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'It made you think twice' - an interview study of women's perception of a web-based decision aid concerning screening and diagnostic testing for fetal anomalies

Background: Enabling women to make informed decisions is a key objective in the guidelines governing prenatal screening and diagnostics. Despite efforts to provide information, research shows that women's choice of prenatal screening is often not based on informed decisions. The aim of this study was to investigate pregnant women's perceptions of the use of an interactive web-based DA, developed t

The effects of counseling on fear of childbirth

Objective To investigate women's experiences of attending existing counseling programs for childbirth-related fear and the effect of this counseling over time. Design A longitudinal survey. Setting Three hospitals in the central north of Sweden. Sample A selected sample of 936 women. Of these, 70 received counseling due to fear of childbirth (study-group). Methods Data were collected with question

The interactional organisation of sex assignment after childbirth

That society divides its members into females and males is the point of departure for much research on gender and language and yet the situated accomplishment of the primordial sex categorisation of the newborn child has not attracted much scholarly attention. The present study fills this research gap by exploring the interactional organisation of sex assignment in a corpus of 67 video recordings

Breastfeeding patterns in preterm infants born at 28-33 gestational weeks

Background: Studies of breastfeeding patterns during preterm infants' first year of life are scarce but are important for providing breastfeeding mothers of preterm infants with optimal support. Objective: This study aimed to describe breastfeeding patterns in preterm infants up to 1 year of corrected age. Methods: As part of a larger study on kangaroo mother care in Sweden, a 24-hour breastfeedin

Maternal depressive symptoms have a negative impact on prenatal attachment – findings from a Swedish community sample

Objective: The objective of this study was to evaluate attachment and its association to obstetric and demographic factors as well as emotional well-being using a standard measure of prenatal attachment during pregnancy. Background: The strength of the mothers’ relationship with her baby has important implications in the postnatal period, influencing the relationship she develops with her child, a

Higher prevalence of childbirth related fear in foreign born pregnant women - Findings from a community sample in Sweden

Objective: to investigate the prevalence of childbirth related fear (CBRF) in early pregnancy among both Swedish born and foreign born women living in Sweden. Design: a cross sectional prevalence study. Data was collected by a questionnaire, which was available in Swedish and eight other languages. Setting: a university hospital in the middle of Sweden. Participants: the recruitment took place dur

First-time events between parents and preterm infants are affected by the designs and routines of neonatal intensive care units

Aim: Early parental bonding with preterm babies is particularly important, and the aim of our study was to explore when parents experienced what they regarded as important events for the first time while their infant was in the neonatal intensive care unit (NICU). Methods: The study was part of a longitudinal project on Kangaroo Mother Care at two Swedish university hospitals. The parents of 81 in

Experience of the first breastfeeding session in association with the use of the hands-on approach by healthcare professionals : A population-based swedish study

Objective: The aim of this study was to investigate the prevalence of healthcare professionals' use of the hands-on approach during the first breastfeeding session postpartum and its possible association with the mothers' experience of their first breastfeeding session. Materials and Methods: This was a population-based longitudinal study conducted at Uppsala University Hospital, Uppsala, Sweden,

Childbirth fear in Swedish fathers is associated with parental stress as well as poor physical and mental health

Objective: to compare self-rated health and perceived difficulties during pregnancy as well as antenatal attendance, birth experience and parental stress in fathers with and without childbirth related fear. Design: a longitudinal regional survey. Data were collected by three questionnaires. Setting: three hospitals in the middle-north part of Sweden. Participants: 1047 expectant fathers recruited

Childbirth fear in expectant fathers : Findings from a regional Swedish cohort study

Objective: to investigate the prevalence of childbirth related fear in Swedish fathers and associated factors. Design: a regional cohort study. Data was collected by a questionnaire. Setting: three hospitals in the middle-north part of Sweden. Participants: 1047 expectant fathers recruited in mid-pregnancy during one year (2007) who completed the Fear of Birth Scale (FOBS). Measurements: prevalenc

Development of a tool to evaluate fetal movements in full-term pregnancy

Objective: To study women's description of fetal movements in full-term pregnancy. Further to investigate if their descriptions could be sorted with regard to intensity and type of movements, using a matrix under development to be a tool for evaluating fetal movements in clinical praxis. Methods: Data were collected by distributing questionnaires including an open question: "Please describe your p

Women's experiences of two different self-assessment methods for monitoring fetal movements in full-term pregnancy - a crossover trial

Background: Low maternal awareness of fetal movements is associated with negative birth outcomes. Knowledge regarding pregnant women's compliance with programs of systematic self-assessment of fetal movements is needed. The aim of this study was to investigate women's experiences using two different self-assessment methods for monitoring fetal movements and to determine if the women had a preferen

Psychometric evaluation and refinement of the Prenatal Attachment Inventory

Objective: To explore the underlying structure of the Prenatal Attachment Inventory (PAI) and to assess the psychometric properties of the subscales. Background: The establishment of the mother-fetus relationship is an important developmental task for successful adaption to pregnancy, with implications for the well-being of mother and child. The PAI was developed to measure the relationship betwee

Anxiety in early pregnancy : Prevalence and contributing factors

Antenatal anxiety symptoms are not only a health problem for the expectant mother. Research has found that maternal anxiety may also have an impact on the developing baby. Therefore, it is important to estimate the prevalence of maternal anxiety and associated factors. The current study aims to estimate the prevalence of anxiety symptoms during the first trimester of pregnancy and to identify asso

Ultrasonographic fetal soft markers in a low-risk population : Prevalence, association with trisomies and invasive tests

Objective To investigate the prevalence of soft markers identified at second trimester ultrasound in a low-risk population and the association of these markers with trisomies and invasive testing. Design Prospective observational study. Setting Swedish University Hospital. Population All women with fetuses examined by ultrasound at 15+0-22+0 weeks gestation between July 2008 and March 2011. Method

Initiation and extent of skin-to-skin care at two Swedish neonatal intensive care units

Aim: To describe initiation and extent of parents' application of skin-to-skin care (SSC) with their preterm infants at two Swedish neonatal intensive care units. Methods: The duration of SSC was recorded in 104 infants' medical charts during their hospital stay, and the parents answered a questionnaire. Results: Both parents were involved in the practice of SSC. Three infants experienced SSC dire

The role of women's attitudinal profiles in satisfaction with the quality of their antenatal and intrapartum care

Objective: To compare perceptions of antenatal and intrapartum care in women categorized into three profiles based on attitudes and fear. Design: Prospective longitudinal cohort study using self-report questionnaires. Profiles were constructed from responses to the Birth Attitudes Profile Scale and the Fear of Birth Scale at pregnancy weeks 18 to 20. Perception of the quality of care was measured

Women's satisfaction with antenatal care : Comparing women in Sweden and Australia

Background: Satisfaction with antenatal care could differ depending on the organisation and the context of care. Aim: To compare antenatal care in Australia and Sweden, to identify deficiencies in the content of antenatal care and what aspects contributed most in dissatisfaction with antenatal care. Methods: A longitudinal survey of 123 Australian and 386 Swedish women recruited during one year in

Improvements of postnatal care are required by Swedish fathers

Purpose: This paper has two main aims: to explore fathers' postnatal care experiences with a specific focus on deficiencies and to investigate which service deficiencies remained important for fathers one year after childbirth. Design/methodology/approach: This is a prospective longitudinal study. Two months and one year after birth, the overall satisfaction with care were sought. A care quality i