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Mårtensson, Lena B.ORCID iD iconorcid.org/0000-0002-0079-3966
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Nygren-Landgärds, C., Mårtensson, L. B., Pyykkö, R., Bjørnestad, J. O. & von Schoultz, R. (2024). Quality culture at Nordic universities. European Journal of Higher Education, 14(1), 40-59
Open this publication in new window or tab >>Quality culture at Nordic universities
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2024 (English)In: European Journal of Higher Education, ISSN 2156-8235, E-ISSN 2156-8243, Vol. 14, no 1, p. 40-59Article in journal (Refereed) Published
Abstract [en]

This study aimed to investigate common features and ways of understanding quality culture (QC) within higher education institutions (HEIs) in Nordic countries. While the concept of QC is commonly accepted and often used, its meaning is not always clear. This paper focuses on how Nordic universities frame QC in their internal documentation. The Nordic context was chosen due to the close cooperation on quality issues that characterise HEIs within the Nordic region. The discussion section of this paper outlines QC in relation to quality assurance (QA) among HEIs within the European and Nordic regions. Sixteen universities participated in the study by sharing documents describing their QCs. The data were analysed using qualitative content analysis and discussed from different perspectives, such as regarding how the universities use the concept of QC and how QC is created. Based on the results, a model was created that provides an overview of how QC emerges and how the concept is implemented in documentation. It is hoped that the results will both contribute useful input to the ongoing collaboration on quality issues among HEIs in the Nordic region and will also be useful in enhancing QC at universities in other regions.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2024
Keywords
quality culture, higher education institutions, quality assurance, Nordic region
National Category
Other Social Sciences not elsewhere specified Pedagogy
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-21733 (URN)10.1080/21568235.2022.2116066 (DOI)001158507800001 ()2-s2.0-85136658507 (Scopus ID)
Note

CC BY-NC-ND 4.0

Received 09 Feb 2022, Accepted 16 Aug 2022, Published online: 25 Aug 2022

CONTACT Christina Nygren-Landgärds christinmn@uia.no University of Agder, Faculty of Humanities and Education, Postboks 422, 4604 Kristiansand, Norway

Available from: 2022-08-26 Created: 2022-08-26 Last updated: 2024-02-23Bibliographically approved
Lee, N., Leiser, B., Halter-Wehrli, Y., Mårtensson, L. B., Gao, Y. & Kildea, S. (2022). A comparison of two versus four sterile water injections for the relief of back pain in labour: A multicentre randomised equivalence trial. Women and Birth, 35(6), e556-e562
Open this publication in new window or tab >>A comparison of two versus four sterile water injections for the relief of back pain in labour: A multicentre randomised equivalence trial
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2022 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 35, no 6, p. e556-e562Article in journal (Refereed) Published
Abstract [en]

Background

Recent trials demonstrated the safety and efficacy of sterile water injections to provide relief from labour back pain. While four injections is the most common approach variations in technique, such as employing two injections, are also used.

Aim

To determine if the analgesic effect of two sterile water injections is clinically equivalent to four.

Methods

238 women in labour with a Visual Analogue Scale pain score (VAS) of 70 millimetres (mm) (0 = no pain; 100 = worst pain imaginable) were randomised to two or four sterile water injections. The primary outcome was pain measured on a VAS at 30 min post treatment. A priori margin of equivalence was set at ±10 mm. Secondary outcomes included the likelihood of achieving an at least 30% and 50% reduction in pain, birth and neonatal outcomes.

Results

At 30 min post-injection the difference in VAS scores between the techniques was −5.97 (95% Confidence Interval [CI] −13.18–1.22). As the lower end of the CI exceeds the margin of −10 mm equivalence was not demonstrated. Both techniques achieved an at least 30% reduction in pain in over 75% of participants though duration of effect was longer in the four injection group. There was no difference in other birth related secondary outcomes.

Conclusion

Four injections provided a margin of benefit over two injections in level and duration of analgesia.DiscussionFour injections remains the technique of choice though two injections still provided significant pain relief and would be suitable where it was not possible or desirable to provide four.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Water injections, Natural childbirth, Back pain, Midwifery, Pain management
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-20920 (URN)10.1016/j.wombi.2022.02.002 (DOI)35153152 (PubMedID)2-s2.0-85124412549 (Scopus ID)
Note

© 2022 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Corresponding author: nigel.lee@uq.edu.au (N. Lee)

Available online 10 February 2022

Available from: 2022-02-17 Created: 2022-02-17 Last updated: 2022-11-18Bibliographically approved
Mårtensson, L. B., Gunnarsson, B.-M., Karlsson, S., Lee, N. & Bergh, I. (2022). Effect of topical local anaesthesia on injection pain associated with administration of sterile water injections - a randomized controlled trial. BMC Anesthesiology, 22(1), Article ID 35.
Open this publication in new window or tab >>Effect of topical local anaesthesia on injection pain associated with administration of sterile water injections - a randomized controlled trial
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2022 (English)In: BMC Anesthesiology, ISSN 1471-2253, E-ISSN 1471-2253, Vol. 22, no 1, article id 35Article in journal (Refereed) Published
Abstract [en]

Background

Sterile water injections can provide effective pain relief during childbirth, particularly for low back pain related to childbirth. However, the pain associated administering the injections can negatively impact women’s impressions of the procedure. It may discourage women from considering repeat doses despite the quality of analgesia experienced. Determining strategies to reduce the pain related to the administration of sterile water injections would improve the acceptability of the technique. Therefore, the aim of this study was to evaluate the effect of topical local anesthesia on the pain associated with administration of sterile water injections.

Methods

The study was designed as a multi-arm single-blind, randomized, controlled trial and 120 female healthy students were randomly divided according to one of four groups. The Intervention group received sterile water injections with topical local anesthesia. Control group 1 received sterile water injections without topical local anesthesia, control group 2 received injections of isotonic saline 0.9% with topical local anesthesia and control group 3 received injections of isotonic saline 0.9% without topical local anesthesia. Pain Immediately after the injections and subsidence in pain were recorded using a visual analogue scale. Sensations in the injection area were reported 15 min and the day after the injections.

Results

The main finding of this study was that local anesthesia with EMLA® reduces the pain associated with the administration of intracutaneous sterile water injections. There was a significant difference in the self-assessed pain score immediately following the injections between the control (73.3 mm) and intervention groups (50.0 mm), p = 0.001. No adverse side effects were reported.

Conclusion

Local anesthesia with EMLA® reduces the pain associated with intracutaneous administration of sterile water injections.

Place, publisher, year, edition, pages
Springer Nature, 2022
Keywords
Pain, Pain relief, Sterile water injections, Randomized controlled trial, Childbirth
National Category
Obstetrics, Gynecology and Reproductive Medicine Anesthesiology and Intensive Care
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-20877 (URN)10.1186/s12871-022-01573-0 (DOI)000749527700001 ()35105307 (PubMedID)2-s2.0-85123972699 (Scopus ID)
Note

CC BY 4.0

© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http:// creat iveco mmons. org/ licen ses/ by/4. 0/. The Creative Commons Public Domain Dedication waiver (http:// creat ivecommons. org/ publi cdoma in/ zero/1. 0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Correspondence: lena.martensson@his.se School of Health Sciences, University of Skövde, P.O. Box 408, SE‑541 28 Skövde, Sweden

Open access funding provided by University of Skövde. Financial support for the study was provided by the University of Skövde, the School of Health Sciences, the research environment Digital Health Research (DHEAR) and the research group Family‑Centered Health (FamCeH).

The study was registered 08/07/2014 at ClinicalTrials.gov Identifier: NCT02213185.

Available from: 2022-02-01 Created: 2022-02-01 Last updated: 2022-04-21Bibliographically approved
Bäckström, C. A., Carlén, K., Larsson, V., Mårtensson, L. B., Thorstensson, S., Berglund, M., . . . Larsson, M. (2022). Expecting parents’ use of digital sources in preparation for parenthood in a digitalised society – a systematic review. Digital Health, 8, Article ID 20552076221090335.
Open this publication in new window or tab >>Expecting parents’ use of digital sources in preparation for parenthood in a digitalised society – a systematic review
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2022 (English)In: Digital Health, E-ISSN 2055-2076, Vol. 8, article id 20552076221090335Article, review/survey (Refereed) Published
Abstract [en]

Background

In today's society, people are experiencing the rapid development of digitalisation. Expecting parents may have difficulties evaluating the information online; they are not always sure which sources of information are trustworthy, and this exacerbates their feelings of anxiety. More research is needed to broaden the knowledge about how their use of digital sources may influence their health.

Question

The focus of this study was to explore expecting parents’ use of digital sources and how this influences their health during pregnancy.

Methods

A systematic review covered the thematic analysis of 39 articles.

Findings

The analysis resulted in the following theme: The digitalised society involves both opportunities and challenges, and expecting parents express a need for a variety of digital sources to improve their health, and sub-themes: Digital sources could promote parents’ health and well-being in a digitalised society; Consuming digital health information facilitates understanding, different feelings and social connections; and A variety of digital sources may facilitate parental identification and adaption to parenthood.

Conclusion

Different digital sources in our digitalised society mean access to information and opportunities to extend social connections for expecting parents. This can promote their ability to understand and adapt to parenthood, as well as to improve their health and well-being and make the parental transition. However, professional support during face-to-face consultations cannot always be exchanged to digital sources. It is important to base digital sources devoted to expecting parents and digitalisation overall on multi-sectorial collaborations and coordination between different organisations and the digital sources they provide.

Place, publisher, year, edition, pages
Sage Publications, 2022
Keywords
pregnancy, digitalisation, antenatal, childbirth, mother, father
National Category
Nursing Obstetrics, Gynecology and Reproductive Medicine
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-21063 (URN)10.1177/20552076221090335 (DOI)000783559300001 ()35449713 (PubMedID)2-s2.0-85128418224 (Scopus ID)
Note

CC BY 4.0

First published online April 14, 2022

caroline.backstrom@his.se

Funding: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the School of Health Sciences, University of Skövde, Sweden.

Available from: 2022-04-19 Created: 2022-04-19 Last updated: 2024-01-17Bibliographically approved
Lee, N. & Mårtensson, L. B. (2022). Sterile water injections for management of renal colic pain: a systematic review. Scandinavian Journal of Urology, 56(3), 255-263
Open this publication in new window or tab >>Sterile water injections for management of renal colic pain: a systematic review
2022 (English)In: Scandinavian Journal of Urology, ISSN 2168-1805, Vol. 56, no 3, p. 255-263Article, review/survey (Refereed) Published
Abstract [en]

Background

Since the 1950s a small number of centres have used sterile water injections (SWI) to treat renal colic pain. We undertook this review to determine the efficacy of SWI to manage the pain of renal colic.

Methods

We searched the electronic databases PubMed, Cochrane Central Register, CINAHL, and Scopus from database inception to 7 November 2021 for randomized controlled trials that met the inclusion criteria.

Results

Six trials were included in the review (n = 894 patients). Two placebo controlled trials were included in the meta-analysis. Other trials compared SWI to Diclofenac, Morphine, or oral Paracetamol. The overall quality of the trial was low. Compared to a placebo SWI demonstrated a significant reduction in self-reported pain at 30 min (Mean difference [MD] = −4.68, 95% Confidence Interval [CI] = −5.21, −4.15. p < 0.001, I2 = 0%) and at or beyond 60 min post-injection (MD = −5.34 95% CI = −5.85, −4.82, p ≤ 0.001, I2 = 0%). Pain relief provided by SWI was significantly better than oral paracetamol and equivalent to Diclofenac and Morphine. No significant side-effects were attributed to SWI use in any trials.

Discussion/conclusion

SWI could be a suitable alternative for management of renal colic pain where alternatives such as non-steroidal anti-inflammatory and opioid drugs are either unavailable or contraindicated. However, further research is required to establish the role of SWI in renal colic pain management.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Sterile water injections, urolithiasis, renal colic, renal calculi, uteric calculi
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-21092 (URN)10.1080/21681805.2022.2066719 (DOI)000788532400001 ()35481429 (PubMedID)2-s2.0-85130025751 (Scopus ID)
Note

Contact Dr Nigel Lee nigel.lee@uq.edu.au School of Nursing Midwifery and Social Work, University of Queensland, Level 3 Chamberlain Building, St Lucia, Queensland 4072, Australia

Taylor & Francis Group

We wish to express our appreciation to librarian, PhD Krister Johannesson, University of Skövde, Sweden, and librarian Michael Fagg, University of Queensland, Australia, for their invaluable assistance with the computerized literature searches.

Published online: 28 Apr 2022

Available from: 2022-04-29 Created: 2022-04-29 Last updated: 2022-08-15Bibliographically approved
Lee, N., Gao, Y., Mårtensson, L. B., Callaway, L., Barnett, B. & Kildea, S. (2022). Sterile water injections for relief of labour pain (the SATURN trial): study protocol for a randomised controlled trial. Trials, 23(1), Article ID 155.
Open this publication in new window or tab >>Sterile water injections for relief of labour pain (the SATURN trial): study protocol for a randomised controlled trial
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2022 (English)In: Trials, E-ISSN 1745-6215, Vol. 23, no 1, article id 155Article in journal (Refereed) Published
Abstract [en]

Background: Up to 80% of women use some form of pharmacological analgesia during labour and birth. The side effects of pharmacological agents are often incompatible with the concurrent use of non-pharmacological pain-relieving strategies, such as water immersion, ambulation and upright positioning, or may have negative effects on both the mother and foetus. Sterile water injections given into the skin of the lumbar region have been demonstrated to reduce back pain during labour. However, the injections given for back pain have no effect on abdominal contraction pain. The analgesic efficacy of sterile water injections for abdominal pain during childbirth is unknown. The injections cause an immediate, brief but significant pain that deters some women from using the procedure. This study aims to investigate the use of water injections given intradermally into the abdomen to relieve labour contraction pain. A vapocoolant spray will be applied to the skin immediately prior to the injections to reduce the injection pain. Methods: In this pragmatic, placebo-controlled trial, 154 low-risk women in labour at term with a labour pain score ≥ 60 on a 100-ml visual analogue scale (VAS) will be randomly allocated to receive either six injections of sterile water or a sodium chloride 0.9% solution as a placebo (0.1–0.3 ml per injection). Three injections are given along the midline from the fundus to the supra-pubis and three laterally across the supra-pubis. The primary outcome will be the difference in VAS score 30 min post-injection between the groups. Secondary outcomes include VAS score of the injection pain on administration, VAS score of labour pain at 60 and 90 min and maternal and neonatal birth outcomes. Discussion: Access to effective pain relief during labour is fundamental to respectful and safe maternity care. Pharmacological analgesics should support rather than limit other non-pharmacological strategies. Sterile water injections have the potential to provide an alternative form of labour pain relief that is easy to administer in any labour and birth setting and is compatible with other non-pharmacological choices. Trial registration: ANZCTR ACTRN12621001036808. Registered on 05 August 2021. 

Place, publisher, year, edition, pages
BioMed Central, 2022
Keywords
Analgesia, Labour pain, Randomised controlled trial, Sterile water injections, water, adverse event, female, human, labor, labor pain, maternal health service, newborn, obstetric analgesia, pregnancy, procedures, randomized controlled trial (topic), Analgesia, Obstetrical, Humans, Infant, Newborn, Labor, Obstetric, Maternal Health Services, Randomized Controlled Trials as Topic
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-20950 (URN)10.1186/s13063-022-06093-3 (DOI)000756801600002 ()35172876 (PubMedID)2-s2.0-85124775119 (Scopus ID)
Note

CC BY 4.0

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

© 2022, The Author(s).

Correspondence to Nigel Lee.

Springer Nature

The trial was funded by the Australian Government Department of Health Medical Research Future Fund (APP2006488)

Corrigendum in: Trials 23, Article number: 321 (2022). doi:10.1186/s13063-022-06171-6

Available from: 2022-03-03 Created: 2022-03-03 Last updated: 2024-01-17Bibliographically approved
Bäckström, C. A., Kåreholt, I., Thorstensson, S., Golsäter, M. & Mårtensson, L. (2021). Kvalitet i parrelation hos förstagångsmammor och partners i relation till graviditet och de första sex månaderna av föräldraskap. In: : . Paper presented at Reproduktiv hälsa, 19-20 oktober 2021, Stockholm. Stockholm: Svenska Barnmorskeförbundet
Open this publication in new window or tab >>Kvalitet i parrelation hos förstagångsmammor och partners i relation till graviditet och de första sex månaderna av föräldraskap
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2021 (Swedish)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [sv]

Bakgrund:

Att genomgå föräldratransition och bli förälder har beskrivits som en av de mest omfattande livsförändringarna i en människas liv. Föräldratransition medför nya relationer inom föräldrarnas sociala nätverk. För föräldrarna bildas nya roller i parrelationen eftersom de går från att endast vara partners till att även vara föräldrar tillsammans. Denna livsförändring kan medföra en försämring i den uppfattade kvaliteten i parrelationen. Föräldrarnas tillgång till socialt stöd och deras känsla av sammanhang kan ha inverkan på deras förmåga att uppfatta kvalitet i parrelationen. 

Syfte:

Att utforska faktorer associerade med kvalitet i parrelation hos förstagångsmammor och partners i relation till graviditet och de första sex månaderna av föräldraskap. 

Metod:

En prospektiv longitudinell kohortstudie med enkätundersökningar vid: graviditetsvecka 25; första veckan och sex månader efter förlossning. Förändringar i uppfattad kvalitet i parrelation (QDR36), känsla av sammanhang (SOC-13) samt socialt stöd (MSPSS) utforskades. Multipla linjära regressioner genomfördes för att utforska faktorer associerade med kvalitet i parrelation. 

Resultat:

Totalt ingick 302 föräldrar i studien. Både förstagångsmammor och partners rapporterade en lägre kvalitet i parrelation och högre känsla av sammanhang sex månader efter förlossning, jämfört med under graviditet. Förstagångsmammors högre kvalitet i parrelation var associerat med deras: 1) partners mer positiva känsla inför föräldraskap; 2) högre uppfattade sociala stöd samt 3) känsla av sammanhang under graviditet och 4) mer positiva förändring i känsla av sammanhang mellan graviditet och sex månader efter förlossning. Partners högre kvalitet i parrelation var associerat med deras mer positiva förändring i uppfattat socialt stöd mellan graviditet och sex månader efter förlossning. 

Konklusion:

Liknande mönster i förändring över tid i relation till kvalitet i parrelation och känsla av sammanhang framkom för förstagångsmammor och partners. Detta indikerar att föräldratransition har en positiv inverkan på föräldrars förmåga att hantera sin livssituation även fast deras kvalitet i parrelation sjunker under föräldratransitionen. 

Place, publisher, year, edition, pages
Stockholm: Svenska Barnmorskeförbundet, 2021
National Category
Nursing
Research subject
Family-Centred Health
Identifiers
urn:nbn:se:his:diva-20723 (URN)
Conference
Reproduktiv hälsa, 19-20 oktober 2021, Stockholm
Note

Finansiering:

Skaraborgs Sjukhus Skövde; Högskolan i Skövde; Jönköping University.

Available from: 2021-11-26 Created: 2021-11-26 Last updated: 2021-11-29Bibliographically approved
Lee, N., Gao, Y., Collins, S. L., Mårtensson, L. B., Randall, W., Rowe, T.-M. & Kildea, S. (2020). Caesarean delivery rates and analgesia effectiveness following injections of sterile water for back pain in labour: A multicentre, randomised placebo controlled trial. eClinicalMedicine, 25, Article ID 100447.
Open this publication in new window or tab >>Caesarean delivery rates and analgesia effectiveness following injections of sterile water for back pain in labour: A multicentre, randomised placebo controlled trial
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2020 (English)In: eClinicalMedicine, E-ISSN 2589-5370, Vol. 25, article id 100447Article in journal (Refereed) Published
Abstract [en]

Background

About a third of women experience severe back pain during labour. Injecting small volumes of intracutaneous sterile water into the lumbar region can be used to relieve this pain, however the procedure is controversial and previous reviews call for high quality trials to establish efficacy. We evaluated the impact on birth outcomes and analgesic effects of sterile water injections.

Methods

A multicentre, double-blind trial undertaken between December 2012 and December 2017 in one British and 15 Australian maternity units. Women experiencing severe back-pain in labour were assigned (1:1) by an independently generated randomisation schedule stratified by site to injections of either sterile water or saline placebo. Participants and caregivers were blinded to group allocation. The primary outcome was caesarean delivery rate. Main secondary outcomes included at least 30% or 50% reduction in self-reported pain scores at 30, 60 and 90 minutes after treatment. Intention to treat analysis were used and the level of significance for the multiple clinical outcomes was set at p<0.001 with the Bonferroni correction applied. The study is registered with the ACTRN Registry number, ACTRN1261100022195

Findings

Between December 9, 2012, and December 15, 2017, 1166 women were recruited and randomised: 587 women received sterile water injections (SWI) and 579 a saline placebo. Seven women in the SWI group and 12 in the placebo group were excluded as consent was not completed, leaving 580 and 567, respectively, included in the analysis. The proportions of caesarean delivery were 17·1% (82 of 580) in the SWI group and 14·8% (82 of 567) in the placebo (RR 1·16, 95% CI 0·88–1.51; p = 0·293). At 30 min post treatment 60·8% (330 of 543) of women in the SWI group reported a 30% reduction in self-reported pain compared to 31·4% (163 of 520) placebo (RR 1·94, 95% CI 1·68–2·24; p=<0·001) and 43·3% (235 of 534) SWI reported a 50% reduction versus 18·1% (94 of 520) placebo (RR 2·39, 95% CI 1·95–2·94; p=<0·001). The analgesic effect of SWI compared to placebo remained significant at 60 and 90 min post-treatment. There were no significant differences in other maternal or neonatal outcomes.

Interpretation

Compared to placebo, injections of sterile water did not reduce rates of caesarean delivery. For the main secondary outcome of pain relief the intervention did result in significantly more women reporting at least 30% and 50% reduction in pain for up to 90 min. Water injections have no effect on birth outcomes though can be an effective treatment for the relief of labour-related back pain.

Place, publisher, year, edition, pages
Elsevier, 2020
Keywords
Randomised controlled trial, Back pain, Labour, Caesarean section, Sterile water injections, Obstetrics
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-18801 (URN)10.1016/j.eclinm.2020.100447 (DOI)000645914700004 ()32954233 (PubMedID)2-s2.0-85090046838 (Scopus ID)
Note

Funded by the National Health and Medical Research Council. CC BY-NC-ND 4.0

Available from: 2020-07-08 Created: 2020-07-08 Last updated: 2023-07-13Bibliographically approved
Bäckström, C. A., Söderlund, T., Thorstensson, S., Mårtensson, L. B. & Golsäter, M. (2020). Midwives' Experiences of Providing the "Inspirational Lecture" as a Care Intervention for Expectant Parents: A Qualitative Study. Frontiers In Public Health, 8, Article ID 575062.
Open this publication in new window or tab >>Midwives' Experiences of Providing the "Inspirational Lecture" as a Care Intervention for Expectant Parents: A Qualitative Study
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2020 (English)In: Frontiers In Public Health, ISSN 2296-2565, Vol. 8, article id 575062Article in journal (Refereed) Published
Abstract [en]

Background: In most Western countries, ordinary parental classes exist and have become a well-established form of professional support within midwifery care, even though some of these classes lack evidence of benefits for the parents. A Swedish randomized controlled trial including an intervention as a pilot study, revealed that a type of parental preparatory professional support provided for expectant parents, the "inspirational lecture," showed a tendency to be beneficial for parents' birth experience, and their perceived quality of parental couple relationship. However, there is no previous research on the midwives' experiences from providing the inspirational lecture. Carrying out research on midwives' experiences from providing the lecture, could bring future opportunities to provide a work-integrated learning (WIL) related to professionals' skills, and the pedagogic used. Aim: To elucidate midwives' experiences about providing the inspirational lecture as a care intervention for expectant parents. Methods: Midwives were interviewed and data were analyzed using qualitative content analysis. Results: The midwives strived to put childbirth into a comprehensive and manageable context for the expectant parents, during the inspirational lecture. For this, different approaches were used to make expectant parents understand how the parents themselves can be engaged participants in their own birth. Conclusion and Clinical Implications: The midwives used the inspirational lecture to provide the expectant parents with knowledge about how they, as a parental couple, could cooperate and feel safe in relation to the upcoming birth. This could be understood as if the midwives were striving to facilitate the integrative power of the parental couple, which is the couples' ability to gather their joint power. These results can assist midwives and serve as a reference for providing parental classes for expectant parents with a focus on promoting both the parents' individual as well as mutual skills.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2020
Keywords
antenatal, childbirth experience, content analysis, parental education, parenthood, pregnancy, transition
National Category
Nursing
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-19264 (URN)10.3389/fpubh.2020.575062 (DOI)000585420000001 ()33194976 (PubMedID)2-s2.0-85095709905 (Scopus ID)
Note

CC BY 4.0

Correspondence: Caroline Bäckström, caroline.backstrom@his.se

Available from: 2020-11-19 Created: 2020-11-19 Last updated: 2022-10-12Bibliographically approved
Lee, N., Jomeen, J., Mårtensson, L. B., Emery, V. & Kildea, S. (2019). Knowledge and use of sterile water injections amongst midwives in the United Kingdom: A cross-sectional study. Midwifery, 68, 9-14
Open this publication in new window or tab >>Knowledge and use of sterile water injections amongst midwives in the United Kingdom: A cross-sectional study
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2019 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 68, p. 9-14Article in journal (Refereed) Published
Abstract [en]

Background: The use of sterile water injections (SWI) for the relief of pain in labour is popular amongst midwives in countries such as Sweden and Australia. Anecdotal reports suggest the procedure is used less commonly in the United Kingdom (UK) and that a number of barriers to introducing the practice may exist. Objective: The objective of this study was to explore the awareness and use of SWI amongst midwives in the UK. Design: A cross-sectional study using an internet-based questionnaire. Participants: Midwives with Nursing and Midwifery Council Registration and currently practicing. Setting: The questionnaire was distributed via the Royal College of Midwives Facebook page and Twitter account. Invitations to participate were also sent to Heads of Midwifery to distribute to staff. Findings: Three hundred and ninety-eight midwives completed the survey. Eighty-two percent of midwives did not use SWI in practice although 69% would consider learning the procedure. There was considerable variation in techniques amongst midwives that did provide SWI. The lack of available practice guidelines and the advice from the National Institute for Health and Care Excellence to not use SWI were cited as the main barriers. Key conclusions: SWI use is uncommon in the UK although midwives are interested in incorporating the procedure into practice. Implications for practice: National guidance on SWI and the lack of information and training is restricting the use of the procedure in practice, despite SWI being widely used in other countries and being effective in the treatment of pain in labour.

Place, publisher, year, edition, pages
Churchill Livingstone, 2019
Keywords
labour, midwifery practice, pain relief, sterile water injections
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Woman, Child and Family (WomFam)
Identifiers
urn:nbn:se:his:diva-16350 (URN)10.1016/j.midw.2018.10.001 (DOI)000450307700002 ()30312912 (PubMedID)2-s2.0-85055035074 (Scopus ID)
Available from: 2018-11-12 Created: 2018-11-12 Last updated: 2019-09-30Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0079-3966

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