONS: Having the role of 'The Good Mother' could be understood as a way for the midwife to establish a fruitful relationship with prospective mothers/parents. IMPLICATIONS FOR PRACTICE: The findings provide a basis for reflection on the mothering and supportive function of midwives when providing antenatal care.

  • 2.
    Lindberg, Inger
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Christensson, Kyllike
    Mälardalens University, Department of Caring and Public Health Sciences.
    Öhrling, Kerstin
    Midwives' experience of organisational and professional change2005In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 21, no 4, p. 355-64Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to describe midwives' experiences of changes in their caring role and professional function in postpartum wards in the northern part of Sweden. In this part of the country, three out of eight maternity departments have been closed over the last 5 years. During the same period, hospital stays have reduced in length, and an early discharge model has been introduced. DESIGN: focus-group discussions. SETTING: four focus groups at two hospitals in northern Sweden. PARTICIPANTS: 21 midwives experienced in midwifery practice in maternity wards. FINDINGS: the analysis revealed four categories of comments: 'to have limited time when caring for the mother and the baby'; 'no longer being valued as the expert'; 'a wish to have responsibility for childbirth in its entirety'; 'to see future possibilities in the development of the profession'. The theme identified is 'being ahead in ideas about caring but still partly caught up in the past'. KEY CONCLUSIONS AND IMPLICATIONS: the identified theme of being ahead in ideas about caring but still partly caught up in the past can be understood as representing a transition. The midwives experienced loss and grief over their former midwifery practice, but had ideas and visions for developing and expanding their future professional role. A healthy transition requires support, participation and skilled management.

  • 3.
    Lindberg, Inger
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Christensson, Kyllike
    Karolinska Institutet.
    Öhrling, Kerstin
    Parents' experiences of using videoconferencing as a support in early discharge after childbirth2009In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 25, no 4, p. 357-365Article in journal (Refereed)
    Abstract [en]

    Objective: to describe parents' experiences of using videoconferencing (VC) when discharged early from a maternity unit. Design: a combination of quantitative and qualitative methods was used to describe parents' experiences. Data were collected via questionnaires and interviews. Setting: a pilot study involving a maternity department and new parents in their homes was conducted. Through VC, parents discharged early were able to maintain follow-up contact with the midwife via sound and picture at the department. Participants: nine couples/new parents participated. Findings: the analysis revealed four categories of responses: 'feeling confident with the technology'; 'feeling confident of having control of their privacy'; 'feeling confident being face-to-face on the VC'; and 'feeling confident when worries and concerns were met and answers were received'. Key conclusions: using VC as a support in cases of early discharge after childbirth can facilitate a meeting that makes it possible for new parents to be guided by the midwife in their transition into parenthood. Implications for practice: the findings of this study indicate that VC equipment may be helpful for parents discharged from hospital early after childbirth. The findings can also be used as a foundation for further development of the application of VC within maternal health care and in health care in rural areas.

  • 4.
    Lindqvist, Maria
    et al.
    Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University.
    Persson, Margareta
    Department of Nursing, Umeå University.
    Nilsson, Margareta
    Department of Clinical Sciences, Obstetrics and Gynaecology, Umeå University.
    Uustal, Eva
    Department of Molecular and Clinical Medicine, Division of obstetrics and Gynaecology, Linköping university.
    Lindberg, Inger
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    “A worse nightmare than expected”: a Swedish qualitative study of women's experiences two months after obstetric anal sphincter muscle injury2018In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 61, p. 22-28Article in journal (Refereed)
    Abstract [en]

    Objective

    This study explores women's experiences of the first two months after obstetric anal sphincter injury (OASIS) during childbirth with a focus on problematic recovery.

    Methods

    This qualitative study used inductive qualitative content analysis to investigate open-ended responses from 1248 women. The data consists of short and comprehensive written responses to open-ended questions focusing on recovery in the national quality register, the Perineal Laceration Register, two months after OASIS at childbirth.

    Results

    The theme “A worse nightmare than expected” illustrated women's experiences of their life situation. Pain was a constant reminder of the trauma, and the women had to face physical and psychological limitations as well as crushed expectations of family life. Furthermore, navigating healthcare services for help added further stress to an already stressful situation.

    Conclusions

    We found that women with problematic recovery two months after OASIS experienced their situation as a worse nightmare than expected. Extensive pain resulted in physical and psychological limitations, and crushed expectations of family life. Improved patient information for women with OASIS regarding pain, psychological and personal aspects, sexual function, and subsequent pregnancy delivery is needed. Also, there is a need for clear organizational structures and information to guide help-seeking women to needed care.

  • 5.
    Mukkavaara, Iris
    et al.
    Sunderby sjukhus, Luleå.
    Öhrling, Kerstin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lindberg, Inger
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Women's experiences after an induced second trimester abortion2012In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 28, no 5, p. e720-e725Article in journal (Refereed)
    Abstract [en]

    Objectiveto describe women's experiences of an abortion in the second trimester.Designqualitative design using semi-structured interviews.Setting/participantssix women were interviewed after a second trimester abortion.Methodsthe women were interviewed in person after they were discharged from the hospital. Interviews were recorded, transcribed, and then analysed using qualitative content analysis.Findingsfour categories were identified: to consider and accept the decision; to lack understanding about the abortion procedure; to be in need of support and information; to have memories for life. Findings show that information and support during the whole abortion process is important. Women found it difficult to make the decision and going through abortion left memories for life.Conclusioninformation and support is of great importance for women in this vulnerable situation. The need for further support points out the need to have follow-up contacts with women after an induced second trimester abortion.

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