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  • 1.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Life Sciences.
    Hertfelt Wahn, Elisabeth I.
    University of Skövde, School of Life Sciences.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Two sides of breastfeeding support: experiences of women and midwives2010In: International Breastfeeding Journal, ISSN 1746-4358, E-ISSN 1746-4358, Vol. 5, p. Article number 20-Article in journal (Refereed)
    Abstract [en]

    Background: Midwives’ support of breastfeeding in maternity wards has been proven to provide an impact on women’s breastfeeding experiences. In previous studies women describe professional support unfavourably, with an emphasis on time pressures, lack of availability or guidance, promotion of unhelpful practices, and conflicting advice. Thus, the present study aims to investigate women’s experiences and reflections of receiving breastfeeding support and midwives’ experiences and reflections of giving breastfeeding support. Methods: This study was carried out in a county in southwestern Sweden during 2003-2004. A qualitative method, content analysis, was chosen for the study. The data came from interviews with women as well as interviews with midwives who were experienced in breastfeeding support. Results:  The women’s and midwives’ experiences and reflections of receiving and giving breastfeeding support were conceptualized as one main theme: “Individualized breastfeeding support increases confidence and satisfaction.” This theme contained three categories: “The unique woman,” ”The sensitive confirming process,” and “Consistency of ongoing support.” In order to feel confident in their new motherhood role, the women wanted more confirmation as unique individuals and as breastfeeding women; they wanted to be listened to; and they wanted more time, understanding, and follow-up from health professionals. In contrast, the midwives described themselves as encouraging and confirming of the women’s needs.  Conclusions:  If health care professionals responded to the woman’s unique needs, the woman felt that the breastfeeding support was good and was based on her as an individual, otherwise a feeling of uncertainty emerged. The midwives, however, expressed that they gave the women individual support, but they also expressed that the support came from different points of view, because the midwives interpreted women’s signals differently. 

  • 2.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Life Sciences.
    Hertfelt Wahn, Elisabeth I.
    University of Skövde, School of Life Sciences.
    Ekström, Anette C.
    University of Skövde, School of Life Sciences.
    Zwei Seiten der Stillberatung: Erfahrungen von Frauen und Hebammen2012In: Laktation und Stillen, ISSN 1614-807X, Vol. 25, no 2, p. 56-62Article in journal (Refereed)
  • 3.
    Bäckström, Caroline
    et al.
    University of Skövde, School of Life Sciences.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Support during labour: first-time fathers' descriptions of requested and received support during the birth of their child2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 1, p. 67-73Article in journal (Refereed)
    Abstract [en]

    Objective:  to explore how first-time fathers describe requested and received support during a normal birth. Design:  qualitative research design. Ten first-time fathers were interviewed during the first postpartum week.  Individual  open-ended  interviews  were  used  to  explore  the  fathers’  descriptions,  and  the interviews were analysed using qualitative analysis. Setting:  a labour ward at one hospital in a south-western county of Sweden in November and December 2006. Participants:  first-time  fathers  who  had  experienced  a  normal  birth  at  the  hospital  during  the study period. Findings:  the support described is presented as one main theme, ‘being involved or being left out’, which included four underlying categories: ‘an allowing atmosphere’, ‘balancing involvement’, ‘being seen’ and ‘feeling left out’. Key conclusions:  fathers perceived that they were given good support when they were allowed to ask questions during labour, when they had the opportunity to interact with the midwife and their partner, and when they could choose when to be involved or to step back. Fathers want to be seen as individuals who are part of the labouring couple. If fathers are left out, they tend to feel helpless; this can result in a feeling of panic and can put their supportive role of their partner at risk. Implications  for practice:  the  results  of  this  study could  initiate  discussions  about  how  health-care professionals can develop support given to the labouring couple, with an interest in increasing paternal involvement.

  • 4.
    Bäckström, Caroline
    et al.
    Kärnsjukhuset, Skövde.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Två perspektiv på amningsstöd2011In: Amningsnytt, ISSN 1102-7207, no 3, p. 4-5Article in journal (Other (popular science, discussion, etc.))
  • 5.
    Bäckström, Caroline
    et al.
    Skaraborgs sjukhus.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Två sidor av amningsstöd2012In: Jordemodern - Tema Amning, ISSN 0021-7468, no 3, p. 40-41Article in journal (Other (popular science, discussion, etc.))
  • 6.
    Ekström, Anette
    et al.
    University of Skövde, School of Life Sciences.
    Guttke, Kristin
    Lenz, Marika
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Long term effects of professional breastfeeding support - An intervention2011In: International Journal of Nursing and Midwifery, ISSN 2141-2456, Vol. 3, no 8, p. 109-117Article in journal (Refereed)
    Abstract [en]

    Professional support is important for women during pregnancy, but more research is needed to provide a better understanding of how this support affects the mother's experience of support and breastfeeding behavior the first days after birth and its relation to the duration of breastfeeding. This study aims to evaluate the effects of a professional support during pregnancy in relation to mothers’ perceived support at delivery and maternity ward, and on the number of breastfeeding sessions during the first three days after birth. These factors would be subsequently considered in relation to the duration of breastfeeding. Mothers in the Intervention group (IG) and Control group B (CGB) (November 2000 to April 2002) perceived significant better overall support, breastfeeding information and preparation for parenting from the professionals in the delivery and maternity wards compared with the Control group A (CGA) (April to October 2000), (p<0.001), (n = 540). The IG showed a higher frequency of breastfeeding sessions in the first 24 h compared with the mothers in the CGB (p<0.008) and a positive correlation between preparation for the parental role and duration of exclusive breastfeeding (p = 0.006).

  • 7.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Swedish teenage mothers with and without depressive symptons and their perception of support from network and midwifeManuscript (Other academic)
  • 8.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Teenage childbearing in Sweden: support from social network and midwife2007Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The aim of this thesis was to contribute to the knowledge and understanding of Swedish- speaking pregnant and parenting teenage girls’ situation and experiences of becoming mothers in the Swedish context as well as midwives’ reflections on their experiences of caring for teenage girls during pregnancy and childbirth.

    Specific aims were to describe Swedish teenage girls’ perspectives, experiences and thoughts about becoming and being a teenage mother (I); to describe Swedish midwives’ reflections on their experiences of caring for teenage girls during pregnancy and childbirth (II); to describe and compare a group of Swedish-speaking teenage mothers, aged 15-19, with adult mothers, aged 25-29, all of whom gave birth in hospital, in terms of sociodemographic background, perception of health during pregnancy, and social support (III); to describe and compare the perception of received social support, self-esteem and different background factors among teenage mothers, aged15-19, with and without depressive symptoms (IV).

    Methods The studies were conducted in a county in south western Sweden during 2003 and 2004. Both qualitative and quantitative methods were used: individual semi-structured interviews with 20 teenage mothers (I); three focus group discussions (FGDs) with 24 midwives; and a questionnaire developed specifically for this study given to 97 teenage mothers and 97 adult mothers 1-3 days postpartum (III, IV). Content and hermeneutical text analyses were applied to qualitative data (I, II), and descriptive statistics were used to analyse quantitative data (II, IV).

    Results from studies showed that there were two main reasons for Swedish-speaking teenagers to become mothers (I, II, III). It was seen as a way out of a difficult psychosocial situation, or it was seen as something natural because of a family pattern of early motherhood (I, II). Teenage mothers had more often had an early experience of parental separation, had experienced physical and/or psychological violence, were more often inclined to engage in risky behaviours, and smoked more often during pregnancy. In addition they perceived less support from their social network, had lower self-esteem, and had more depressive symptoms than adult mothers (III). Teenage mothers with depressive symptoms had lower self-esteem, perceived less support from family and friends, had more often been exposed to violence, and were more often smokers than teenage mothers without depressive symptoms (IV). Support from the midwives was generally well perceived by teenage mothers, but support from the midwife attending delivery was less well perceived in teenage mothers with depressive symptoms (IV). Reflections by the midwives about their experience of caring for teenage mothers revealed a true presence in the encounters with teenage mothers (II).

    Conclusions Our findings provide midwives and other health care providers with a picture of the experience of teenage motherhood, which highlights the importance of antenatal assessment of each teenage mother’s strengths, weaknesses, hopes, self-esteem, depressive symptoms, health risk behaviours, social support networks, and satisfaction with social support prior to care planning. The midwife needs to lend a listening ear to the teenage mother, giving her time, showing that she is taking her seriously and trying to understand her complex situation. Teenage mothers need acceptance and clear communication.

  • 9.
    Hertfelt Wahn, Elisabeth
    et al.
    University of Skövde, School of Life Sciences.
    Nissen, Eva
    University of Skövde, School of Life Sciences.
    Sociodemographic background, lifestyle and psychosocial conditions of swedish teenage mothers and their perception of health and social support during pregnancy and childbirth2008In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 36, no 4, p. 415-423Article in journal (Refereed)
    Abstract [en]

    Aim: Among Swedish pregnant teenage girls it is unusual to continuepregnancy and to choose to have a baby. Swedish teenage motherscan therefore be expected to differ from adult mothers, at agroup level. The aim of this study was to describe and compareteenage mothers who were giving birth in hospital with adultmothers as to sociodemographic background, perception of healthand social support. Methods: A descriptive comparative studywas conducted over one year, in a county in south-western Sweden,which comprised a group of all teenage mothers aged 15—19,who gave birth at hospital (study group n=97) and the same numberof adult mothers aged 25—29, matched for parity and birthof a baby closest to the index mother (reference group). Bothgroups answered a questionnaire regarding sociodemographic variables,lifestyle, health, self-esteem, depressive symptoms, and support.Information on the mothers' pregnancy and delivery was obtainedfrom their maternal health and delivery charts. Results: Teenagemothers had more often been exposed to a difficult family situation,had more often experienced school failure than adult mothers,and showed health-risk behavior. Teenage mothers perceived lesssupport, had lower self-esteem, and more depressive symptomsthan adult mothers. Conclusions: Teenage mothers differed fromadult mothers regarding family situation and health behavioras well as perception of support, self-esteem, and depressivesymptoms, which may negatively influence their ability to copewith parenthood. Efforts should be made early in pregnancy tomeet both health and support needs of teenage mothers.

  • 10.
    Hertfelt Wahn, Elisabeth
    et al.
    University of Skövde, School of Life Sciences.
    Nissen, Eva
    Department of Woman and Child Health, Division of Reproductive and Perinatal Health Care, Karolinska Institutet, Stockholm, Sweden.
    Teenage Childbearing in Sweden – Depressive Symptoms among Teenage Mothers, Influencing Factors, Perception of Support and Self-Esteem – A Comparative Cross-Sectional Study2012In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 1, no 6, p. [art no] 123-Article in journal (Refereed)
  • 11.
    Hertfelt Wahn, Elisabeth
    et al.
    University of Skövde, School of Life Sciences.
    Nissen, Eva
    University of Skövde, School of Life Sciences.
    Ahlberg, Beth Maina
    University of Skövde, School of Life Sciences.
    Becoming and Being a Teenage Mother: How Teenage Girls in South Western Sweden View Their Situation2005In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 26, no 7, p. 591-603Article in journal (Refereed)
    Abstract [en]

    Our aim in this study was to describe the perspectives, experiences, and reasonings about becoming and being a teenage mother by Swedish teenage girls. Twenty pregnant and parenting teenage girls, aged 15 to 19 years, were interviewed. The teenagers described a pattern of early childbirth in their families, lack of opportunity in life, and ambivalence in contraceptive use as reasons for becoming a teenage mother . They experienced being pregnant and a teenage mother as both a positive transition into adulthood but also as a physiological and psychological hardship. Furthermore, the teenagers emphasized the importance of supportive relationships with families, friends, and society as a prerequisite for successful parenting. The results of our study may be viewed as generating a working hypothesis that can be transferred to other settings on the basis of the information gathered.

  • 12.
    Hertfelt Wahn, Elisabeth
    et al.
    University of Skövde, School of Life Sciences.
    von Post, Iréne
    Department of Caring Science, Åbo Akademi, Vasa, Finland.
    Nissen, Eva
    University of Skövde, School of Life Sciences.
    A description of Swedish midwives' reflections on their experience of caring for teenage girls during pregnancy and childbirth2007In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 23, no 3, p. 269-278Article in journal (Refereed)
    Abstract [en]

    Objective

    to describe Swedish midwives' reflections on their experiences of caring for teenage girls during pregnancy and childbirth.

    Design

    a hermeneutical approach was used, with focus-group discussions as the method of data collection.

    Setting

    three focus-group discussions were conducted in a county comprising urban, suburban and rural districts in south-western Sweden.

    Participants

    a voluntary sample of 24 midwives, aged 32–61 years, who were caring for women in different birth settings, participated in 2004.

    Findings

    two main themes, with three sub-themes each, were generated by the midwives: (1) the teenage mother, as ‘teenagers who are proud of becoming mothers’, ‘teenagers who are unprepared for becoming mothers’ and ‘teenagers with an immigrant background’, and (2) ‘the midwives’ wish to care for the teenage mother’, as ‘taking the teenage mother seriously’, ‘being an important person for the teenage mother’, and ‘being a help for the teenage mother’.

    Key conclusions and implications for practice

    the findings provide some understanding of the unique characteristics of caring for teenage mothers. For the midwives, the most important aspects of caring for the teenage mother included taking the teenage mother seriously, allowing the midwife herself to become an important person for the teenage mother, and being a help to the mother. This help requires the midwife to balance the different needs of each teenage mother.

  • 13.
    Huusko, Linda
    et al.
    Närhälsan Skövde Women's Health Clinic, Skövde, Sweden.
    Sjöberg, Sandra
    Women's Health Clinic, Umeå, Sweden.
    Ekström, Anette
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Health Sciences, University West, Trollhättan, Sweden.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    First-Time Fathers’ Experience of Support from Midwives in Maternity Clinics: An Interview Study2018In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, article id 9618036Article in journal (Refereed)
    Abstract [en]

    Background: Research shows that first-time fathers want to take part in preparation for birth and parenthood but they describe being excluded by health professionals. Aim: The aim of this study was to illustrate first-time fathers’ experiences of support from midwives in maternity clinics as a step in the validation of “The Father Perceived-Professional-Support” (The FaPPS) scale. Methods: A qualitative content analysis with an inductive and deductive approach was used; seven first-time fathers were strategically selected and interviewed. In the inductive part the following open question was asked: “How did you perceive the support from the antenatal midwife/midwives?” In the deductive part, the fathers were asked to respond to the FaPPS scale, in order to receive their thoughts and understanding of the scale, inspired by the “Think-aloud” method. Findings. The inductive results showed two main categories: Experience of not knowing what support they needed and Experience of being excluded. The fathers found support from other fathers in parental education classes, but they lack time to discuss. Overall it seems as if the fathers answered both from their own perspective and from the mothers’ perspective. This was not evident in the deductive results. The FaPPs scale should therefore include professionals’ ability to strengthen social support from other first-time fathers and professionals’ ability to offer support to the mother. Conclusion and Clinical Implications. The fathers experienced exclusion both by themselves and also by midwives. Midwives should offer both parents the opportunity to pose questions. It is important for expectant fathers that time for discussion is planned in parental education classes. The FaPPS scale is useful but needs further development. Parts of our result are in line with earlier research, for decades; therefore it is necessary to focus more on support for fathers.

  • 14.
    Nilsson, Lena
    et al.
    University of Skövde, School of Life Sciences.
    Thorsell, Tina
    Department of Obstetrics and Gynecology, Skaraborg Hospital Skövde, Sweden.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Factors influencing positive birth experiences of first-time mothers2013In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2013, article id 349124Article in journal (Refereed)
    Abstract [en]

    Objectives. The objective of this study was to describe first-time mothers’ experiences and reflections of their first birth. Study Design. This study is a part of a larger study which was carried out in southwestern Sweden in 2008. A qualitative method with content analysis was chosen for this study. The unit of data was 14 written narratives from the first-time mothers. Results. The theme “To be empowered increases first-time mothers’ chances for a positive birth experience” crossed over into all the three categories: “To trust the body and to face the pain,” “Interaction between body and mind in giving birth,” and “Consistency of support.” Conclusion. In order to feel confident in their first childbirth, the women wanted to be confirmed and seen as unique individuals by the professionals and their partner. If professionals responded to the individual woman’s needs of support, the woman more often had a positive birth experience, even if the birth was protracted or with medical complications.

  • 15.
    Olivari, Maria Giulia
    et al.
    Psychology Department, CRIdee, Università Cattolica del Sacro Cuore, Milano, Italy.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Maridaki-Kassotaki, Katerina
    Department of Home Economics and Ecology, Harokopio University of Athens, Athens, Greece.
    Antonopoulou, Katerina
    Department of Home Economics and Ecology, Harokopio University of Athens, Athens, Greece.
    Confalonieri, Emanuela
    Psychology Department, CRIdee, Università Cattolica del Sacro Cuore, Milano, Italy.
    Adolescent Perceptions of Parenting Styles in Sweden, Italy and Greece: An Exploratory Study2015In: Europe's Journal of Psychology, ISSN 1841-0413, E-ISSN 1841-0413, Vol. 11, no 2, p. 244-258Article in journal (Refereed)
  • 16.
    Olivari, Maria Giulia
    et al.
    Catholic University of Milan, Italy / CRIdee, Italy.
    Ionio, C.
    Catholic University of Milan, Italy / CRIdee, Italy.
    Traficante, D.
    Catholic University of Milan, Italy / CRIdee, Italy.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Confalonieri, Emanuela
    Catholic University of Milan, Italy / CRIdee, Italy.
    Contraceptive self efficacy among Italian adolescents2012Conference paper (Refereed)
  • 17.
    Tagliabue, Semira
    et al.
    Università Cattolica del Sacro Cuore, Psychology Department, Brescia, Italy.
    Olivari, Maria Giulia
    Università Cattolica del Sacro Cuore, Psychology Department, CRIdee, Milano, Italy.
    Antonopoulou, K.
    Harokopio University of Athens, Department of Home Economics and Ecology, Athens, Greece .
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Confalonieri, Emanuela
    Università Cattolica del Sacro Cuore, Psychology Department, CRIdee, Milano, Italy.
    Parenting Styles in Sweden, Italy, and Greece: Adolescents' Perspective2014Conference paper (Refereed)
  • 18.
    Tagliabue, Semira
    et al.
    Department of Psychology, Università Cattolica del Sacro Cuore, Brescia, Italy.
    Olivari, Maria Giulia
    CRIdee, Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Maridaki-Kassotaki, Katerina
    Department of Home Economics and Ecology, Harokopio University, Athens, Greece.
    Antonopoulou, Katerina
    Department of Home Economics and Ecology, Harokopio University, Athens, Greece.
    Confalonieri, Emanuela
    CRIdee, Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy.
    Retrospective Paternal and Maternal Parenting Styles in Greece, Italy, and Sweden2018In: European Journal of Psychological Assessment, ISSN 1015-5759, E-ISSN 2151-2426, Vol. 34, no 6, p. 399-408Article in journal (Refereed)
    Abstract [en]

    Abstract. Discrepancies in perceived parenting and parental roles across European countries could be due to the use of different assessment techniques or due to mean level differences in the authoritative, authoritarian, or permissive parenting styles. The present study aimed to examine the psychometric characteristics of the Parenting Styles and Dimensions Questionnaire (PSDQ; Robinson, Mandleco, Olsen, & Hart, 1995, 2001) in a sample of 225 Greek, 301 Italian, and 279 Swedish adolescents aged 16?19 years, who evaluated their father?s and mother?s parenting styles during their childhood. A confirmatory factor analysis (CFA), multigroup CFA, and modified version of the correlated uniqueness model were used to evaluate the structure and invariance of the scale across countries. Measurement and structural invariance was found in the 8-item authoritative scale and 6-item authoritarian scale. A mixed ANOVA (Country ? Style ? Role) showed that Swedish mothers scored lower than Italian or Greek mothers, and that, in the three countries, mothers were perceived as more authoritative than were fathers.

  • 19.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Andersson, Anna
    Karlskoga Hospital, Karlskoga, Sweden.
    Israelsson, Sofie
    University Hospital, Örebro, Sweden.
    Ekström, Anette
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    To build a bridge between two worlds: Mothers' experiences of professional support at the maternity ward2016In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 37, no 10, p. 1067-1081Article in journal (Refereed)
    Abstract [en]

    We studied the experience of professional support among first-time mothers in relation to a scale measuring professional support in maternity care. We used a qualitative study with both an inductive and deductive approach and interviewed nine mothers. Our findings, both inductive and deductive, suggest that first-time mothers expect professional support in their transition into motherhood, building a bridge between two worlds. The first meeting, acknowledging individual needs, and supporting partner participation were important for good support. Maternity care should be organized with a focus on availability and professional support for mothers and the increased participation of their partners. Our scale of measurement can be useful but needs some development.

  • 20.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Claesson, Amanda
    Mölndal labour ward, Sahlgrenska University Hospital, Göteborg, Sweden.
    Packalen, Anna
    Kvinnokliniken, Skaraborgs Sjukhus Skövde, Sweden.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ekström, Anette
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Validating the Mother-to-Infant Relation and Feelings' scale by first-time mothers' descriptions three months after birth2014In: Journal of Women's Health, Issues & Care, ISSN 2325-9795, Vol. 3, no 6, article id 1000173Article in journal (Refereed)
  • 21.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Life Sciences. School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Lundgren, Ingela
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Exploring Professional Support Offered by Midwives during Labour: An Observation and Interview Study2012In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, Vol. 2012, p. Article ID 648405-Article in journal (Refereed)
    Abstract [en]

    Support in labour has an impact on the childbirth experience as well as on childbirth outcomes. Both social and professional support is needed. The aim of this study was to explore professional support offered by midwives during labour in relation to the supportive needs of the childbearing woman and her partner. The study used a qualitative, inductive design using triangulation, with observation followed by interviews. Seven midwives were observed when caring for seven women/couples in labour. After the observations, individual interviews with midwives, women, and their partners were conducted. Data were analysed using hermeneutical text interpretation. The results are presented with three themes. (1) Support as a professional task seems unclear and less well defined than medical controls. (2) Midwives and parents express somewhat different supportive ideas about how to create a sense of security. (3) Partner and midwife interact in support of the childbearing woman. The main interpretation shows that midwives' supportive role during labour could be understood as them mainly adopting the "with institution" ideology in contrast to the "with woman" ideology. This may increase the risk of childbearing women and their partners perceiving lack of support during labour. There is a need to increase efficiency by providing support for professionals to adopt the "with woman" ideology.

  • 22.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Life Sciences. School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Life Sciences.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Langius-Eklöf, Ann
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden / Department of Neurology, Care Sciences and Society, Division of Nursing, Karolinska institutet, Stockholm, Sweden.
    Evaluation of the Mother-to-Infant relation and feeling scale: Interviews with first-time mothers' for feelings and relation to their baby three days after birth2012In: International Journal of Nursing and Midwifery, ISSN 2141-2456, Vol. 4, no 1, p. 8-15Article in journal (Refereed)
    Abstract [en]

    Mothers’ perception of their relationship with their baby might affect sensitive parenting. This study aimed to explore first time mothers’ feelings for and their relation to the baby associated with how they responded to the "mother to infant relation and feelings (MIRF) scale" as a step in the validation process of the scale. Interviews with ten first-time mothers, three days after birth, were performed, using open questions followed by questions directly from the MIRF scale items. An inductive and deductive approach inspired by the "Think aloud" method guided the study. Results describe main category; New mothers bewilderment and anticipation which contained four categories; Natural and great but mixed, Maternal instinct and kinship, Ability and expectations and Not yet for real. When mothers responded to MIRF scale items they describe talking to their baby which they did not in their open answers. Answering the MIRF scale helped mothers in differentiating between their own mixed feelings of becoming mothers and their relation to and feelings for the baby. The MIRF scale appears valid in reflecting important aspects of mothers’ feelings for and relation to their baby. The MIRF scale could be used in research and when evaluating care routines as well as in dialogue with new mothers to support mother-to-infant interactions.

  • 23.
    Thorstensson, Stina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Nilsson, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Olsson, Linda
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ekström, Anette
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Women's Experiences of Midwifery Support during Pregnancy A step in the Validation of the Scale: "The Mother Perceived Support from Professionals"2015In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 4, no 2, article id 1000241Article in journal (Refereed)
    Abstract [en]

    Background: Pregnancy can be physically and emotionally stressful for the parents, which means they need adequate professional support. Easy-to-use, validated scales are important in order to develop professional support in Antenatal care as well as in research.

    The aim: Our aim was to illuminate pregnant women’s experience of professional support at the Antenatal care, in relation to the Mother-Perceived-Professionals-Support (MoPPS) scale.

    Method: A qualitative study design using the method “Think aloud” with both inductive and deductive approaches, was used. Five first-time mothers were interviewed with open questions followed by questions related to the MoPPS scale items. Data was analyzed using inductive and deductive qualitative content analyses.

    Results: The inductive analysis resulted in one theme: “Professional support from midwives made women created a feeling of security and unique or rejected and lonely during pregnancy” and three categories: “Continuity and competence”, “Perceiving trust or not” and “Parental groups or individual visits”. The deductive analysis described the mothers’ understanding of each item. However, coherence between the inductive and deductive analyses varied and the MoPPS-scale needs development.

    Conclusion: The result shows that women's experience of professional support affects their sense of feeling safe or lonely during pregnancy. Important for midwives were to meet the women’s unique individual needs. The MoPPS scale was considered to be relevant and easy to understand, but it needs development to include questions about continuity, parental groups and the perception of midwives’ competence, which all were important for the women during their pregnancies.

    Clinical implications: To offer adequate professional support for women during pregnancy, midwives need to meet the women’s unique individual needs with both medical and supportive knowledge.

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