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Publications (10 of 52) Show all publications
Wiklund, I. & Äng, B. (2023). Future challenges in securing sustainable workforce in healthcare. Sexual & Reproductive HealthCare, 37, Article ID 100901.
Open this publication in new window or tab >>Future challenges in securing sustainable workforce in healthcare
2023 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 37, article id 100901Article in journal, Editorial material (Other academic) Published
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:du-46880 (URN)10.1016/j.srhc.2023.100901 (DOI)001068729300001 ()37619402 (PubMedID)2-s2.0-85169790151 (Scopus ID)
Available from: 2023-09-01 Created: 2023-09-01 Last updated: 2023-11-02Bibliographically approved
Wiklund, I., Fernández, S. A. & Jonsson, M. (2022). Midwives’ ability during third stage of childbirth to estimate postpartum haemorrhage. European Journal of Obstetrics and Gynecology and Reproductive Biology: X, 15, Article ID 100158.
Open this publication in new window or tab >>Midwives’ ability during third stage of childbirth to estimate postpartum haemorrhage
2022 (English)In: European Journal of Obstetrics and Gynecology and Reproductive Biology: X, ISSN 2590-1613, Vol. 15, article id 100158Article in journal (Refereed) Published
Abstract [en]

Objective: Correctly assessing the amount of blood loss is crucial in order to adequately treat postpartum haemorrhage (PPH) at an early stage and diminish any related symptoms and/or complications. The aim of our study is to analyse correctness in visually estimated blood loss during labour and to measure the differences between subjectively measured and weighted blood losses (ml). Design: Cross-sectional study Setting: A Swedish maternity unit with 6000 annual births Participants: Midwives employed at a big maternity unit at a hospital in northern Stockholm, Sweden. Intervention: Midwives assisting 192 vaginal births were asked to visually estimate the blood loss from the assisted delivery. Coasters and sanitary pads were weighed following the birth. We analysed if there were any differences between subjective measured blood loss (ml) and weighted blood loss. These two methods were also compared to quantify concordance between estimated blood volume and the actual volume. Findings: The number of overestimates of blood loss was 45.3 % (n=87) with an average of 72.9 ml; the number of underestimates was 49.4 % (n=95) with an average of 73.8 ml. Exact correct estimations of blood loss were done in 5.2 % of the cases (n=10). The largest overestimation of a postpartum bleeding was by 520 ml; the largest underestimation was by 745 ml. Conclusion: There was both underestimation and overestimation of blood loss. We found small but significant overestimates in PPH < 300 ml (16 ml). In PPH > 300 ml, there was a small but not significant underestimates (34 ml). Based upon our findings, we conclude that it is reasonable to start weighing blood loss when it exceeds 300 ml. © 2022 The Authors

Place, publisher, year, edition, pages
Elsevier Ireland Ltd, 2022
Keywords
Birth, Estimation of blood loss, Postpartum haemorrhage, aptitude, Article, blood volume, childbirth, clinical assessment, comparative study, cross-sectional study, female, human, major clinical study, midwife, postpartum hemorrhage, quantitative analysis, Sweden, systematic error, vaginal delivery, vision
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:du-42158 (URN)10.1016/j.eurox.2022.100158 (DOI)35856050 (PubMedID)2-s2.0-85133941230 (Scopus ID)
Available from: 2022-08-17 Created: 2022-08-17 Last updated: 2023-03-17Bibliographically approved
Sahlin, M., Wiklund, I., Andolf, E., Löfgren, M. & Klint Carlander, A.-K. -. (2021). “An Undesired Life Event”: A retrospective interview study of Swedish women's experiences of Caesarean Section in the 1970s and 1980s.”. Sexual & Reproductive HealthCare, 27, Article ID 100581.
Open this publication in new window or tab >>“An Undesired Life Event”: A retrospective interview study of Swedish women's experiences of Caesarean Section in the 1970s and 1980s.”
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2021 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 27, article id 100581Article in journal (Refereed) Published
Abstract [en]

Background: Giving birth is a transformative event. Memories of the birth often remain in a woman's mind for the rest of her life. Key aspects of a mother's overall birth experience include concerns about the safety and health of the baby, and the first contact the mother has with her child. To the best of our knowledge, research has not yet been published relating to the ways in which women undergoing caesarean sections in the 1970s and 1980s experienced the birth of their baby and whether or not their mode of delivery has affected their reproductive health and their relationship to their child. Objective: To describe women's experience of undergoing a caesarean section in the 1970s and 1980s in Sweden. Design: A qualitative method using semi-structured questions and content analysis. Participants: Twenty-two women were interviewed who underwent caesarean section during the 1970s and 1980s in Sweden. Results: The overarching theme surrounding women's experience of having undergone a caesarean section 30–40 years ago is that it is described as “undesired life event”. Four categories were established: vaginal birth as the norm; a total loss of control; acceptance and contact with the child. Conclusion: Undergoing a caesarean section during the 1970s and 1980s was considered to be an undesired life events. The interlocuters who participated in this study had little knowledge about operative childbirth and were poorly prepared for a complicated birth and postpartum care. The women did not suffer any long-term physiological harm yet were harmed psychologically until they came to terms with their negative experience and reached acceptance of it. © 2020 Elsevier B.V.

Place, publisher, year, edition, pages
Elsevier B.V., 2021
Keywords
Cesarean section, Childbirth experiences, Qualitative study, article, child, content analysis, female, human, human experiment, infant, interview, life event, major clinical study, puerperium, qualitative analysis, qualitative research, reproductive health, retrospective study, Sweden, Swedish citizen, vaginal delivery
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:du-38863 (URN)10.1016/j.srhc.2020.100581 (DOI)2-s2.0-85097572495 (Scopus ID)
Available from: 2021-11-30 Created: 2021-11-30 Last updated: 2021-11-30Bibliographically approved
Wiklund, I. (2021). Etik och barnmorskans arbete ur ett globalt perspektiv (1:1ed.). In: Marie Oscarsson, Susanne Georgsson (Ed.), Etik för barnmorskor: (pp. 287-292). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Etik och barnmorskans arbete ur ett globalt perspektiv
2021 (Swedish)In: Etik för barnmorskor / [ed] Marie Oscarsson, Susanne Georgsson, Lund: Studentlitteratur AB, 2021, 1:1, p. 287-292-Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2021 Edition: 1:1
Keywords
Etik
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:du-41644 (URN)978-91-44-13332-4 (ISBN)
Available from: 2022-06-16 Created: 2022-06-16 Last updated: 2023-03-17Bibliographically approved
Wiklund, I., Sahar, Z., Papadopolou, M. & Löfgren, M. (2020). Parental experience of bedside handover during childbirth: A qualitative interview study. Sexual & Reproductive HealthCare, 24, Article ID 100496.
Open this publication in new window or tab >>Parental experience of bedside handover during childbirth: A qualitative interview study
2020 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 24, article id 100496Article in journal (Refereed) Published
Abstract [en]

Background: It has been described that bedside reporting can contribute to patient safety and increase patient involvement in healthcare. To our knowledge, however, there is no existing research on bedside handover during labour. Aim: The aim of this study was to examine the patient's experiences of bedside handover during labour. Method: A qualitative design was used. Nineteen couples were interviewed after childbirth regarding their experiences of bedside handover during delivery. Twelve of those had experienced bedside handover and were, thereby, included in the study. The interviews were performed in a delivery ward in Stockholm during January 2018. The material was analysed according to content analysis. Results: Four main categories emerged from the data: non-verbal communication, verbal communication, concerns, and birth experience. In general, bedside handover was perceived to be positive, the participants felt they were treated professionally, and that they had been involved during the handover. One advantage with the handover was the possibility for parents to confirm the sharing of information during the handover, which made them feel secure. Moreover, most of the parents reported they received good treatment and had a good labour experience. Parents’ experiences of bedside handover and midwives’ support were summarised as follows: midwives used common words and avoided using medical terminology, and they kept eye contact with the woman and her partner. Conclusion: Bedside handover was experienced by both parents as a way of being positively included in the care of their newborn. The caregivers were described as being attentive, respectful, and were good listeners. © 2020 Elsevier B.V.

Place, publisher, year, edition, pages
Elsevier B.V., 2020
Keywords
Bedside reporting, Experiences, Interview, Patient safety, Patients included, article, caregiver, childbirth, content analysis, female, human, medical terminology, midwife, newborn, nonverbal communication, respect, adult, birth, child parent relation, clinical handover, epidemiology, hospital, information dissemination, interpersonal communication, male, patient participation, pregnancy, professional-patient relationship, psychology, qualitative research, Sweden, Communication, Hospitals, Maternity, Humans, Parents, Parturition, Patient Handoff, Professional-Patient Relations
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:du-38864 (URN)10.1016/j.srhc.2020.100496 (DOI)2-s2.0-85078799035 (Scopus ID)
Available from: 2021-11-30 Created: 2021-11-30 Last updated: 2021-11-30Bibliographically approved
Wiklund, I. (2019). Disrespect and abuse during birth and postnatal care. Sexual & Reproductive HealthCare, 21
Open this publication in new window or tab >>Disrespect and abuse during birth and postnatal care
2019 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 21Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Elsevier B.V., 2019
Keywords
abuse, birth, childbirth, disrespect, Editorial, female, health care need, human, maternal death, personal autonomy, personal experience, physical abuse, postnatal care, pregnancy, priority journal, verbal hostility, ethnology, professional-patient relationship, socioeconomics, Humans, Parturition, Professional-Patient Relations, Respect, Socioeconomic Factors
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:du-38865 (URN)10.1016/j.srhc.2019.07.002 (DOI)2-s2.0-85070105531 (Scopus ID)
Available from: 2021-11-30 Created: 2021-11-30 Last updated: 2021-11-30Bibliographically approved
Curtis, C., Faundes, A., Yates, A., Wiklund, I., Bokosi, M. & Lacoste, M. (2019). Postabortion family planning progress: The role of donors and health professional associations. Global Health Science and Practice, 7, S222-S230
Open this publication in new window or tab >>Postabortion family planning progress: The role of donors and health professional associations
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2019 (English)In: Global Health Science and Practice, ISSN 2169-575X, Vol. 7, p. S222-S230Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Johns Hopkins University Press, 2019
Keywords
aftercare, family planning, female, financial management, government, health care policy, human, induced abortion, medical society, organization, pregnancy, spontaneous abortion, stakeholder engagement, United States, Abortion, Induced, Abortion, Spontaneous, Family Planning Services, Financial Support, Health Policy, Humans, Societies, Societies, Medical, Stakeholder Participation, United States Agency for International Development
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:du-38866 (URN)10.9745/GHSP-D-18-00334 (DOI)2-s2.0-85071625881 (Scopus ID)
Available from: 2021-11-30 Created: 2021-11-30 Last updated: 2021-11-30Bibliographically approved
Wiklund, I., Malata, A. M., Cheung, N. F. & Cadée, F. (2018). Appropriate use of caesarean section globally requires a different approach. The Lancet, 392(10155), 1288-1289
Open this publication in new window or tab >>Appropriate use of caesarean section globally requires a different approach
2018 (English)In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 392, no 10155, p. 1288-1289Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Lancet Publishing Group, 2018
Keywords
cesarean section, economic aspect, health care access, health care quality, health care utilization, human, labor pain, medical practice, midwife, midwifery education, Note, priority journal, private health insurance, program appropriateness, unnecessary procedure, clinical practice, economics, female, global health, health service, maternal health service, organization and management, pregnancy, statistics and numerical data, utilization, Health Services Misuse, Humans, Maternal Health Services, Midwifery, Practice Patterns, Physicians'
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:du-38867 (URN)10.1016/S0140-6736(18)32325-0 (DOI)2-s2.0-85054583355 (Scopus ID)
Available from: 2021-11-30 Created: 2021-11-30 Last updated: 2021-11-30Bibliographically approved
Wiklund, I., Wiklund, J., Pettersson, V. & Boström, A.-M. -. (2018). New parents’ experience of information and sense of security related to postnatal care: A systematic review. Sexual & Reproductive HealthCare, 17, 35-42
Open this publication in new window or tab >>New parents’ experience of information and sense of security related to postnatal care: A systematic review
2018 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 17, p. 35-42Article in journal (Refereed) Published
Abstract [en]

Background: Becoming a parent is often a tumultuous experience and a great challenge. The transition when a child is born is described affecting the parents and their relationship psychically, physically, mentally and emotionally. Information within care should be relevant and supportive. Furthermore information within the context of care should be relevant, supportive and helpful to parents in handling their new situation and increasing their self-reliance. Aim: To provide a contextualised understanding of how parents experience postnatal care in relation to information and sense of security”. Method: A systematic search was undertaken at PubMed and CINAHL database for literature published between January 2002 and August 2017. Inclusion criteria focused on postnatal care. Eight of the studies used qualitative methods and two of the studies used quantitative methods, as a result the findings could not be combined using meta-analysis or meta-synthesis, instead narrative synthesis of the findings were used. Results: Ten studies were included. The analysis revealed three categories related to parent's experience of information and sense of security during the postnatal period. These categories were; Expectations on the care; Own resources; and Confirmation. Support from staff and family is described as significant for the parents' sense of security. During the first postnatal week, the emotions were characterized by anxiety and/or fear. Parents prefer a “non-judgmental” attitude from the staff and to be met as an individual. Conclusion: Family -centred care such as continuity, participation, individually adaptation, consistent, information and preparation for parenting appear to be important components for parents' sense of security in postnatal care. © 2018

Place, publisher, year, edition, pages
Elsevier B.V., 2018
Keywords
Experience postnatal, Information, New parents, Sense of security, child parent relation, Cinahl, data analysis, data synthesis, emotion, expectation, family, human, infant care, medical information, Medline, meta analysis (topic), narrative, parent, parental attitude, personal experience, postnatal care, priority journal, Review, self concept, systematic review, attitude, father, female, mother, patient care, patient education, patient participation, pregnancy, psychology, puerperium, Continuity of Patient Care, Emotions, Fathers, Humans, Mothers, Parenting, Patient Education as Topic, Postpartum Period, Self Efficacy
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:du-38868 (URN)10.1016/j.srhc.2018.06.001 (DOI)2-s2.0-85048522264 (Scopus ID)
Available from: 2021-11-30 Created: 2021-11-30 Last updated: 2021-11-30Bibliographically approved
Sahlin, M., Andolf, E., Edman, G. & Wiklund, I. (2017). Mode of delivery among Swedish midwives and obstetricians and their attitudes towards caesarean section. Sexual & Reproductive HealthCare, 11, 112-116
Open this publication in new window or tab >>Mode of delivery among Swedish midwives and obstetricians and their attitudes towards caesarean section
2017 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 11, p. 112-116Article in journal (Refereed) Published
Abstract [en]

Background A knowledge gap exists around midwives' and obstetricians' mode of delivery in comparison to the general population, and if their personal experience influences their attitudes towards different modes of delivery. Objectives The aim of the present study was to investigate midwives' and obstetricians' mode of delivery compared to the population at large. The second aim was to see if their mode of delivery had been influenced by the expanded indications for caesarean section as described in medical literature. Thirdly, the differences between obstetricians' and midwifes' attitudes to caesarean section on maternal request was investigated. Material and method Textbooks from midwifery education and medical schools were reviewed using a structured protocol. A questionnaire for midwives and obstetricians containing questions on mode of delivery, attitudes towards patients' autonomy and performing caesarean sections on maternal request was sent to 380 midwives and 97 obstetricians born in 1935, 1955 or 1975 with an invitation to participate in the study. Two hundred and sixty three midwives and 55 obstetricians provided completed responses. Results The review of textbooks identified that the number of indications for caesarean section has increased. Indications for caesarean section increased in medical textbooks from seven in the oldest books, from year 1955, to 11 in the textbook from 1993. The focus has shifted in more recently published textbooks to prevention of fatal deliveries. In earlier obstetric care they tend to learn to solve the catastrophe when it had occurred. No significant relationship between midwives' and obstetricians; own mode of delivery and their attitudes towards performing a caesarean section on maternal request (p = 0.191) was found. Thirty percent of the obstetricians reported that they would perform a caesarean section if the pregnant woman requested one. The study found a significant difference between the professions in the statement “the proportion of caesarean section is too high” where midwives to a greater extent agreed with the statement (p = 0.033). There were no significant differences between caesarean section as the mode of delivery for midwives and obstetricians as compared to the general population. Midwives born in 1975 had significantly lower rate of instrumental births compared to the population at large (p < 0.05). Conclusions Over the years, the indications for caesarean section have increased. The increase is shown in both the textbooks read during the different time periods as well as among the Swedish midwives and obstetricians born in 1955 and 1975. © 2016 Elsevier B.V.

Place, publisher, year, edition, pages
Elsevier B.V., 2017
Keywords
Attitude, Caesarean section, Midwives, Mode of delivery, Obstetricians, adult, Article, book, cesarean section, female, health care personnel, health personnel attitude, human, instrumental delivery, major clinical study, male, medical education, midwife, obstetrician, patient autonomy, patient preference, personal experience, practice guideline, priority journal, Swedish citizen, clinical practice, doctor patient relation, middle aged, nurse midwife, nursing practice, obstetric delivery, physician, Sweden, unnecessary procedure, Attitude of Health Personnel, Delivery, Obstetric, Humans, Nurse Midwives, Physician-Patient Relations, Physicians, Practice Patterns, Nurses', Practice Patterns, Physicians', Unnecessary Procedures
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:du-38870 (URN)10.1016/j.srhc.2016.04.002 (DOI)2-s2.0-84965139496 (Scopus ID)
Available from: 2021-11-30 Created: 2021-11-30 Last updated: 2021-11-30Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7840-7885

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