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Kvinnors upplevelser av fosterrörelser i slutet av graviditeten
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Uppsala universitet.ORCID iD: 0000-0001-7385-5649
2013 (Swedish)Licentiate thesis, comprehensive summary (Other academic)
Abstract [sv]

Bakgrund: Det finns begränsad kunskap om hur kvinnor upplever fosterrörelser i slutet av graviditeten. Ökad kunskap om fosterrörelser kan bidra till bättre möjligheter att identifiera foster som riskerar att dö intrauterint. Syfte: Att utforska hur gravida kvinnor upplever fosterrörelser i slutet av en okomplicerad graviditet samt hur mammor som mist ett barn i livmodern upplevt kontakten med barnet tiden före beskedet att barnet hade dött. Metod: Delstudie I, djupintervjuer med 26 mammor vars barn dött före födelsen, efter 28 fullgångna graviditetsveckor. Delstudie II, frågeformulär till 393 kvinnor med okomplicerad graviditet som besvarades i graviditetsvecka 37 till 42. Svaren analyserades i båda studierna med kvalitativ innehållsanalys. Resultat: 22 mammor i delstudie I beskrev att de hade haft en föraning om att något kunde ha hänt deras barn innan de fick besked att barnet dött intrauterint. Föraningen grundades på att mammorna hade upplevt minskade eller uteblivna fosterrörelser. Det är något som inte stämmer; formulerades som ett sammanfattande tema på mammornas föraning. Processen mot insikten om att deras barn dött beskrivs i olika steg; Inte känna kontakt med barnet; Känna oro; Känna att något är fel; Inte begripa det ofattbara; Vilja få besked; Vara säker på att barnet har dött. I delstudie II beskrev 383 (96 %) kvinnor i fullgången okomplicerad graviditet olika rörelser som klassificerades som kraftfulla rörelser. De flesta kvinnorna beskrev flera typer av rörelser, tio (4 %) kvinnor beskrev fosterrörelser som inte inkluderade någon rörelse i kategorin kraftfulla rörelser. Konklusion: Mammor som mist sitt barn före födelsen hade känt en föraning om att deras väntade barn kunde må dåligt, de hade upplevt att de tappat kontakten med barnet innan de fick besked att barnet hade dött i livmodern men normaliserade känslan. De flesta kvinnor med okomplicerad, fullgången graviditet, beskriver att barnet rör sig med kraft och tryck, få kvinnor beskriver rörelser som inte kan kategoriseras som kraftfulla. Implikationer: Blivande mammor bör uppmanas att lita på sin upplevelse av att det är något som inte stämmer och kontakta sjukvården direkt om de är bekymrade över sitt ofödda barns rörelser. Bedömning av fosterrörelser i fullgången graviditet kan inkludera: förekomst, frekvens och intensitet.

Nyckelord: Innehållsanalys, fosterdöd, fosterrörelser, fullgången graviditet, upplevelser

Place, publisher, year, edition, pages
Falun: Institutionen för kvinnors och barns hälsa, Uppsala Universitet , 2013. , 82 p.
Keyword [sv]
Innehållsanalys, fosterdöd, fosterrörelser, fullgången graviditet, upplevelser
National Category
Medical and Health Sciences
Research subject
Hälsa och välfärd, Mammors erfarenheter och beskrivning av sitt barns rörelser i livmodern
Identifiers
URN: urn:nbn:se:du-11801ISBN: 978-91-506-2328-4 (print)OAI: oai:DiVA.org:du-11801DiVA: diva2:602951
Presentation
2013-01-11, Högskolan Dalarna, 791 88, Falun, 14:01 (Swedish)
Opponent
Supervisors
Note

Betygsnämnd: Margareta Larsson, ordförande (Kvinnor och Barns Hälsa, Uppsala Universitet), Helle Kieler, Docent (Institutionen för medicin Solna, enheten för klinisk epidemiologi. Karolinska Institutet), Lars Wallin, professor (Akademin Hälsa och samhälle, Högskolan Dalarna).

Available from: 2013-02-04 Created: 2013-02-04 Last updated: 2015-06-12Bibliographically approved
List of papers
1. Losing contact with one’s unborn baby: mothers’ experiences prior to receiving news that their baby has died in utero
Open this publication in new window or tab >>Losing contact with one’s unborn baby: mothers’ experiences prior to receiving news that their baby has died in utero
2011 (English)In: Omega : Journal of Death and Dying, ISSN 1541-3764, Vol. 62, no 4, 353-367 p.Article in journal (Refereed) Published
Abstract [en]

Background: A change in the pattern of movement of her unborn baby could be indicative that the baby might die.

Aim: To study mothers' experiences during the time prior to receiving news that their baby has died.

Method: Interviews with 26 mothers.

Results: Premonition that something had happened to their baby, a sense based on a lack of movements were experienced. Six categories describe the mother's insight that the baby's life was threatened: not feeling in touch with their baby; worry' feeling something is wrong; not understanding the unbelievable; wanting information; and being certain that their baby had died. The overarching theme "There is something wrong" was formulated.

Conclusion: The mother could not understand the unbelievable: that the baby had died in utero. Implications: Mother's should be cautioned to trust their insights and seek medical advice if they are concerned over the lack of movement from the unborn baby.

Place, publisher, year, edition, pages
Amityville: Baywood, 2011
National Category
Health Sciences
Research subject
Hälsa och välfärd
Identifiers
urn:nbn:se:du-5143 (URN)10.2190/OM.62.4.c (DOI)000288504700003 ()
Available from: 2010-12-16 Created: 2010-12-16 Last updated: 2016-08-18Bibliographically approved
2. Women's perception of fetal movements in full term pregnancy: A Swedish population-based study
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, 113- p.Conference 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
Keyword
content analysis, fetal movements, full term pregnancy, perception
National Category
Medical and Health Sciences
Research subject
Hälsa och välfärd
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: 2015-06-12Bibliographically approved

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