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1دورية أكاديمية
مصطلحات موضوعية: Cohort-study, Domestic violence, History of violence, Intimate partner violence, Longitudinal, Midwife, birth outcomes, Pregnancy, Obstetrics, Gynecology and Reproductive Medicine, Reproduktionsmedicin och gynekologi
الوصف: BACKGROUND: Victimisation of women is encountered in all countries across the world, it damages the mental and physical health of women. During pregnancy and the postpartum period, women are at a greater risk of experiencing violence from an intimate partner. The aim of this study was to explore childbirth outcomes in a Swedish population of women reporting a history of violence including domestic violence during pregnancy. METHODS: A longitudinal cohort design was used. In total, 1939 pregnant women ≥18 years were recruited to answer two questionnaires, both questionnaires were administered in the early and late stages of their pregnancy. The available dataset included birth records of 1694 mothers who gave birth between June 2012 and April 2014. Statistical analyses included descriptive statistics, T-test and bivariate logistic regression. RESULTS: Of 1694 mothers 38.7% (n = 656) reported a history of violence and 2% (n = 34) also experienced domestic violence during pregnancy. Women who were single, living apart from their partner, unemployed, smoked and faced financial distress were at a higher risk of experiencing violence (p = 0.001). They also had significant low scores on the SOC-scale and high EDS-scores ≥13 (p = 0.001) when compared to women without a history of violence (p = 0.001). Having a history of violence increased the woman's risk of undergoing a caesarean section (OR 1.33, 95% CI 1.02-1.70). A history of emotional abuse also significantly increased the risk of having a caesarean section irrespective of whether it was a planned or an emergency caesarean section (OR 1.50, 95% CI 1.09-2.06). Infants born to a mother who reported a history of violence, were at significant risk of being born premature < 37 weeks of gestation compared to infants born by mothers with no history of violence (p = 0,049). CONCLUSIONS: A history of violence and/or exclusively a history of emotional abuse has a negative impact on childbirth outcomes including caesarean section and premature ...
وصف الملف: application/pdf
العلاقة: BMC Pregnancy and Childbirth, 1471-2393, 2020, 20:1; orcid:0000-0001-7613-4759; http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-14178Test; PMID 32216780; ISI:000522505500001; Scopus 2-s2.0-85082517767
الإتاحة: https://doi.org/10.1186/s12884-020-02864-5Test
http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-14178Test -
2دورية أكاديمية
مصطلحات موضوعية: home birth, midwife, mixed method, professional skills, women's experience, Medical and Health Sciences, Medicin och hälsovetenskap
الوصف: ObjectiveThe midwife assisting a birth has a considerable influence on the woman's experience of the birth. The aim of this study was to investigate the experience of the midwife's professional skills among women in Norway, Denmark, Iceland, and Sweden who chose a planned home birth.Design and SettingAll known home birth midwives were asked to inform the mothers about the project and invite them to complete a questionnaire about different aspects of their home birth experience.MethodThe women were asked to assess 10 different aspects of the midwives' professional skills on a 4-graded scale below the main question: What was your experience of the midwife who assisted the labor? Furthermore, the mothers' experiences with the attending midwives were identified in the free text birth stories. The chosen method was a mixed method design.FindingsThe home birth midwives' professional skills were generally high scored. No statistically significant differences were found with respect to the assessment of the midwife. The content analyses yielded one overarching theme: The competence and presence of the midwife creates a safe haven, and three categories, midwife's safe hand, midwife's caring approach, and midwife's peaceful presence.ConclusionWomen choosing a home birth in the four Nordic countries experienced that their midwives were highly skilled and they found the presence of the midwives valuable in helping them to feel safe and confident during birth. Despite differences in organization and guidelines for home births, the women's experience of the midwife's professional skills did not differ between the four countries.
وصف الملف: application/pdf
العلاقة: Birth, 0730-7659, 2014, 47:1, s. 100-107; orcid:0000-0002-9300-6422; http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-14567Test; PMID 24654642; ISI:000333154100014; Scopus 2-s2.0-84896509763; Local 18091
الإتاحة: https://doi.org/10.1111/birt.12092Test
http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-14567Test -
3رسالة جامعية
المؤلفون: Rosenquist, Petronella
مصطلحات موضوعية: Criminal Abortion, Midwife, Power, Sweden, Social Sciences, Samhällsvetenskap
الوقت: 19th Century
الوصف: This thesis describes and analyses concepts of criminal abortions during the 1890s. The analysis is based on source material in a court case about illegal abortions that took place in Malmö in 1892, as well as in articles wish were published in the daily newspapers in connection with the same legal case.Through Michel Foucault's theories of dimensions of power and Norman Fairclough's critical discourse analysis, power relations that may have played a role for individuals' actions are studied. The result shows that there was a disciplinary exercise of power against the accused women based on the way in which these are portrayed in the legal material. The interaction between the individuals in the legal material shows both power and resistance that took place within the discourse.The concept of abortion that emerged from the study shows that there was some acceptance regarding abortions as long as this was handled discreetly. There were also some understandings of the woman's actions which were considered to be based on reasonable causes. However, it turned out that the same understanding did not occur upon the abortionist who was portrayed as a criminal. Reasons for abortion were based on shame, social and economic conditions, and ideological reasons.
وصف الملف: application/pdf
العلاقة: http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-28698Test; Local 28841
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4رسالة جامعية
المؤلفون: Mossberg, Eva
مصطلحات موضوعية: midwife, gynecological cancer, communication barriers, sexual health, nurse, Social Sciences, Samhällsvetenskap
الوصف: Syftet med uppsatsen är att belysa barnmorskors och sjuksköterskors erfarenheter av och förhållningssätt till att förmedla sexologisk information till kvinnor som drabbats av gynekologisk cancer. Vårdpersonal överlag upplever en stor utmaning i att förmedla sexuell information till människor som drabbats av cancer och tidigare forskningsresultat visar att många patienter aldrig får någon sexologisk information överhuvudtaget (Sheppard & Ely, 2008, Hughes, 2009 och Rasmusson et al, 2012). En kvalitativ metod med explorativ ansats valdes i form av semistrukturerade intervjuer för att den skapar en fördjupad förståelse för vad barnmorskor och sjuksköterskor själva tycker och har för erfarenhet av att prata om sexualitet med denna patientgrupp. Fem barnmorskor och fyra sjuksköterskor alla med minst ett års erfarenhet av att vårda kvinnor som drabbats av gynekologisk cancer deltog i studien. Under analysprocessen återkom ständigt betydelsen av kompetens och den gick att identifiera på tre nivåer; den individuella nivån, den organisatoriska nivån samt på den normativa nivån. När valda teoretiska perspektiv lades på de deskriptiva teman framträdde; individuell kompetens som förutsättning, organisatoriskt utrymme – individuellt eller kollektivt ansvar, patienters kön och ålder – betydelse för hur och av vem frågan tas upp och föreställningar om sjukdomsdiagnos och sexualitet. I studien framkom att intervjupersonerna uppfattar att sexualitet ska inkluderas i den holistiska omvårdnaden men möjligheten till sexologisk information för de cancerdrabbade kvinnorna påverkas av vårdpersonalens eget förhållningssätt till ämnet. En konsekvens av begränsat organisatoriska utrymmet är att den individuella kompetensen får liten betydelse. Hög ålder i kombination med sjukdom osynliggör sexualiteten. Vårdpersonal upplever svårigheter att prata om sexualitet i relation till sjukdom. Genom att synliggöra svårigheter på olika nivåer ges möjlighet till förändringar i att förmedla sexologisk information inom vården. ; The aim of this ...
وصف الملف: application/pdf
العلاقة: http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26997Test; Local 18668
