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  • 1.
    Berggren, Vanja
    Högskolan Kristianstad, Sektionen för Hälsa och Samhälle.
    Oskuld och kvinnans kropp i centrum, i Sudan och i Sverige2008Inngår i: Berggren, V., Franck, M. (red). Kvinnlig könsstympning, Lund: Studentlitteratur , 2008, 121-128 s.Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 2.
    Berggren, Vanja
    et al.
    Högskolan Kristianstad, Sektionen för Hälsa och Samhälle.
    Franck, Martina
    Introduktion2008Inngår i: Berggren, V., Franck, M. (red). Kvinnlig könsstympning, Lund: Studentlitteratur , 2008, 9-12 s.Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 3.
    Berggren, Vanja
    et al.
    Högskolan Kristianstad, Sektionen för Hälsa och Samhälle.
    Franck, Martina
    Kvinnlig könsstympning2008Collection/Antologi (Annet vitenskapelig)
    Abstract [sv]

    Kvinnlig könsstympning är en företeelse som för många är tabubelagt att prata om och väcker starka känslor. Världshälsoorganisationen beräknar att 100-140 miljoner nu levande flickor och kvinnor har genomgått könsstympning. Kvinnor som på olika sätt har erfarenhet av könsstympning kommer i kontakt med svensk hälso- och sjukvård, socialtjänst och skolväsende, antingen som mödravårdspatienter, som mödrar eller som experter. Hur kan vi samla kunskap för att bemötande och kompetens ska bli bättre? Vilka olika förklaringar finns till att traditionen fortsätter? Vad säger lagen?

    Syftet med denna bok är att beskriva och ibland ge svar på en del av frågeställningarna ovan. Boken har framför allt nordiskt fokus utifrån både hälsa, antropologi och juridik samt erfarenheter kring mötet inom hälso- och sjukvården. Boken vänder sig främst till yrkesverksamma och studenter inom bland annat vård- och omsorg, socialtjänst, skola och polismyndighet och är den första i sitt slag i Norden.

  • 4.
    Berggren, Vanja
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet.
    Gottvall, Karin
    Department of Public Health Sciences, Division of Global Health (IHCAR), Karolinska Institute.
    Isman, Elisabeth
    Department of Public Health Sciences, Division of Global Health (IHCAR), Karolinska Institute.
    Bergström, Staffan
    Department of Public Health Sciences, Division of Global Health (IHCAR), Karolinska Institute.
    Ekéus, Cecilia
    Department of Women's and Children's Health, Division of Reproductive Health, Karolinska Institute.
    Infibulated women have an increased risk of anal sphincter tears at delivery: a population-based Swedish register study of 250 000 births2013Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 92, nr 1, 101-108 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective. To investigate the risk for anal sphincter tears (AST) in infibulated women. Design. Population-based cohort study. Setting. Nationwide study in Sweden. Population. The study population included 250 491 primiparous women with a vaginal singleton birth at 37–41 completed gestational weeks during 1999–2008. We only included women born in Sweden and in Africa. The African women were categorized into three groups; a Somalian-group, n = 929, where over 95% are infibulated; the Eritrea-Ethiopia-Sudan-group, n = 955, where the majority is infibulated, compared to other African countries, n = 1035, where few individuals are infibulated, but had otherwise similar anthropometric characteristics. These women were compared to 247 572 Swedish-born women. Methods. Register study with data from the National Medical Birth Registry. Main outcome measures. AST in non-instrumental and instrumental vaginal delivery. Results. Compared to Swedish-born women, women from Somalia had the highest odds ratio for AST in all vaginal deliveries: 2.72 (95% CI 2.08–3.54), followed by women from Eritrea-Ethiophia-Sudan 1.80 (1.41–2.32) and other African countries 1.23 (0.89–1.53) after adjustment for major risk factors. Mediolateral episiotomy was associated with a reduced risk of AST in instrumental deliveries. Conclusion. Delivering African women from countries where infibulation is common have an increased risk of AST compared with Swedish-born women, despite delivering in a highly technical quality healthcare setting. AST can cause anal incontinence and it is important to investigate risk factors for this and try to improve clinical routines during delivery to reduce the incidence of this complication.

  • 5.
    Hedov, Gerth
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa.
    Swedish Parents of Children with Down Syndrome: A study on the initial information and support, and the subsequent daily life2002Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    In this study 165 Swedish parents of young children with Downs’s syndrome (DS) were investigated regarding their perception of the quality of the first information and support received after the birth of the child. The parents’ opinions were compared with clinical routines at the paediatric clinics regarding these issues. Strong clinical ambitions fell short, however, since 70 % of the parents felt insufficiently informed; 56 % felt unsupported, and the timing of the disclosure varied between 0 hour to >5 days. On the basis of a grounded theory analysis the parents’ written narratives regarding the quality of the first information and support were analysed to better understand the reasons underlying the parental dissatisfaction. Criticisms were raised by the parents concerning: the low communication skills by professionals; the lack of privacy; too much negative information; and an unmet desire to early meet other DS parents.

    The implications of being DS parents regarding their daily life were examined by measuring parental health, stress, sense of coherence, employment and sick leave rates. Results were compared with those in a randomly selected group of parents of healthy age-matched children. The similarities between the DS and control parents were more pronounced than the differences regarding divorce rates, siblings in the family, time spent on child care, employment and sick leave rates, and their self-perceived health, stress, and sense of coherence. However, self-perceived health of the DS mothers was impaired and stress was increased. A small group of DS parents (5 mothers and 1 father) had an extremely high rate of sick leave and no such group was seen in the control parents. In addition, the DS mothers stayed at home because of the child’s sickness most frequently and the DS fathers stayed at home for this reason more than control mothers.

    Conclusions: Existing guidelines for optimal first information and support of new parents of children with DS are not always followed in Sweden. Qualitative clinical improvements from the parents’ perspective are proposed. Most DS parents live an ordinary family life in respect to the measured parameters, but the risk for health deterioration, particularly in DS mothers, might need attention.

  • 6.
    Persson, G. Rutger
    et al.
    Schweiz.
    Hitti, Jane
    USA.
    Verhelst, Rita
    Belgien.
    Vaneechoutte, Mario
    Belgien.
    Persson, Rigmor
    Schweiz.
    Hirschi, Regula
    Schweiz.
    Weibel, Marianne
    Schweiz.
    Rothen, Marilynn
    USA .
    Temmerman, Marleen
    Belgien.
    Paul, Kathleen
    Belgien.
    Eschenbach, David
    USA.
    The vaginal microflora in relation to gingivitis2009Inngår i: BMC infectious diseases, ISSN 1471-2334, Vol. 9, 6- s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Gingivitis has been linked to adverse pregnancy outcome (APO). Bacterial vaginosis (BV) has been associated with APO. We assessed if bacterial counts in BV is associated with gingivitis suggesting a systemic infectious susceptibilty.

    METHODS: Vaginal samples were collected from 180 women (mean age 29.4 years, SD +/- 6.8, range: 18 to 46), and at least six months after delivery, and assessed by semi-quantitative DNA-DNA checkerboard hybridization assay (74 bacterial species). BV was defined by Gram stain (Nugent criteria). Gingivitis was defined as bleeding on probing at >or= 20% of tooth sites.

    RESULTS: A Nugent score of 0-3 (normal vaginal microflora) was found in 83 women (46.1%), and a score of > 7 (BV) in 49 women (27.2%). Gingivitis was diagnosed in 114 women (63.3%). Women with a diagnosis of BV were more likely to have gingivitis (p = 0.01). Independent of gingival conditions, vaginal bacterial counts were higher (p < 0.001) for 38/74 species in BV+ in comparison to BV- women. Counts of four lactobacilli species were higher in BV- women (p < 0.001). Independent of BV diagnosis, women with gingivitis had higher counts of Prevotella bivia (p < 0.001), and Prevotella disiens (p < 0.001). P. bivia, P. disiens, M. curtisii and M. mulieris (all at the p < 0.01 level) were found at higher levels in the BV+/G+ group than in the BV+/G- group. The sum of bacterial load (74 species) was higher in the BV+/G+ group than in the BV+/G- group (p < 0.05). The highest odds ratio for the presence of bacteria in vaginal samples (> 1.0 x 104 cells) and a diagnosis of gingivitis was 3.9 for P. bivia (95% CI 1.5-5.7, p < 0.001) and 3.6 for P. disiens (95%CI: 1.8-7.5, p < 0.001), and a diagnosis of BV for P. bivia (odds ratio: 5.3, 95%CI: 2.6 to 10.4, p < 0.001) and P. disiens (odds ratio: 4.4, 95% CI: 2.2 to 8.8, p < 0.001).

    CONCLUSION: Higher vaginal bacterial counts can be found in women with BV and gingivitis in comparison to women with BV but not gingivitis. P. bivia and P. disiens may be of specific significance in a relationship between vaginal and gingival infections.

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