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  • 1.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, Department of Health Sciences.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    A salutogenic perspective could be of practical relevance for the prevention of smoking amongst pregnant women2002In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 18, no 4, p. 323-331Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to use empirical data to assess the theoretical relevance of using a salutogenic, instead of a pathogenic, perspective to prevent smoking during pregnancy. DESIGN: quantitative study, a questionnaire was completed during the first trimester of pregnancy and an interview was conducted after the baby was born. SETTING: a geographically defined area in the south-east of Sweden. PARTICIPANTS: all 395 women in the study area who were pregnant during the study period 1994-1995. FINDINGS: the women were categorised according to their smoking habits. A significant difference in the sense of coherence (SOC) score was shown between smoking and non-smoking women in indicators of bad health. Women who relapsed to smoking showed a lower level of SOC, particularly in the manageability component, than others. The SOC score was higher in the whole study group than in other comparable, non-pregnant populations. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: a salutogenic perspective could be used in antenatal care as a basis for encouraging pregnant women to stop smoking. This could enhance the SOC by making smoking more understandable for the woman, by discussing smoking as a way of coping, and by encouraging the woman's own capacity and motivation to stop smoking. Starting a dialogue about smoking from the woman's point of view could do this, with the midwife and the woman exploring together the woman's thoughts about the smoking problem.

  • 2.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Forskningsmiljön Arbete i skolan (AiS).
    Springett, Jane
    Kristianstad University, Department of Health Sciences.
    Karlsson, Leif
    Kristianstad University, Department of Health Sciences.
    Håkansson, Anders
    Department of Community Medicine, Lund University.
    Ottosson, Torgny
    Kristianstad University, School of Education and Environment, Avdelningen för Pedagogik. Kristianstad University, Research environment Learning in Science and Mathematics (LISMA).
    Some lessons from Swedish midwives' experiences of approaching women smokers in antenatal care2005In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 21, no 4, p. 335-345Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to describe the qualitatively different ways in which midwives make sense of how to approach women smokers. DESIGN, SETTING AND PARTICIPANTS: a more person-centred national project 'Smoke-free pregnancy' has been in progress in Sweden since 1992. Using a phenomenographic approach, 24 midwives who have been regularly working in antenatal care were interviewed about addressing smoking during pregnancy. FINDINGS: four different story types of how the midwives made sense of their experiences in addressing smoking in pregnancy were identified: 'avoiding', 'informing', 'friend-making', 'co-operating'. KEY CONCLUSION: the midwives' story types about how they approached women who smoke illustrated the difficulties of changing from being an expert who gives information and advice to being an expert on how to enable a woman in finding out why she smoked and how to stop smoking. IMPLICATIONS FOR PRACTICE: health education about smoking that is built on co-operation and dialogue was seen by the midwives as a productive way of working. The starting point should be the lay perspective of a woman, which means that her thoughts about smoking cessation are given the space to grow while she talks.

  • 3.
    Berggren, Vanja
    et al.
    Kristianstad University, Department of Health Sciences.
    Abdel Salam, Gerais
    Faculty of Medicine, Khartoum University, Khartoum.
    Bergström, Staffan
    Division of International Health (IHCAR), Department of Public Health Sciences, Karolinska Institutet.
    Johansson, Eva
    Division of International Health (IHCAR), Department of Public Health Sciences, Karolinska Institutet.
    Edberg, Anna-Karin
    Kristianstad University, Department of Health Sciences.
    An explorative study of Sudanese midwives' motives, perceptions and experiences of re-infibulation after birth2004In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 20, no 4, p. 299-311Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to explore Sudanese midwives' motives for and perceptions and experiences of re-infibulation after birth and to elucidate its context and determinants.

    DESIGN: triangulation of methods, using observational techniques and open-ended interviews.

    SETTING AND PARTICIPANTS: two government hospitals in Khartoum/Omdurman, Sudan, for the observations and in-depth interviews with 17 midwives.

    FINDINGS: midwives are among the major stakeholders in the performance of primary female genital cutting (FGC) as well as re-infibulation. Focusing on re-infibulation after birth, midwives were trying to satisfy differing, and sometimes contradictory, perspectives. The practice of re-infibulation (El Adel) represented a considerable source of income for the midwives. The midwives integrated the practice of re-infibulation into a greater whole of doing well for the woman, through an endeavour to increase her value by helping her to maintain her marriage as well as striving for beautification and completion. They were also trying to meet socio-cultural requests, dealing with pressure from the family while balancing on the edge of the law.

    KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the findings confirm that midwives are important stakeholders in perpetuating re-infibulation, and indicate that the motives are more complex than being only economic. The constant balancing between demands from others puts the midwives in a difficult position. Midwives' potential role to influence views in the preventative work against FGC and re-infibulation should be acknowledged in further abolition efforts.

  • 4.
    Ny, Pernilla
    et al.
    Department of Health and Society, Malmö University.
    Plantin, Lars
    Dejin-Karlsson, Elisabeth
    Dykes, Anna-Karin
    The experience of Middle Eastern men living in Sweden of maternal and child health care and fatherhood: focus-group discussions and content analysis2008In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 24, no 3, p. 281-290Article in journal (Refereed)
  • 5.
    Sjöblom, Ingela
    et al.
    Lunds universitet.
    Nordström, Berit
    Lunds universitet.
    Edberg, Anna-Karin
    Lunds universitet.
    A qualitative study of women's experiences of home birth in Sweden.2006In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 22, no 4, p. 348-355Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to illuminate the experiences of women who have given birth at home.

    METHODS: a descriptive design with a qualitative approach based on interviews with 12 women. The text was analysed using a phenomenological-hermeneutic method.

    FINDINGS: giving birth at home meant preserved authority and autonomy whereby the women themselves ruled the situation. The women's experiences of giving birth at home can be divided into three themes, with internal variations viewed as sub-themes. The main themes were as follows: 'having faith in one's own competence'; 'choosing support on one's own terms'; and 'being at home'. The experience embraced an earthly dimension, represented by reliance on inherent natural forces, and an existential, spiritual dimension, represented by faith in life itself, expressed in terms of the sacredness of giving birth, a heavenly experience, and wisdom about life itself.

    CONCLUSION: the experience of giving birth at home seems to differ from findings of studies focusing on the experience of giving birth in hospital. A reasonable goal for maternity care in hospital could, however, be that all women should have the opportunity to give birth on their own terms in a supportive and calm environment, surrounded by people who can assist if needed.

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