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Lindgren, H., Sjöblom, I., Rådestad, I. & Idvall, E. (2012). A provoking choice: Swedish women’s experiences of reaction regarding their planned home birth. Women and Birth, E-pub ahead of print
Open this publication in new window or tab >>A provoking choice: Swedish women’s experiences of reaction regarding their planned home birth
2012 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, p. E-pub ahead of printArticle in journal (Refereed) Published
Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2012
Research subject
Hälsa och välfärd, Hemförlossningar i Norden
Identifiers
urn:nbn:se:du-6423 (URN)10.1016/j.wombi.2011.07.147 (DOI)
Available from: 2012-03-08 Created: 2012-03-08 Last updated: 2017-12-07Bibliographically approved
Lindgren, H., Sjöblom, I. & Idvall, E. (2012). Changing attitudes – women’s experiences of negative reactions to their decision for home birth. Sexual and Reproductive Health Care, 3(1), 55-56
Open this publication in new window or tab >>Changing attitudes – women’s experiences of negative reactions to their decision for home birth
2012 (English)In: Sexual and Reproductive Health Care, ISSN 1877-5764, Vol. 3, no 1, p. 55-56Article in journal (Refereed) Published
Abstract [en]

Being confronted with negative attitudes influences the self-concept of pregnant women. Few women in Sweden give birth at home, and Sweden does not have national home birth guidelines. This study describes women’s experiences concerning reactions to their decision to give birth at home. One in five women experienced negative attitudes to a high extent from health care staff during the study period (1992–2005). Fewer women reported this during the latter part of the period compared to the earlier part. The change in attitudes may be related to the introduction in 2002 of guidelines for planned home births in Stockholm County Council.

Place, publisher, year, edition, pages
Elsevier, 2012
Keywords
Planned home birth; Negative attitudes; Midwifery
Research subject
Hälsa och välfärd, Hemförlossningar i Norden
Identifiers
urn:nbn:se:du-6421 (URN)10.1016/j.srhc.2011.11.002 (DOI)
Available from: 2012-03-08 Created: 2012-03-08 Last updated: 2015-06-12Bibliographically approved
Malm, M.-C., Lindgren, H. & Rådestad, I. (2012). Fosterrörelsernas kvalité i slutet av graviditeten. In: Nationell konferens om fosterrörelser- Hur kan andelen barn som dör före födelsen minskas?. Paper presented at Nationell konferens om fosterrörelser- Hur kan andelen barn som dör före födelsen minskas? , Stockholm, 21-Mar, 2012. Stockholm
Open this publication in new window or tab >>Fosterrörelsernas kvalité i slutet av graviditeten
2012 (Swedish)In: Nationell konferens om fosterrörelser- Hur kan andelen barn som dör före födelsen minskas?, Stockholm, 2012Conference paper, Published paper (Refereed)
Abstract [sv]

Background: Decreased fetal movements are associated with adverse outcome. Besides the frequencies of fetal movements, enhanced knowledge about the quality of fetal movements may contribute to better tools to identify fetus at risk. Aim: The aim of this study is to investigate women’s perceptions of the quality of fetal movements in full term pregnancy and within standard antenatal care. Method: 393 women with uncomplicated pregnancies participate in this study. Data were collected by questionnaires, the women answered one open question: “Describe how you perceive your child's movements usually been during the current week of pregnancy”. The answers were analyzed using content analysis. Results: 315 (78 %) of women in gestational week 37-42 describe the movements in terms of power and in equal words irrespective of parity. Conclusion: A fetal movement anamnesis can besides the frequencies also includes questions about the quality of the movements.

Place, publisher, year, edition, pages
Stockholm: , 2012
Research subject
Hälsa och välfärd
Identifiers
urn:nbn:se:du-6492 (URN)
Conference
Nationell konferens om fosterrörelser- Hur kan andelen barn som dör före födelsen minskas? , Stockholm, 21-Mar, 2012
Available from: 2012-04-10 Created: 2012-04-10 Last updated: 2015-06-12Bibliographically approved
Malm, M.-C., Lindgren, H., Rubertsson, C., Hildingsson, I. & Rådestad, I. (2012). Quality of fetal movements in full term pregnancy: A Swedish population-based study among pregnant women within standrad antenatal care. In: Kelly Neal Mariotti (Ed.), The 2012 international conference on stillbirth, SIDS ant infant survival: Helping babies survive & thrive: Conference programe book. Paper presented at The 2012 international conference on stillbirth, SIDS and infant survival (pp. 113-113). USA: The division of reproductive health, centers for disease control and prevention U.S Department of health and human services. Award number 200-2-12-M-50770
Open this publication in new window or tab >>Quality of fetal movements in full term pregnancy: A Swedish population-based study among pregnant women within standrad antenatal care
Show others...
2012 (English)In: The 2012 international conference on stillbirth, SIDS ant infant survival: Helping babies survive & thrive: Conference programe book / [ed] Kelly Neal Mariotti, USA: The division of reproductive health, centers for disease control and prevention U.S Department of health and human services. Award number 200-2-12-M-50770 , 2012, p. 113-113Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Aim: To investigate the perceptions of fetal movements among women in full term pregnancy.

Methods: A population-based study. Data were collected by distributing questionnaires including one open question: “Please describe your perception of the baby´s movements during this gestational weekto be answered in writingAll antenatal clinics in one of the counties in Sweden participated. Altogether 505 pregnant women were eligible and fulfilled the inclusion criteria for this study. A matrix, listing seven types of movements was used for the content analysis. Categorization of types of movements was performed with regard to the context described by the women.

Results: 393 (79%) women responded to the open question. Altogether 383 (96%) women perceived fetal movements that were sorted as powerful: firm (78%), slow (24%), stretching (23%), from side to side (18 %) and large (18 %) movements. Most women described movements that corresponded to more than one type of movement. Fifty-three women (13%) also described light movements and seven (2%) startled movements, categorized as non-powerful.  Only ten (4%) women described movements that did not include any of the types of movements in the powerful category. 

Conclusions: In full term pregnancy, fetal movements should include the following three criteria: presence, frequency and intensity.

Place, publisher, year, edition, pages
USA: The division of reproductive health, centers for disease control and prevention U.S Department of health and human services. Award number 200-2-12-M-50770, 2012
Series
Conference programme book
Keywords
Content analysis, fetal movement, full-term pregnancy, perception
National Category
Medical and Health Sciences
Research subject
Hälsa och välfärd, Mammors erfarenheter och beskrivning av sitt barns rörelser i livmodern
Identifiers
urn:nbn:se:du-11803 (URN)
Conference
The 2012 international conference on stillbirth, SIDS and infant survival
Available from: 2013-02-04 Created: 2013-02-04 Last updated: 2015-06-12Bibliographically approved
Malm, M.-C., Rådestad, I., Erlandsson, K. & Lindgren, H. (2012). Waiting in no-man's-land: mother's experiences before the induction of labour after their baby has died in utero. In: : . Paper presented at The International conference on stillbirth, SIDS and infant survival, October 4-7, 2012, Baltimore, Maryland (pp. 113). Baltimore
Open this publication in new window or tab >>Waiting in no-man's-land: mother's experiences before the induction of labour after their baby has died in utero
2012 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Objective: Carrying death instead of life is beyond understanding and a huge psychological challenge for a pregnant mother. The period from the time when information is received about the death of an unborn baby until labour is induced has an impact on the mother’s future well-being. The aim of this study was to investigate the mothers’ experiences of the time from the diagnosis of the death of their unborn baby until induction of labour.

Method: In-depth interviews were conducted with 21 mothers whose babies had died prior to birth. The interviews were then analysed using content analysis.

Results: The overall theme that emerged from the mothers’ experiences is understood as “waiting in no-man’s-land”, describing the feeling of being set aside from normality and put into an area which is unrecognized. Four categories were established. ‘Involuntary waiting’ describes the sense of being left without information about what is to come; ‘handling the unimaginable’ concerns the confusing state of finding oneself in the worst-case scenario and yet having to deal with the birth; ‘broken expectations’ is about the loss not only of the baby but also of future family life; and ‘courage to face life’ describes the determination to go on and face reality with strength.

Conclusions The mothers’ experiences were understood as a sense of being abandoned in no-man’s-land. This time period was characterized by waiting – not knowing for what and not knowing for how long.  Information about the process and the forthcoming encounter with the baby is essential and decisions regarding time of induction should be based on the parents’ requests, not on hospital routines.  

Place, publisher, year, edition, pages
Baltimore: , 2012
Keywords
stillbirth, bereavement, time, induction, experiences
National Category
Health Sciences
Research subject
Health and Welfare, Att föda ett dött barn – en undersökning om kvinnors erfarenheter
Identifiers
urn:nbn:se:du-10960 (URN)
Conference
The International conference on stillbirth, SIDS and infant survival, October 4-7, 2012, Baltimore, Maryland
Available from: 2012-10-11 Created: 2012-10-11 Last updated: 2018-02-14Bibliographically approved
Malm, M.-C., Lindgren, H., Rubertsson, C., Ingegerd, H. & Rådestad, I. (2012). Women's perception of fetal movements in full term pregnancy: A Swedish population-based study. In: Rachel Y. Moon and Ruth Fretts (Ed.), The 2012 International Conference on Stillbirth, SIDS and infant survival: Hosted by first candle. Helping babies survive & thrive. Paper presented at The 2012 International Conference on stillbirth, SIDS and infant survival, October 4-7, Baltimore, Maryland (pp. 113). Baltimore
Open this publication in new window or tab >>Women's perception of fetal movements in full term pregnancy: A Swedish population-based study
Show others...
2012 (English)In: The 2012 International Conference on Stillbirth, SIDS and infant survival: Hosted by first candle. Helping babies survive & thrive / [ed] Rachel Y. Moon and Ruth Fretts, Baltimore, 2012, p. 113-Conference paper, Published paper (Refereed)
Abstract [en]

Objective: To investigate the perceptions of fetal movements among women in full term pregnancy.

Design: A population-based study.

Setting: All antenatal clinics in one of the counties in Sweden March 1, 2011 to October 31, 2011.

Population: Altogether 505 pregnant women were eligible and fulfilled the inclusion criteria for this study.

Methods: Data were collected by distributing questionnaires including one open question: “Please describe your perception of the baby´s movements during this gestational weekto be answered in writingA protocol, listing seven types of movements was used for the content analysis.

Main outcome measures: Perception of fetal movements among women in full term singleton pregnancy.

Results: 393 (79%) women responded to the open question. Altogether 383 (96%) women perceived five different types of fetal movements that were sorted as powerful: strong (78%), slow (24%), stretching (23%), from side to side (18 %) and large (18 %) movements. Most women described movements that corresponded to more than one type of movement. Fifty three (13%) women also described light movements and seven (2%) startled movements, categorized as non-powerful.  Only ten (4%) women described movements that did not include any of the types of movements in the powerful category. 

Conclusion: In full term pregnancy, fetal movements are usually recognized as powerful.

Key Message box: An assessment of fetal movement should include the following three criteria: presence, frequency and intensity.

Place, publisher, year, edition, pages
Baltimore: , 2012
Series
Conference program book
Keywords
content analysis, fetal movements, full term pregnancy, perception
National Category
Medical and Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-10959 (URN)
Conference
The 2012 International Conference on stillbirth, SIDS and infant survival, October 4-7, Baltimore, Maryland
Available from: 2012-10-11 Created: 2012-10-11 Last updated: 2018-02-14Bibliographically approved
Rådestad, I. & Lindgren, H. (2012). Women’s perceptions of fetal movements in full-term pregnancy. Sexual & Reproductive HealthCare, 3(3), 113-116
Open this publication in new window or tab >>Women’s perceptions of fetal movements in full-term pregnancy
2012 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 3, no 3, p. 113-116Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2012
National Category
Nursing
Research subject
Hälsa och välfärd
Identifiers
urn:nbn:se:du-6427 (URN)10.1016/j.srhc.2012.06.001 (DOI)
Available from: 2012-03-08 Created: 2012-03-08 Last updated: 2017-12-07Bibliographically approved
Erlandsson, K., Lindgren, H., Davidsson-Bremborg, A. & Rådestad, I. (2012). Women's premonitions prior to the death of their baby in utero and how they deal with the feeling that their baby may be unwell. Acta Obstetricia et Gynecologica Scandinavica, 91(1), 28-33
Open this publication in new window or tab >>Women's premonitions prior to the death of their baby in utero and how they deal with the feeling that their baby may be unwell
2012 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 91, no 1, p. 28-33Article in journal (Refereed) Published
Abstract [en]

Objective. To identify whether mothers of stillborn babies had had a premonition that their unborn child might not be well and how they dealt with that premonition.

Design. A mixed method approach.

Setting. One thousand and thirty-four women answered a web questionnaire. Sample. Six hundred and fourteen women fulfilled the inclusion criteria of having a stillbirth after the 22nd gestational week and answered questions about premonition. Methods. Qualitative content analysis was used for the open questions and descriptive statistics for questions with fixed alternatives.

Main Outcome Measure. The premonition of an unwell unborn baby. Results. In all, 392 of 614 (64%) of the women had had a premonition that their unborn baby might be unwell; 274 of 614 (70%) contacted their clinic and were invited to come in for a check-up, but by then it was too late because the baby was already dead. A further 88 of 614 (22%) decided to wait until their next routine check-up, believing that the symptoms were part of the normal cycle of pregnancy, and that the fetus would move less towards the end of pregnancy. Thirty women (8%) contacted their clinic, but were told that everything appeared normal without an examination of the baby.

Conclusions. Women need to know that a decrease in fetal movements is an important indicator of their unborn baby's health. Healthcare professionals should not delay an examination if a mother-to-be is worried about her unborn baby's wellbeing.

Place, publisher, year, edition, pages
Nordic Federation of Societies of Obstetrics and Gynecology, 2012
Keywords
Antenatal care; antenatal diagnosis; labor; delivery; midwifery; women's health
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Hälsa och välfärd, Att föda ett dött barn – en undersökning om kvinnors erfarenheter
Identifiers
urn:nbn:se:du-6422 (URN)10.1111/j.1600-0412.2011.01209.x (DOI)000297922200006 ()
Available from: 2012-03-08 Created: 2012-03-08 Last updated: 2017-12-07Bibliographically approved
Malm, M.-C., Lindgren, H. & Rådestad, I. (2011). Att förlora kontakten med sitt ofödda barn: Mammors erfarenheter innan de får besked om att deras barn dött intrauterint. In: (Ed.), Svenska Barnmorskeförbundets jubileumskonferens 2011. Reproduktiv hälsa : . Paper presented at Svenska Barnmorskeförbundets jubileumskonferens 2011. Reproduktiv hälsa , Stockholm, 25-27 maj, 2011. Stockholm
Open this publication in new window or tab >>Att förlora kontakten med sitt ofödda barn: Mammors erfarenheter innan de får besked om att deras barn dött intrauterint
2011 (Swedish)In: Svenska Barnmorskeförbundets jubileumskonferens 2011. Reproduktiv hälsa, Stockholm, 2011Conference paper, Published paper (Refereed)
Abstract [sv]

Bakgrund Om mamman uppplever att rörelsemönstret hos sitt väntade barn förändras eller uteblir kan det vara ett tecken på att barnet mår dåligt eller har dött i livmodern. Syfte Att studera mammors erfarenheter under den tid som föregick beskedet om att deras barn dött intrauterint. Metod Djupintervjuer med 26 mammor vars barn dött före födelsen, analyserade med innehållsanalys. Resultat Tjugotvå mammor beskrev en föraning om att något kunde ha hänt deras barn, föraningen grundades i ett uteblivet rörelsemönster hos barnet. Sex kategorier som beskriver mammornas väg mot insikten om att deras barn kunde vara hotat identifierades: Inte känna kontakt med barnet; Oro; Något är fel; Inte begripa det ofattbara; Vilja ha besked; Säker på att barnet dött. Det är något som inte stämmer; formulerades som ett sammanfattande tema på mammornas föraning och processen mot insikten skildras som steg nedåt i en trappa. Konklusion Mammorna försökte tygla sin oro genom att normalisera barnets uteblivna rörelser. Lugnande besked både från anhöriga och från sjukvården, fördröjde en undersökning av barnets hälsotillstånd. Mammorna kunde inte förstå det ofattbara; att barnet hade dött intrauterint. Implikationer: Blivande mammor bör uppmans att lita på sin instinkt och att kontakta sjukvården direkt om de är bekymrad över att barnet rör sig mindre i livmodern

Place, publisher, year, edition, pages
Stockholm: , 2011
Keywords
Intrauterin fosterdöd, föraning, fosterrörelser, innehållsanalys
Identifiers
urn:nbn:se:du-6027 (URN)
Conference
Svenska Barnmorskeförbundets jubileumskonferens 2011. Reproduktiv hälsa , Stockholm, 25-27 maj, 2011
Available from: 2011-10-27 Created: 2011-10-27 Last updated: 2015-06-12Bibliographically approved
Erlandsson, K. & Lindgren, H. (2011). Being a resource for both mother and child: fathers' experiences following a complicated birth. The Journal of Perinatal Education, 20(2), 91-99
Open this publication in new window or tab >>Being a resource for both mother and child: fathers' experiences following a complicated birth
2011 (English)In: The Journal of Perinatal Education, ISSN 1058-1243, Vol. 20, no 2, p. 91-99Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe fathers' experiences of being present on a postnatal ward and during the first days at home following a complicated birth. Fifteen fathers were interviewed, and content analysis was used for the analysis. The theme illustrated that fathers were a resource for both mother and child through practical and emotional engagement. The categories describe how the father empowers the mother and illustrates adapting to new family roles. Following complicated birth, fathers should be invited to stay around-the-clock on postnatal wards because it gives them the opportunity to place their resources at the disposal of mother and child. In antenatal courses, fathers should be prepared for their empowering role after a complicated birth

Place, publisher, year, edition, pages
Springer Publishing Company, 2011
National Category
Health Sciences
Research subject
Hälsa och välfärd
Identifiers
urn:nbn:se:du-14568 (URN)10.1891/1058-1243.20.2.91 (DOI)
Available from: 2010-10-21 Created: 2014-06-27 Last updated: 2016-03-21Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4875-1407

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