257 results on '"Lundgren, Ingela"'
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2. Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis
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Eriksson, Monica, Ekström-Bergström, Anette, Arvidsson, Susann, Jormfeldt, Henrika, Thorstensson, Stina, Åström, Ulrica, Lundgren, Ingela, Roxberg, Åsa, Eriksson, Monica, Ekström-Bergström, Anette, Arvidsson, Susann, Jormfeldt, Henrika, Thorstensson, Stina, Åström, Ulrica, Lundgren, Ingela, and Roxberg, Åsa
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Background: Wellness is a holistic, multidimensional, and process-oriented property on a continuum. It has been used interchangeably with and is undifferentiated from concepts such as health and well-being without an in-depth clarification of its theoretical foundations and a reflection on its meaning. The concept of wellness is frequently used, but its definition remains unclear. Aim: To conceptually and theoretically explore the concept of wellness to contribute to a deeper understanding in caring science. Method: Rodgers' evolutionary concept analysis was applied to the theoretical investigation of data from publications of international origins. The focus was on antecedents, attributes, consequences, surrogate and related terms, and contextual references. A literature search was performed through a manual review of reference lists and an online search in CINAHL and PubMed via EBSCO, and in ProQuest. Abstracts were examined to identify relevant studies for further review. The inclusion criteria were peer-reviewed papers in English; papers published in scientific journals using the surrogate terms ‘wellness’, ‘health’, ‘health care’, and ‘health care and wellness’; and papers discussing and/or defining the concept of wellness. Twenty-six studies met the inclusion criteria. Results: Based on the findings from this concept analysis, a definition of wellness was developed: ‘a holistic and multidimensional concept represented on a continuum of being well that goes beyond health’. Implications for nursing practice were correspondingly presented. Conclusion: Wellness is defined as a holistic and comprehensive multidimensional concept represented on a continuum of being well, that goes beyond health. It calls attention by applying the salutogenic perspective to health promotion in caring science. It is strongly related to individual lifestyle and health behaviour and is frequently used interchangeably with health and well-being without an in-depth clarification of its th, CC BY 4.0© 2023 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.Theoretical articleCorrespondence: Anette Ekström-Bergström, Department of Health Sciences, University West, Trollhättan, Sweden. Email: anette-ekstrom.bergstrom@hv.se
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- 2024
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3. Professional courage to create a pathway within midwives’ fields of work: a grounded theory study
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Hansson, Malin, Lundgren, Ingela, Hensing, Gunnel, Dencker, Anna, Eriksson, Monica, and Carlsson, Ing-Marie
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- 2021
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4. Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis
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Eriksson, Monica, Ekström-Bergström, Anette, Arvidsson, Susann, Jormfeldt, Henrika, Thorstensson, Stina, Åström, Ulrica, Lundgren, Ingela, Roxberg, Åsa, Eriksson, Monica, Ekström-Bergström, Anette, Arvidsson, Susann, Jormfeldt, Henrika, Thorstensson, Stina, Åström, Ulrica, Lundgren, Ingela, and Roxberg, Åsa
- Abstract
Background Wellness is a holistic, multidimensional, and process-oriented property on a continuum. It has been used interchangeably with and is undifferentiated from concepts such as health and well-being without an in-depth clarification of its theoretical foundations and a reflection on its meaning. The concept of wellness is frequently used, but its definition remains unclear. Aim To conceptually and theoretically explore the concept of wellness to contribute to a deeper understanding in caring science. Method Rodgers' evolutionary concept analysis was applied to the theoretical investigation of data from publications of international origins. The focus was on antecedents, attributes, consequences, surrogate and related terms, and contextual references. A literature search was performed through a manual review of reference lists and an online search in CINAHL and PubMed via EBSCO, and in ProQuest. Abstracts were examined to identify relevant studies for further review. The inclusion criteria were peer-reviewed papers in English; papers published in scientific journals using the surrogate terms ‘wellness’, ‘health’, ‘health care’, and ‘health care and wellness’; and papers discussing and/or defining the concept of wellness. Twenty-six studies met the inclusion criteria. Results Based on the findings from this concept analysis, a definition of wellness was developed: ‘a holistic and multidimensional concept represented on a continuum of being well that goes beyond health’. Implications for nursing practice were correspondingly presented. Conclusion Wellness is defined as a holistic and comprehensive multidimensional concept represented on a continuum of being well, that goes beyond health. It calls attention by applying the salutogenic perspective to health promotion in caring science. It is strongly related to individual lifestyle and health behaviour and is frequently used interchangeably with health and well-being without an in-depth clarification of its theoret, CC BY
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- 2023
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5. Measuring women’s experiences of decision-making and aspects of midwifery support: a confirmatory factor analysis of the revised Childbirth Experience Questionnaire
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Dencker, Anna, Bergqvist, Liselotte, Berg, Marie, Greenbrook, Josephine T. V., Nilsson, Christina, and Lundgren, Ingela
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- 2020
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6. OptiBIRTH: a cluster randomised trial of a complex intervention to increase vaginal birth after caesarean section
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Clarke, Mike, Devane, Declan, Gross, Mechthild M., Morano, Sandra, Lundgren, Ingela, Sinclair, Marlene, Putman, Koen, Beech, Beverley, Vehviläinen-Julkunen, Katri, Nieuwenhuijze, Marianne, Wiseman, Hugh, Smith, Valerie, Daly, Deirdre, Savage, Gerard, Newell, John, Simpkin, Andrew, Grylka-Baeschlin, Susanne, Healy, Patricia, Nicoletti, Jane, Lalor, Joan, Carroll, Margaret, van Limbeek, Evelien, Nilsson, Christina, Stockdale, Janine, Fobelets, Maaike, and Begley, Cecily
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- 2020
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7. Time-out in prolonged labour: development of a care model to prevent secondary fear of childbirth
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Ringqvist, Anna-Karin, primary, Bergqvist, Liselotte, additional, Brezicka, Thomas, additional, and Lundgren, Ingela, additional
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- 2022
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8. Neonatal outcomes associated with mode of subsequent birth after a previous caesarean section in a first pregnancy: a Swedish population-based register study between 1999 and 2015
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Dencker, Anna, primary, Lyckestam Thelin, Ida, additional, Smith, Valerie, additional, Lundgren, Ingela, additional, Nilsson, Christina, additional, Li, Huiqi, additional, Ladfors, Lars, additional, and Elfvin, Anders, additional
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- 2022
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9. Women’s lived experiences of induction of labour in late- and post-term pregnancy within the Swedish post-term induction study – a phenomenological study
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Nilvér, Helena, Lundgren, Ingela, Elden, Helen, Dencker, Anna, Nilvér, Helena, Lundgren, Ingela, Elden, Helen, and Dencker, Anna
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Purpose There is a trend worldwide to induce pregnant women earlier. However, few studies have focused on women’s experiences. The aim was to gain a deeper understanding of women’s lived experiences of induction of labour in late- and post-term pregnancy. Methods Phenomenology with a reflective lifeworld approach was chosen as the method. Twelve women participating in a larger study in which women were randomized to either induction of labour in week 41 or to expectant management until week 42, were interviewed one to three months after giving birth. Results The essence is described as follows: labour becomes another journey than the intended one. The women adapted to this new journey by seeing the advantages and handing themselves over to the healthcare system, but at the same time something about giving birth could be lost. The result is further described by its four constituents: planning the unplannable, being a guest at the labour ward, someone else controlling the labour, and overshadowed by how it turned out. Conclusion Induced labour presents a challenge to maternity personnel to support the birthing woman’s normal progress, not to rush her through labour, and to involve her in the process.
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- 2022
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10. Women’s lived experiences of induction of labour in late- and post-term pregnancy within the Swedish post-term induction study – a phenomenological study
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Nilvér, Helena, primary, Lundgren, Ingela, additional, Elden, Helen, additional, and Dencker, Anna, additional
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- 2022
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11. Implementation of a midwifery model of woman-centered care in practice: Impact on oxytocin use and childbirth experiences
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Lundgren, Ingela, primary, Dencker, Anna, additional, Berg, Marie, additional, Nilsson, Christina, additional, Bergqvist, Liselotte, additional, and Ólafsdóttir, Ólöf-Ásta, additional
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- 2022
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12. Midwives and obstetricians’ attitudes towards VBAC : development and validation of the HCAV-scale
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Portz, Suniva, Stoll, Kathrin, Lundgren, Ingela, Gross, Mechthild M., Portz, Suniva, Stoll, Kathrin, Lundgren, Ingela, and Gross, Mechthild M.
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Objective To develop a scale that measures attitudes towards vaginal birth after caesarean (VBAC) among clinicians. Methods A cross sectional survey among midwives (n = 58) and obstetricians (n = 51). A 23-item “Hannover Clinicians’ Attitudes towards VBAC scale” (HCAV–scale) was developed. Indicators of reliability and validity were assessed, including item-to-total correlation, Cronbach alpha coefficient and factor analysis. Results The response rate was 35.3% (n = 109). The HCAV–scale showed high construct validity and high internal consistency. The Cronbach alpha coefficient of the 23 items was 0.87 (n = 89), indicating good internal consistency of the items. Exploratory factor analysis resulted in factor loadings between 0.34 and 0.70; all 23 items loaded above 0.3 on one factor, providing evidence that the scale can be conceptualized as one-dimensional. Conclusions The HCAV–scale is a reliable and valid tool to assess clinicians’ favourable attitudes towards VBAC. The scale can be used to assess how attitudes of clinicians might contribute to institutional variations in VBAC rates, and has the potential to enhance inter-professional understanding and collaboration around VBAC and quality of care for childbearing people with a previous caesarean.
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- 2021
13. Women's childbirth experiences in the Swedish Post-term Induction Study (SWEPIS) : a multicentre, randomised, controlled trial
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Nilver, Helena, Wessberg, Anna, Dencker, Anna, Hagberg, Henrik, Wennerholm, Ulla-Britt, Fadl, Helena, Wesstrom, Jan, Sengpiel, Verena, Lundgren, Ingela, Bergh, Christina, Wikström, Anna-Karin, Saltvedt, Sissel, Elden, Helen, Nilver, Helena, Wessberg, Anna, Dencker, Anna, Hagberg, Henrik, Wennerholm, Ulla-Britt, Fadl, Helena, Wesstrom, Jan, Sengpiel, Verena, Lundgren, Ingela, Bergh, Christina, Wikström, Anna-Karin, Saltvedt, Sissel, and Elden, Helen
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Objective To compare childbirth experiences in women randomly assigned to either induction of labour at 41 weeks or to expectant management until 42 weeks, in the Swedish Post-term Induction Study. Design A register-based, multicentre, randomised, controlled, superiority trial. Setting Women were recruited at 14 hospitals in Sweden, 2016-2018. Participants Women with an uncomplicated singleton pregnancy were recruited at 41 gestational weeks. Interventions The women were randomly assigned to induction of labour at 41 weeks (induction group, n=1381) or expectant management until 42 weeks (expectant management group, n=1379). Outcome measures As main outcome, women's childbirth experiences were measured using the Childbirth Experience Questionnaire version 2 (CEQ2), in 656 women, 3 months after the birth at three hospitals. As exploratory outcome, overall childbirth experience was measured in 1457 women using a Visual Analogue Scale (VAS 1-10) within 3 days after delivery at the remaining eleven hospitals. Results The total response rate was 77% (2113/2760). There were no significant differences in childbirth experience measured with CEQ2 between the groups (induction group, n=354; expectant management group, n=302) in the subscales: own capacity (2.8 vs 2.7, p=0.09), perceived safety (3.3 vs 3.2, p=0.06) and professional support (3.6 vs 3.5, p=0.38) or in the total CEQ2 score (3.3 vs 3.2, p=0.07), respectively. Women in the induction group scored higher in the subscale participation (3.6 vs 3.4, p=0.02), although with a small effect size (0.19). No significant difference was observed in overall childbirth experience according to VAS (8.0 (n=735) vs 8.1 (n=735), p=0.22). Conclusions There were no differences in childbirth experience, according to CEQ2 or overall childbirth experience assessed with VAS, between women randomly assigned to induction of labour at 41 weeks or expectant management until 42 weeks. Overall, women rated their childbirth experiences high.
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- 2021
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14. Forbedringspotensial i den norske fødselsomsorgen
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Skogheim, Gry, primary and Lundgren, Ingela, additional
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- 2021
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15. Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial
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Nilvér, Helena, primary, Wessberg, Anna, additional, Dencker, Anna, additional, Hagberg, Henrik, additional, Wennerholm, Ulla-Britt, additional, Fadl, Helena, additional, Wesström, Jan, additional, Sengpiel, Verena, additional, Lundgren, Ingela, additional, Bergh, Christina, additional, Wikström, Anna-Karin, additional, Saltvedt, Sissel, additional, and Elden, Helen, additional
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- 2021
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16. Implementation of a midwifery model of womancentered care in practice: Impact on oxytocin use and childbirth experiences.
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Lundgren, Ingela, Dencker, Anna, Berg, Marie, Nilsson, Christina, Bergqvist, Liselotte, and Ólafsdóttir, Ólöf-Ásta
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MIDWIVES ,OXYTOCIN ,CHILDBIRTH ,UNIVERSITY hospitals - Abstract
INTRODUCTION Theoretical models for midwifery have been developed in different countries, but few have been evaluated. This study evaluated the implementation of a midwifery model of woman-centered care (MiMo) in practice. METHODS A mixed method study based on an implementation of MiMo was carried out in a labor ward at a university hospital in Sweden, with another labor ward as a reference. The qualitative core component was a secondary analysis of focus groups with midwives after the implementation. The supplemental quantitative components were oxytocin use for augmentation of labor and women's childbirth experiences before and after the implementation. RESULTS The midwives viewed MiMo as a useful tool for comprehending the birthing woman holistically, and for identifying what might disturb the birth process. Hindering factors were a lack of organizational stability and time, and midwives' unwillingness to understand the model. Oxytocin use decreased significantly only in the implementation ward (p=0.002) and a significant difference was found between wards in the postimplementation period (p=0.004). However, logistic regression analyses showed that the interaction between ward and time period, controlling for age, epidural use, and birth outcome, was not significant (p=0.304), indicating that the decrease was not significantly related to the implementation. Childbirth experience did not differ before and after the implementation. CONCLUSIONS By using MiMo in practice, midwives have a tool for comprehending the woman holistically and identifying disturbing factors during the birth. However, more research is needed for further implementation that should focus on the potential as well as hindering factors. [ABSTRACT FROM AUTHOR]
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- 2022
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17. A Midwifery Model of Woman Centred care in Swedish and Icelandic Settings (MiMo) - Usefulness and Impact in Practice
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Ólafsdóttir, Ólöf Ásta, Lundgren, Ingela, and Berg, Marie
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ddc: 610 ,theoretical model ,evaluations ,woman-centred care ,guidelines ,610 Medical sciences ,Medicine ,midwifery - Abstract
Background: Theoretical models of midwifery include the core of providing woman centred care, promoting normality of childbirth. As the professional roles of midwives and the cultural context of maternity care differ globally, there is need to develop, implement and assess usefulness and impact of midwifery[for full text, please go to the a.m. URL], 5th International Conference of the German Association of Midwifery Science (DGHWi)
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- 2020
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18. Additional file 4 of OptiBIRTH: a cluster randomised trial of a complex intervention to increase vaginal birth after caesarean section
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Clarke, Mike, Devane, Declan, Gross, Mechthild, Morano, Sandra, Lundgren, Ingela, Sinclair, Marlene, Putman, Koen, Beech, Beverley, VehviläInen-Julkunen, Katri, Nieuwenhuijze, Marianne, Wiseman, Hugh, Smith, Valerie, Daly, Deirdre, Savage, Gerard, Newell, John, Simpkin, Andrew, Grylka-Baeschlin, Susanne, Healy, Patricia, Nicoletti, Jane, Lalor, Joan, Carroll, Margaret, Limbeek, Evelien, Nilsson, Christina, Stockdale, Janine, Fobelets, Maaike, and Begley, Cecily
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Additional file 4. Maternal age at recruitment.
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- 2020
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19. Additional file 2 of OptiBIRTH: a cluster randomised trial of a complex intervention to increase vaginal birth after caesarean section
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Clarke, Mike, Devane, Declan, Gross, Mechthild, Morano, Sandra, Lundgren, Ingela, Sinclair, Marlene, Putman, Koen, Beech, Beverley, VehviläInen-Julkunen, Katri, Nieuwenhuijze, Marianne, Wiseman, Hugh, Smith, Valerie, Daly, Deirdre, Savage, Gerard, Newell, John, Simpkin, Andrew, Grylka-Baeschlin, Susanne, Healy, Patricia, Nicoletti, Jane, Lalor, Joan, Carroll, Margaret, Limbeek, Evelien, Nilsson, Christina, Stockdale, Janine, Fobelets, Maaike, and Begley, Cecily
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nutritional and metabolic diseases - Abstract
Additional file 2. BMI at recruitment.
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- 2020
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20. Work situation and professional role for midwives at a labour ward pre and post implementation of a midwifery model of care – A mixed method study
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Hansson, Malin, primary, Lundgren, Ingela, additional, Dencker, Anna, additional, Taft, Charles, additional, and Hensing, Gunnel, additional
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- 2020
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21. Veiled midwifery in the baby factory : A grounded theory study
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Hansson, Malin, Lundgren, Ingela, Hensing, Gunnel, Carlsson, Ing-Marie, Hansson, Malin, Lundgren, Ingela, Hensing, Gunnel, and Carlsson, Ing-Marie
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BACKGROUND: Midwives' professional role has been changing drastically over time, from handling births in home settings to being part of a team in labour wards in hospitals. This demands a greater effort of interprofessional collaboration in childbirth care. AIM: Explore midwives' work in a hospital-based labour ward from the perspectives of other professions, working in the same ward. METHOD: Classical grounded theory, using a constant comparative analysis, was applied to focus group interviews with obstetricians, assistant nurses and managers to explore their views of midwifery work during childbirth. FINDINGS: The substantive theory of 'veiled midwifery' emerged as an explanation of the social process between the professions in the 'baby factory' context. The other professionals perceive midwifery through a veil that filters the reality and only permits fragmentary images of the midwives' work. The main concern for the other professions was that the midwives were 'marching to own drum'. The midwives were perceived as both in dissonance with the baby factory, and therefore hard to control, or, alternatively more compliant with the prevailing rhythm. This caused an unpredictability and led to feelings of frustration and exclusion. Which in turn resulted in attempts to cooperate and gain access to the midwifery world, by using three unveiling strategies: Streamlining, Scrutinising and Collaborating admittance. CONCLUSIONS: Findings provide a theoretical conceptualisation of a 'veiled midwifery 'that causes problems for the surrounding team. This generates a desire to streamline and control midwifery in order to increase interprofessional collaboration. © 2018 The Authors
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- 2019
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22. ‘Groping through the fog’: a metasynthesis of women's experiences on VBAC (Vaginal birth after Caesarean section)
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Lundgren Ingela, Begley Cecily, Gross Mechthild M, and Bondas Terese
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Metasynthesis ,Qualitative studies ,VBAC ,Women's experiences ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Background Vaginal birth after Caesarean section (VBAC) is a relevant question for a large number of women due to the internationally rising Caesarean section (CS) rate. There is a great deal of research based on quantitative studies but few qualitative studies about women's experiences. Method A metasynthesis based on the interpretative meta ethnography method was conducted. The inclusion criterion was peer-review qualitative articles from different disciplines about women's experiences of VBAC. Eleven articles were checked for quality, and eight articles were included in the synthesis. Results The included studies were from Australia (four), UK (three), and US (one), and studied women's experience in relation to different aspects of VBAC; decision-making whether to give birth vaginally, the influence of health professionals on decision-making, reason for trying a vaginal birth, experiences when choosing VBAC, experiences of giving birth vaginally, and giving birth with CS when preferring VBAC. The main results are presented with the metaphor groping through the fog; for the women the issue of VBAC is like being in a fog, where decision-making and information from the health care system and professionals, both during pregnancy and the birth, is unclear and contrasting. The results are further presented with four themes: ‘to be involved in decision about mode of delivery is difficult but important,’ ‘vaginal birth has several positive aspects mainly described by women,’ ‘vaginal birth after CS is a risky project,’ and ‘own strong responsibility for giving birth vaginally'. Conclusion In order to promote VBAC, more studies are needed from different maternity settings and countries about women's experiences. Women need evidence-based information not only about the risks involved but also positive aspects of VBAC.
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- 2012
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23. To challenge oneself as a childbearing woman—the lived experience of vaginal birth after caesarean section in Sweden
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Lyckestam Thelin, Ida, primary, Lundgren, Ingela, additional, and Nilsson, Christina, additional
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- 2019
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24. Midwives’ care on a labour ward prior to the introduction of a midwifery model of care: a field of tension
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Nilsson, Christina, primary, Olafsdottir, Olof Asta, additional, Lundgren, Ingela, additional, Berg, Marie, additional, and Dellenborg, Lisen, additional
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- 2019
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25. Clinicians’ views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section) : a study from countries with low VBAC rates
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Lundgren, Ingela, Healy, Patricia, Carroll, Margaret, Begley, Cecily, Matterne, Andrea, Gross, Mechthild Maria, Grylka-Baeschlin, Susanne, Nicoletti, Jane, Morano, Sandra, Nilsson, Christina, Lalor, Joan, Lundgren, Ingela, Healy, Patricia, Carroll, Margaret, Begley, Cecily, Matterne, Andrea, Gross, Mechthild Maria, Grylka-Baeschlin, Susanne, Nicoletti, Jane, Morano, Sandra, Nilsson, Christina, and Lalor, Joan
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Background: Caesarean section (CS) rates are increasing worldwide and the most common reason is repeat CS following previous CS. For most women a vaginal birth after a previous CS (VBAC) is a safe option. However, the rate of VBAC differs in an international perspective. Obtaining deeper knowledge of clinicians’ views on VBAC can help in understanding the factors of importance for increasing VBAC rates. Focus group interviews with clinicians and women in three countries with high VBAC rates (Finland, Sweden and the Netherlands) and three countries with low VBAC rates (Ireland, Italy and Germany) are part of “OptiBIRTH”, an ongoing research project. The study reported here aims to explore the views of clinicians from countries with low VBAC rates on factors of importance for improving VBAC rates. Methods: Focus group interviews were held in Ireland, Italy and Germany. In total 71 clinicians participated in nine focus group interviews. Five central questions about VBAC were used and interviews were analysed using content analysis. The analysis was performed in each country in the native language and then translated into English. All data were then analysed together and final categories were validated in each country. Results: The findings are presented in four main categories with several sub-categories: 1) “prameters for VBAC”, including the importance of the obstetric history, present obstetric factors, a positive attitude among those who are centrally involved, early follow-up after CS and antenatal classes; 2) “organisational support and resources for women undergoing a VBAC”, meaning a successful VBAC requires clinical expertise and resources during labour; 3) “fear as a key inhibitor of successful VBAC”, including understanding women’s fear of childbirth, clinicians’ fear of VBAC and the ways that clinicians’ fear can be transferred to women; and 4) “shared decision making – rapport, knowledge and confidence”, meaning ensuring consistent, realistic and unbiased
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- 2018
26. Vaginal birth after caesarean : views of women from countries with low VBAC rates
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Nilsson, Christina, Lalor, Joan, Begley, Cecily, Carroll, Margaret, Gross, Mechthild Maria, Grylka-Baeschlin, Susanne, Lundgren, Ingela, Matterne, Andrea, Morano, Sandra, Nicoletti, Jane, Healy, Patricia, Nilsson, Christina, Lalor, Joan, Begley, Cecily, Carroll, Margaret, Gross, Mechthild Maria, Grylka-Baeschlin, Susanne, Lundgren, Ingela, Matterne, Andrea, Morano, Sandra, Nicoletti, Jane, and Healy, Patricia
- Abstract
Problem and background: Vaginal birth after caesarean section is a safe option for the majority of women. Seeking women’s views can be of help in understanding factors of importance for achieving vaginal birth in countries where the vaginal birth rates after caesarean is low. Aim: To investigate women’s views on important factors to improve the rate of vaginal birth after caesareanin countries where vaginal birth rates after previous caesarean are low. Methods: A qualitative study using content analysis. Data were gathered through focus groups and individual interviews with 51 women, in their native languages, in Germany, Ireland and Italy. The women were asked five questions about vaginal birth after caesarean. Data were translated to English, analysed together and finally validated in each country. Findings: Important factors for the women were that all involved in caring for them were of the same opinion about vaginal birth after caesarean, that they experience shared decision-making with clinicians supportive of vaginal birth, receive correct information, are sufficiently prepared for a vaginal birth, and experience a culture that supports vaginal birth after caesarean. Discussion and conclusion: Women’s decision-making about vaginal birth after caesarean in these countries involves a complex, multidimensional interplay of medical, psychosocial, cultural, personal and practical considerations. Further research is needed to explore if the information deficit women report negatively affects their ability to make informed choices, and to understand what matters most to women when making decisions about vaginal birth after a previous caesarean as a mode of birth.
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- 2018
27. Practices used by midwives during the second stage of labor to facilitate birth - Are they related to perineal trauma?
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Edqvist, Malin, Rådestad, Ingela, Lundgren, Ingela, Mollberg, Margareta, Lindgren, Helena, Edqvist, Malin, Rådestad, Ingela, Lundgren, Ingela, Mollberg, Margareta, and Lindgren, Helena
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- 2018
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28. Conceptual Clarification of Wellness and Sense of Coherence (SOC). : Rodgers' evolutionary concept analysis in health care settings
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Eriksson, Monica, Arvidsson, Susann, Ekström, Anette, Jormfeldt, Henrika, Lundgren, Ingela, Roxberg, Åsa, Eriksson, Monica, Arvidsson, Susann, Ekström, Anette, Jormfeldt, Henrika, Lundgren, Ingela, and Roxberg, Åsa
- Abstract
Background: Clarification of concepts is important in the process of developing theories and concepts. The concept of «wellness» is frequently used, but the content is still unclear. Is the content of «wellness» the same as «health»,«sense of coherence», «wellbeing», «spirituality», «quality oflife» or another content Objective: To conceptually explore the concept of«wellness» in health care settings, and relate the results to the salutogenic core concept SOC. Method: Rodger's evolutionary concept analysis is used for the theoretical analysis of the data. The focus has been on attributes, related concepts, consequences, antecedents,references, exemplars and implications. The literature search has been performed through manual review of reference lists and online search in databases for relevant papers. The abstracts has been examined to identify relevant studies for further review. The inclusion criteria was peer reviewed papers in English, published in scientific journals using the keywords wellness/health/health care/healthcare and wellness/sense of coherence/salutogenesis, discussing and/or defining the concept of wellness. The search was run in Cinahl and PubMed via EBSCO and in ProQuest. Results: Fifty studies met the inclusion criteria. Preliminary results confirm a multidimensional property of «wellness». It seems to be used interchangeable with related concepts such as «health», «SOC», «wellbeing», «spirituality» or«quality of life» without a deeper clarification of theoretical aspects. A general impression is that wellness is strongly related to individual lifestyle and health behavior.
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- 2018
29. Midwives marching to own drum in the Baby Factory - other professions perspectives of midwifery work in labour wards
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Hansson, Malin, Lundgren, Ingela, Hensing, Gunnel, Carlsson, Ing-Marie, Hansson, Malin, Lundgren, Ingela, Hensing, Gunnel, and Carlsson, Ing-Marie
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There has been a paradigm shift in midwifery over time where different professions now work together in childbirth care. There is little research on midwives’ work from other professionals’ perspectives, which is of importance to improve midwives work situation and women-centred care. Therefore, the aim of this article was to explore other professions´ views of midwifery work during childbirth. Classical Grounded Theory, using a constant comparative analysis, was applied to focus group interviews with obstetricians, assistant nurses and managers to explore their views of midwifery work during childbirth. The substantive theory of ‘veiled midwifery’ emerged as an explanation of the social process between the professions in the ‘baby factory’ context. The other professionals perceive midwifery through a veil that filters the reality and only permits fragmentary images of the midwives´ work. The main concern for the other professions was that the midwives were ‘marching to own drum’. The midwives were perceived as both in dissonance with the baby factory, and therefore hard to control, or, alternatively more compliant with the prevailing rhythm. This caused an unpredictability and led to feelings of frustration and exclusion. Which in turn resulted in attempts to cooperate and gain access to the midwifery world, by using three unveiling strategies: Streamlining, Scrutinising and Collaborating admittance. The theory of veiled midwifery could be used as a theoretical basis for future studies, and could be a foundation for a dialogue of philosophical differences in the way birth is viewed in the clinical setting, to improve the work situation.
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- 2018
30. A systematic literature review of computer-based behavioural change interventions to inform the design of an online vbac intervention for the optibirth european randomised trial (Project health – f3 – 2012-305208)
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Sinclair, Marlene, Stockdale, Janine, Holman, Mary Rose, Brown, Mary Jane, Morano, Sandra, Gross, Mechthild, and Lundgren, Ingela
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Technology ,Information technology ,Midwifery ,VBAC ,SDG 3 - Good Health and Well-being ,Pregnancy ,Maternity and Midwifery ,Systematic review ,Fundamentals and skills ,Evidence-based midwifery ,Decision-making - Abstract
Aim: The aim of this research was to systematically review computer-based, behaviour change (BC) interventions during pregnancy and their design components in order to determine their best application within the context of theOptiBIRTH intervention.Design: A systematic literature review was undertaken using the Cochrane collaboration guidelines for systematic reviews of health promotion and public health interventions. Literature searches were conducted in: OvidMEDLINE, PubMed, Cochrane Library, Embase, PsycINFO, from database inception to June 2015. Cochrane Risk of Bias criteria was applied to assess the methodological quality and a taxonomy of BC techniques was used to appraisethe interventions. PICO: Participants included healthy pregnant women who were ≥18 years old. The types of intervention used were computer-based interventions designed to facilitate a BC approach in a sample of pregnant women. The comparison was routine antenatal care. The primary outcome included improved health behaviour(s), as an indicator of the intention behind the intervention design.Results: A total of 343 papers were identified through database-searching and hand-searching methods; 80 duplicates were removed. From the remaining 263 papers, 244 did not explicitly address the subject under review. Therefore, 19 full-text articles were assessed for eligibility; 16 did not meet eligibility criteria and were excluded at this stage. This resulted in a total of three studies being selected for inclusion in this review (Jackson et al, 2011; Tzilos et al, 2011; Tsoh et al, 2010).The computer-based interventions were designed to bring about BC in relation to alcohol consumption, smoking or diet and exercise during pregnancy. Interventions delivered varied between two types: purely computer delivered (Tzilos etal, 2011) or a combination of both computer plus face-to-face input (Jackson et al, 2011; Tsoh et al, 2010). Techniques used included motivational interviewing, problem-solving cognitive dissonance and goal setting. Types of measurement outcomes varied but were all self-reported behavioural outcomes. Statistically significant improvements in behavioural outcomes were seen in the interventions by Jackson et al (2011) and Tsoh et al (2010), but not Tzilos et al (2011). The GRADE analysis identified that all studies combined lacked blinding and relied on self-reported data therefore increasing risk of bias.Conclusion: This systematic review reports on the best available evidence and theory to design an online component of a complex intervention for use in an RCT to enhance women’s shared decision-making experience about vaginal births after caesarean (VBAC). The review reports the differences between the observed BC approach and that of a decision-making approach: BC techniques are applied when a predetermined, directional goal is evidentially understood by the clinicians as being focused on a more healthy option. As a result, techniques designed to create dissonance are considered appropriate.Shared decision-making, however, is conceptually different, in that the goal is to facilitate a woman in discovering the best direction of travel for her as a person. Therefore, the authors argue that it is crucial for healthcare professionals designing complex healthcare interventions (either BC techniques or shared decision-making) to ensure that a person’s self-determination is respected through having access to relevant and understandable information and healthcare professionals who understand a woman’s motivation. However, it is not possible to draw firm conclusions from three studies and there is a requirement for further research.
- Published
- 2017
31. Midwives' Management during the Second Stage of Labor in Relation to Second-Degree Tears : An Experimental Study
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Edqvist, Malin, Hildingsson, Ingegerd, Mollberg, Margareta, Lundgren, Ingela, Lindgren, Helena, Edqvist, Malin, Hildingsson, Ingegerd, Mollberg, Margareta, Lundgren, Ingela, and Lindgren, Helena
- Abstract
Introduction: Most women who give birth for the first time experience some form of perineal trauma. Second-degree tears contribute to long-term consequences for women and are a risk factor for occult anal sphincter injuries. The objective of this study was to evaluate a multifaceted midwifery intervention designed to reduce second-degree tears among primiparous women. Methods: An experimental cohort study where a multifaceted intervention consisting of 1) spontaneous pushing, 2) all birth positions with flexibility in the sacro-iliac joints, and 3) a two-step head-to-body delivery was compared with standard care. Crude and Adjusted OR (95% CI) were calculated between the intervention and the standard care group, for the various explanatory variables. Results: A total of 597 primiparous women participated in the study, 296 in the intervention group and 301 in the standard care group. The prevalence of second-degree tears was lower in the intervention group: [Adj. OR 0.53 (95% CI 0.33-0.84)]. A low prevalence of episiotomy was found in both groups (1.7 and 3.0%). The prevalence of epidural analgesia was 61.1 percent. Despite the high use of epidural analgesia, the midwives in the intervention group managed to use the intervention. Conclusion: It is possible to reduce second-degree tears among primiparous women with the use of a multifaceted midwifery intervention without increasing the prevalence of episiotomy. Furthermore, the intervention is possible to employ in larger maternity wards with midwives caring for women with both low-and high-risk pregnancies.
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- 2017
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32. Protocol for the development of a salutogenic intrapartum core outcome set (SIPCOS)
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Smith, Valerie, Daly, Deirdre, Lundgren, Ingela, Eri, Tine, Begley, Cecily, Gross, Mechthild M., Downe, Soo, Alfirevic, Zarko, Devane, Declan, Smith, Valerie, Daly, Deirdre, Lundgren, Ingela, Eri, Tine, Begley, Cecily, Gross, Mechthild M., Downe, Soo, Alfirevic, Zarko, and Devane, Declan
- Abstract
Background: Maternity intrapartum care research and clinical care more often focus on outcomes that minimise or prevent adverse health rather than on what constitutes positive health and wellbeing (salutogenesis). This was highlighted recently in a systematic review of reviews of intrapartum reported outcomes where only 8% of 1648 individual outcomes, from 102 systematic reviews, were agreed as being salutogenically-focused. Added to this is variation in the outcomes measured in individual studies rendering it very difficult for researchers to synthesise, fully, the evidence from studies on a particular topic. One of the suggested ways to address this is to develop and apply an agreed standardised set of outcomes, known as a ‘core outcome set’ (COS). In this paper we present a protocol for the development of a salutogenic intrapartum COS (SIPCOS) for use in maternity care research and a SIPCOS for measuring in daily intrapartum clinical care. Methods: The study proposes three phases in developing the final SIPCOSs. Phase one, which is complete, involved the conduct of a systematic review of reviews to identify a preliminary list of salutogenically-focused outcomes that had previously been reported in systematic reviews of intrapartum interventions. Sixteen unique salutogenically-focused outcome categories were identified. Phase two will involve prioritising these outcomes, from the perspective of key stakeholders (users of maternity services, clinicians and researchers) by asking them to rate the importance of each outcome for inclusion in the SIPCOSs. A final consensus meeting (phase three) will be held, bringing international stakeholders together to review the preliminary SIPCOSs resulting from the survey and to agree and finalise the final SIPCOSs for use in future maternity care research and daily clinical care. Discussion: The expectation in developing the SIPCOSs is that they will be collected and reported in all future studies evaluating intrapartum interven
- Published
- 2017
33. Clinicians’ views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section) : a study from countries with low VBAC rates
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Lundgren, Ingela, Healy, Patricia, Carroll, Margaret, Begley, Cecily, Matterne, Andrea, Gross, Mechthild M., Grylka-Baeschlin, Susanne, Nicoletti, Jane, Morano, Sandra, Nilsson, Christina, and Lalor, Joan
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618.4: Geburt ,Medicin och hälsovetenskap ,Clinicians ,childbirth ,Midwifery ,Medical and Health Sciences ,Cesarean section, repeat ,Pregnancy ,Obstetrics and Gynaecology ,health-professionals ,Health knowledge, attitudes, practice ,Parturition ,mode ,decision-making ,Health personnel ,Focus groups ,VBAC ,Vaginal birth after cesarean ,women ,qualitative content-analysis ,delivery ,experiences ,Qualitative study ,CS ,cs ,risks ,Decision making ,Content analysis - Abstract
Background: Caesarean section (CS) rates are increasing worldwide and the most common reason is repeat CS following previous CS. For most women a vaginal birth after a previous CS (VBAC) is a safe option. However, the rate of VBAC differs in an international perspective. Obtaining deeper knowledge of clinicians’ views on VBAC can help in understanding the factors of importance for increasing VBAC rates. Focus group interviews with clinicians and women in three countries with high VBAC rates (Finland, Sweden and the Netherlands) and three countries with low VBAC rates (Ireland, Italy and Germany) are part of “OptiBIRTH”, an ongoing research project. The study reported here aims to explore the views of clinicians from countries with low VBAC rates on factors of importance for improving VBAC rates.Methods: Focus group interviews were held in Ireland, Italy and Germany. In total 71 clinicians participated in nine focus group interviews. Five central questions about VBAC were used and interviews were analysed using content analysis. The analysis was performed in each country in the native language and then translated into English. All data were then analysed together and final categories were validated in each country.Results: The findings are presented in four main categories with several sub-categories: 1) “prameters for VBAC”, including the importance of the obstetric history, present obstetric factors, a positive attitude among those who are centrally involved, early follow-up after CS and antenatal classes; 2) “organisational support and resources for women undergoing a VBAC”, meaning a successful VBAC requires clinical expertise and resources during labour; 3) “fear as a key inhibitor of successful VBAC”, including understanding women’s fear of childbirth, clinicians’ fear of VBAC and the ways that clinicians’ fear can be transferred to women; and 4) “shared decision making – rapport, knowledge and confidence”, meaning ensuring consistent, realistic and unbiased information and developing trust within the clinician–woman relationship.Conclusions: The findings indicate that increasing the VBAC rate depends on organisational factors, the care offered during pregnancy and childbirth, the decision-making process and the strategies employed to reduce fear in all involved.
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- 2016
34. Being in limbo: Women’s lived experiences of pregnancy at 41 weeks of gestation and beyond – A phenomenological study
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Wessberg, Anna, primary, Lundgren, Ingela, additional, and Elden, Helen, additional
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- 2017
- Full Text
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35. Protocol for the development of a salutogenic intrapartum core outcome set (SIPCOS)
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Smith, Valerie, primary, Daly, Deirdre, additional, Lundgren, Ingela, additional, Eri, Tine, additional, Begley, Cecily, additional, Gross, Mechthild M., additional, Downe, Soo, additional, Alfirevic, Zarko, additional, and Devane, Declan, additional
- Published
- 2017
- Full Text
- View/download PDF
36. Clinicians’ views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section): a study from countries with low VBAC rates
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Lundgren, Ingela, primary, Healy, Patricia, additional, Carroll, Margaret, additional, Begley, Cecily, additional, Matterne, Andrea, additional, Gross, Mechthild M., additional, Grylka-Baeschlin, Susanne, additional, Nicoletti, Jane, additional, Morano, Sandra, additional, Nilsson, Christina, additional, and Lalor, Joan, additional
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- 2016
- Full Text
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37. First-time pregnant women's experiences of their body in early pregnancy
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Bergbom, Ingegerd, Modh, Carin, Lundgren, Ingela, Lindwall, Lillemor, Bergbom, Ingegerd, Modh, Carin, Lundgren, Ingela, and Lindwall, Lillemor
- Abstract
BackgroundThe body of first-time pregnant women is affected in many ways, and the women may not know what to expect. Conversations between women and healthcare personnel about women's bodily experience in early pregnancy can contribute to increased body knowledge, which may have a positive impact in later stages of their pregnancy and in relation to delivery. The aim of the study was to describe first-time pregnant women's experiences of their body in early pregnancy (pregnancy weeks 10-14). MethodTwelve women were asked to draw pictures and answer questions freely about their experiences of their first pregnant body. Hermeneutical text interpretation was used to obtain an overall view of the experiences. FindingsA main theme emerged: the body is connected to the cycle of life'. This theme comprised five subthemes: bodily longing and a sense of ambivalence', being doubtful', welcoming changes in body and mind', feeling inner strength and struggle to find strength' and accepting a different body and mind'. This main theme and the subthemes were further interpreted and were understood as an experience of me and my body'. ConclusionsThe body reminded the women to take care of it and gave rise to positive thoughts. When the body exhibited uncomfortable reactions and sensations, these were taken as evidence of pregnancy, which was also seen positive but it also triggered a sense of dissatisfaction with the body and a feeling of it becoming alien.
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- 2016
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38. Childbirth Experience in Women at High Risk: Is It Improved by Use of a Birth Plan?
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Berg, Marie, Lundgren, Ingela, and Lindmark, Gunilla
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Maternity and Midwifery ,Pediatrics, Perinatology and Child Health ,Obstetrics and Gynecology ,Pediatrics ,Article - Abstract
Women at obstetric high risk more often experience negative feelings related to childbirth than women with normal outcomes. For these high-risk women, an individual birth plan does not appear to improve the overall experience of childbirth; rather, it seems to intensify the negative feelings in several aspects. The increased vulnerability in women at high risk warrants special attention to the possibility that types of care routinely offered to all women may negatively influence the experiences of high-risk women.
- Published
- 2003
39. Fathers’ experiences of being in change during pregnancy and early parenthood in a context of intimate partner violence
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Håland, Kristin, primary, Lundgren, Ingela, additional, Lidén, Eva, additional, and Eri, Tine S., additional
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- 2016
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40. Women's attitudes towards fertility and childbearing - A study based on a national sample of Swedish women validating the Attitudes to Fertility and Childbearing Scale (AFCS)
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Soderberg, Malin, Christensson, Kyllike, Lundgren, Ingela, Hildingsson, Ingegerd, Soderberg, Malin, Christensson, Kyllike, Lundgren, Ingela, and Hildingsson, Ingegerd
- Abstract
Objective: A delay in childbearing has been reported in high-resource countries. Factors reported to impact postponement include being mature enough, completing studies, and receiving a good salary. Other reasons are the partner relationship, efficient forms of contraception, value changes, housing conditions, and economic uncertainty. The aim of the study was to validate the previously developed instrument Attitudes to Fertility and Childbearing Scale (AFCS) in a sample of Swedish women and to relate the components to the women's socio-demographic characteristics. Methods: Four hundred and twenty-four women, 20-30 years of age, who were not mothers answered and returned the questionnaire. Statistical analysis was conducted; construct validity using principal comwomen's background characteristics. ponent analysis (PCA), Student's t-test, and ANOVA was performed between the three components and women's background characteristics. Results: The two components with highest loadings were Importance for future and Hindrance at present, indicating a time conflict. The third component was Female identity. The youngest women, single women, students, and women living in large cities were more likely to score high with the component Hindrance at present. Women having a partner were more likely to score high on Importance for future and Female identity. Conclusion: In this population, age, occupation, residential area, and civil (marital) status play a role in the attitudes towards fertility and childbearing. Fertility in relation to individual differences and age needs to be informed and discussed in society as well as in sexual and reproductive health care.
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- 2015
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41. Clinicians’ views of factors of importance for improving the rate of VBAC (vaginal birth after caesarean section): a qualitative study from countries with high VBAC rates
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Lundgren, Ingela, primary, van Limbeek, Evelien, additional, Vehvilainen-Julkunen, Katri, additional, and Nilsson, Christina, additional
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- 2015
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42. Clinician-centred interventions to increase vaginal birth after caesarean section (VBAC): a systematic review
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Lundgren, Ingela, primary, Smith, Valerie, additional, Nilsson, Christina, additional, Vehvilainen-Julkunen, Katri, additional, Nicoletti, Jane, additional, Devane, Declan, additional, Bernloehr, Annette, additional, van Limbeek, Evelien, additional, Lalor, Joan, additional, and Begley, Cecily, additional
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- 2015
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43. Evidence-based care and childbearing*a critical approach
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Berg, Marie, Bondas, Terese, Støre Brinchmann, Berit, Lundgren, Ingela, Lafsdóttir, Ólöf Ástaó, Vehviläinen-Julkunen, Katri, and O. C. Hall, Elisabeth
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Issues, ethics and legal aspects ,Health Policy ,Fundamentals and skills ,Gerontology - Abstract
Developing the best care for clients and patients is a paramount aim of all health care practices, which therefore, should be based on best evidence. This is also crucial for care during the childbearing period here defined as pregnancy, childbirth, and infancy. However, due to dominance of the evidence-based medicine (EBM) model, health care practice has encountered problems especially regarding its relationship to qualitative research. In this article, we analyze and discuss how research based on a lifeworld perspective fits with evidence-based care (EBC), and how a circular model instead of a hierarchy is suitable when attributing value to knowledge for EBC. The article focuses on the history of EBM and EBC, the power of the evidence concept, and EBC from a narrow to a broad view. Further qualitative research and its use for developing EBC is discussed and examples are presented from the authors' own lifeworld research in the Nordic childbearing context. Finally, an alternative circular model of knowledge for EBC is presented. In order to develop evidence-based care, there is need for multiple types of scientific knowledge with equal strength of evidence, integrated with clinical experience, setting, circumstances and health care resources, and incorporating the experiences and clinical state of the childbearing woman and her family. Key words: Evidence-based care, evidence-based medicine, childbearing, Nordic countries, lifeworld research
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- 2008
44. In the heat of the night, it is difficult to get it right - teenagers' attitudes and values towards sexual risk-taking
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Hammarlund, Kina, Lundgren, Ingela, and Nyström, Maria
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Issues, ethics and legal aspects ,Health Policy ,Fundamentals and skills ,Gerontology - Abstract
This study, using a hermeneutic approach, is based on data from four focus group interviews with 25 Swedish teenagers participating, ranging from 18_19 years of age. The aim is to gain a deeper understanding of teenagers' values and attitudes towards sexually transmitted infections (STIs) and sexual risk-taking. The teenagers seem to seek an excuse to fend off responsibility and deny their sexual risk-taking, an excuse provided by drunkenness. Under the influence of alcohol, teenagers are not too shy to have sex but remain embarrassed to talk about condom use. It seems as though the dialogue feels more intimate than the intercourse when it comes to protecting ones sexual health. To be able to act out in this sexual risk-taking the teenager often views the partner in a one-night-stand as an object, as opposed to a love relationship where they view their partner as subject, a person they care for. Engaging in sexual risk-taking often starts at a club where the teenagers go out to socialize and drink alcohol. They then play a game and a part of the game is to pretend that they do not play a game. In this game, certain rules are to be followed and the rules are set up by the girl, mainly to protect the romantic image of being carefully selected and thereby protected from being stigmatized as "sluts" or "whores". Key words: Focus groups, adolescent, attitudes, sexually transmitted infections, risk-taking, sexual health
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- 2008
45. Evidence-based care and childbearing – a critical approach
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Berg, Marie, Bondas, Terese, Brinchmann, Berit Støre, Lundgren, Ingela, Olafsdottir, Olof Asta, Vehviläinen-Julkunen, Katri, and Hall, Elisabeth O.C.
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Medical disciplines: 700::Health sciences: 800 [VDP] - Published
- 2008
46. Midwives’ lived experience of a birth where the woman suffers an obstetric anal sphincter injury - a phenomenological study
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Edqvist, Malin, primary, Lindgren, Helena, additional, and Lundgren, Ingela, additional
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- 2014
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47. Attitudes toward fertility and childbearing scale : an assessment of a new instrument for women who are not yet mothers in Sweden
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Soederberg, Malin, Lundgren, Ingela, Christensson, Kyllike, Hildingsson, Ingegerd, Soederberg, Malin, Lundgren, Ingela, Christensson, Kyllike, and Hildingsson, Ingegerd
- Abstract
Background: Women in high-resource countries often postpone childbearing. Postponed childbearing may lead to increased health risks for both mother and child and may also result in childlessness. Attitudes among men and women about fertility and childbearing have been studied in different phases of fertile life, but instruments that assess attitudes toward fertility and childbearing among women without children are lacking. The aim of this study is to develop and evaluate a specific instrument, the Attitudes toward Fertility and Childbearing Scale (AFCS), to assess and compare attitudes toward fertility and childbearing using a national sample of Swedish women, who are not yet mothers. Methods: This study reports on the development of a new instrument and was carried out in three steps: (1) Statements were constructed based on two qualitative studies; (2) Data were collected through web-based questionnaires, and (3) Data were analyzed using statistical tests for construct validity with exploratory factor analysis, internal consistency reliability, and comparative statistics. Student's t-test and analysis of variance (ANOVA) were performed to analyze differences between the components and background characteristics. One hundred and thirty-eight women participated; they were 20-30 years of age, not mothers, and able to read and speak Swedish. Results: The instrument showed acceptable sample adequacy, factorability, and reliability using Cronbach's alpha. Three components were revealed, each one representing a specific underlying dimension of the construct: 1) importance of fertility for the future (Cronbach's a, 0.901); 2) childbearing as a hindrance at present (Cronbach's a, 0.908); and 3) social identity (Cronbach's a, 0.805). Women who were students scored higher in importance of fertility for the future than did women who were unemployed. Women living in metropolitan areas and larger cities were more likely to score highly in childbearing as a hindrance at present, Alla fyra författarna delar förstaförfattarskapet.
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- 2013
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48. Attitudes toward fertility and childbearing scale : an assessment of a new instrument for women who are not yet mothers in Sweden
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Söderberg, Malin, Lundgren, Ingela, Christensson, Kyllike, Hildingsson, Ingegerd, Söderberg, Malin, Lundgren, Ingela, Christensson, Kyllike, and Hildingsson, Ingegerd
- Abstract
Background Women in high-resource countries often postpone childbearing. Postponed childbearing may lead to increased health risks for both mother and child and may also result in childlessness. Attitudes among men and women about fertility and childbearing have been studied in different phases of fertile life, but instruments that assess attitudes toward fertility and childbearing among women without children are lacking. The aim of this study is to develop and evaluate a specific instrument, the Attitudes toward Fertility and Childbearing Scale (AFCS), to assess and compare attitudes toward fertility and childbearing using a national sample of Swedish women, who are not yet mothers. Methods This study reports on the development of a new instrument and was carried out in three steps: (1) Statements were constructed based on two qualitative studies; (2) Data were collected through web-based questionnaires, and (3) Data were analyzed using statistical tests for construct validity with exploratory factor analysis, internal consistency reliability, and comparative statistics. Student's t-test and analysis of variance (ANOVA) were performed to analyze differences between the components and background characteristics. One hundred and thirty-eight women participated; they were 20–30 years of age, not mothers, and able to read and speak Swedish. Results The instrument showed acceptable sample adequacy, factorability, and reliability using Cronbach's alpha. Three components were revealed, each one representing a specific underlying dimension of the construct: 1) importance of fertility for the future (Cronbach's α, 0.901); 2) childbearing as a hindrance at present (Cronbach's α, 0.908); and 3) social identity (Cronbach's α, 0.805). Women who were students scored higher in importance of fertility for the future than did women who were unemployed. Women living in metropolitan areas and larger cities were more likely to score highly in childbearing as a hindrance at present th
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- 2013
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49. Attitudes toward fertility and childbearing scale: an assessment of a new instrument for women who are not yet mothers in Sweden
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Söderberg, Malin, primary, Lundgren, Ingela, additional, Christensson, Kyllike, additional, and Hildingsson, Ingegerd, additional
- Published
- 2013
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50. Releasing and relieving encounters : Experiences of pregnancy and childbirth
- Author
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Lundgren, Ingela
- Subjects
encounter ,birth plan ,phenomenological ,intervention study ,Obstetrik och kvinnosjukdomar ,Reproduktionsmedicin och gynekologi ,childbirth ,women's experiences ,Obstetrics, Gynecology and Reproductive Medicine ,hermeneutic ,Obstetrics and gynaecology ,pain ,pregnancy ,Obstetrics and women's diseases - Abstract
The experience of childbirth is an important life event for women, which may follow them throughout life. The overall aim of this thesis has been to describe and analyse these experiences from the women's perspective as well as the encounter between the woman and the midwife, and the possibility that a birth plan might improve women's experience of childbirth. The setting has been the ABC-centre (Alternative Birth Care), antenatal clinics and Sahlgrenska University hospital in Göteborg, and Karolinska hospital in Stockholm, Sweden. The studies have used both qualitative (phenomenological and hermeneutic) and quantitative approaches. The essential structure of the experiences of pregnancy and childbirth may be conceptualised under the heading ‘releasing and relieving encounters’, which for the woman constitutes an encounter with herself as well as with the midwife, and includes stillness as well as change. Stillness is expressed as being in the moment; exemplified as presence and being one's body. Change is expressed as transition; to the unknown and to motherhood. In the releasing and relieving encounter, for the midwife stillness and change equals being both anchored and a companion. To be a companion is to be an available person that listens to and follows the woman through the process of childbirth. To be anchored is to be the person that in the transition process respects the limits of the woman's ability as well as her own professional limits. The releasing and relieving encounter is not improved for women by a birth plan. Instead, in some aspects the relationship between the woman and her midwife during childbirth is reported as less satisfactory if preceded by a birth plan although some experiences of fear, pain and concerns for the child might be improved.
- Published
- 2002
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