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Ett klipp är inte bara ett klipp: Barnmorskors resonemang kring episiotomi
University of Skövde, School of Health and Education.
University of Skövde, School of Health and Education.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
A cut is not just a cut : Midwifes' reasoning about episiotomy (English)
Abstract [sv]

Bakgrund: Barnmorskan ska vårda och stödja kvinnan genom hela förlossningsprocessen. Situationer kan uppkomma under förlossningen där olika åtgärder kan behöva utföras som exempelvis episiotomi i samband med att föregående fosterdel framföds. Studier visar att både fördelar och nackdelar är assosierade med episiotomi. Det är därför viktigt att barnmorskor vet sitt resonemang kring episiotomi när resultaten av studier varierar eftersom barnmorskan har ansvar för den födande kvinnan.

Syfte: Att undersöka barnmorskors resonemang kring episiotomi.

Metod: Semistrukturerade intervjuer med nio barnmorskor som analyserades med kvalitativ innehållsanalys med induktiv ansats.

Resultat: Resultatet presenteras i ett tema, En berg- och dalbana, innehållande två kategorier, Blandade känslor till episiotomi samt Det säkra före det osäkra, dessa utmynnade i sex underkategorier. Barnmorskorna ansåg att episiotomi inte var något som skulle utföras i onödan och med erfarenhet upplevde barnmorskorna det lättare att avgöra när episiotomi hade en positiv effekt på förlossningsprocessen.

Konklusion: Barnmorskorna var restriktiva i utförandet av episiotomi och att det endast var i speciella situationer det ansågs vara nödvändigt med ingreppet. Tålamod var en viktig egenskap för en barnmorska och tillsammans med en ökad arbetslivserfarenhet var det lättare att avgöra när den födande kvinnan var i behov av episiotomi.

Abstract [en]

Background: The midwife will care for and support the woman throughout the childbirth process. There may occur situations during childbirth when certain measures, like episiotomy, need be taken in relation to the advance of the fetus. Studies reveal different advantages, as well as disadvantages associated with episiotomy. Given the multitude of opinions with regards to episiotomy, it is important that midwives have a clear stance on the procedure since they are in charge of the woman who is giving birth.

Aim: To investigate midwives' reasoning on the subject of episiotomy.

Method: Semi-structured interviews with nine midwives. The data underwent qualitative content analysis, and inductive approach was applied.

Results: The results present a theme, A roller coaster, containing two categories, Varied attitudes to episiotomy and The secure before the insecure, these resulted in six subcategories. The midwives felt that episiotomy should not be conducted unless absolutely necessary. Midwives further felt that growing experience helped them to determine in what situations episiotomy would have a positive effect on the childbirth process.

Conclusion: The midwives are cautious about the use of episiotomy reserving it for special situations when the procedure is deemed absolutely necessary. Patience, an important characteristic for a midwife, in conjunction with work experience made it easier to determine when the woman giving birth was in need of episiotomy.

Place, publisher, year, edition, pages
2017. , 27 p.
Keyword [en]
childbirth, episiotomy, reasoning, perineal protection
Keyword [sv]
förlossning, episiotomi, resonemang, perinealskydd
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-14150OAI: oai:DiVA.org:his-14150DiVA: diva2:1143920
Subject / course
Reproductive, Perinatal and Sexual Health
Educational program
Midwifery - Study Programme
Supervisors
Examiners
Available from: 2017-09-25 Created: 2017-09-23 Last updated: 2017-09-25Bibliographically approved

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Ett klipp är inte bara ett klipp(912 kB)6 downloads
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CiteExportLink to record
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Citation style
  • apa
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