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Tallhage, S., Årestedt, K., Schildmeijer, K. & Oscarsson, M. (2024). Incidence and risk factors for umbilical cord prolapse in labor when amniotomy is used and with spontaneous rupture of membranes: A Swedish nationwide register study. Acta Obstetricia et Gynecologica Scandinavica, 103(2), 304-312
Open this publication in new window or tab >>Incidence and risk factors for umbilical cord prolapse in labor when amniotomy is used and with spontaneous rupture of membranes: A Swedish nationwide register study
2024 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 103, no 2, p. 304-312Article in journal (Refereed) Published
Abstract [en]

IntroductionUmbilical cord prolapse (UCP) is a rare but severe obstetric complication in the presence of a rupture of the membranes. Although it is not possible to prevent a spontaneous rupture of the membranes (SROM), it is possible to prevent an amniotomy, which is a commonly used intervention in labor. This study aimed to explore the incidence and risk factors that are associated with UCP in labor when amniotomy is used vs SROM.Material and methodsA retrospective nationwide register study was conducted of all births in Sweden from January 2014 to June 2020 that were included in the Swedish Pregnancy Register (n = 717 336). The main outcome, UCP, was identified in the data by the International Classification of Diseases (ICD-10) diagnosis code O69.0. Multiple binary logistic regression analysis was used to identify the risk factors.ResultsAmniotomy was performed in 230 699 (43.6%) of all pregnancies. A UCP occurred in 293 (0.13%) of these cases. SROM occurred in 298 192 (56.4%) of all cases, of which 352 (0.12%) were complicated by UCP. Risk factors that increased the odds of UCP for both amniotomy and SROM were: higher parity, non-cephalic presentation and an induction of labor. Greater gestational age reduced the odds of UCP. Risk factors associated with only amniotomy were previous cesarean section and the presence of polyhydramnios. Identified risk factors for UCP in labor with SROM were a higher maternal age and maternal origin outside of the EU.ConclusionsUCP is a rare complication in Sweden. Beyond confirming the previously recognized risk factors, this study found induction of labor and previous cesarean section to be risk factors in labor when amniotomy is used. This is the largest study examining the incidence of umbilical cord prolapse (UCP) and its risk factors in labors when an amniotomy is used and those with a spontaneous rupture of membranes. The incidence of UCP was similar for both labors with an amniotomy and those with a spontaneous rupture of membranes. This study confirms previously recognized risk factors for UCP and identifies some differences in risk factors between labors with amniotomy and those with a spontaneous rupture of membranes.image

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
amniotomy, induction of labor, labor interventions, risk factors, spontaneous labor, umbilical cord prolapse
National Category
Nursing Obstetrics, Gynecology and Reproductive Medicine
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-125930 (URN)10.1111/aogs.14717 (DOI)001102591100001 ()37969005 (PubMedID)2-s2.0-85176917921 (Scopus ID)
Available from: 2023-12-08 Created: 2023-12-08 Last updated: 2024-02-27Bibliographically approved
Danehorn, E., Peterson, U., Oscarsson, M., Smirthwaite, G. & Swahnberg, K. (2023). Mental health, self-rated health, risky sexual behaviour, alcohol use, and drug use among students who intend to spend a semester abroad - a cross-sectional study. Frontiers In Public Health, 11, Article ID 1116497.
Open this publication in new window or tab >>Mental health, self-rated health, risky sexual behaviour, alcohol use, and drug use among students who intend to spend a semester abroad - a cross-sectional study
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2023 (English)In: Frontiers In Public Health, ISSN 2296-2565, Vol. 11, article id 1116497Article in journal (Refereed) Published
Abstract [en]

Aim: Our aim was to investigate potential differences in mental health, self-rated health, risky sexual behaviour, alcohol use, and drug use between (1) Prospective exchange students and campus students separated by sex, and (2) male and female students as a group. Method: Comparative cross-sectional design using an online survey containing the following instruments: Knowledge, Attitudes, and Sexual Behaviour in Young People in Sweden; Self-Rated Health Questionnaire; and General Health Questionnaire 12. One-hundred and fourteen prospective exchange students and 451 campus students participated in the study. Results: Male prospective exchange students rated their mental health as being better and had used cannabis more often compared with female prospective exchange students. Male prospective exchange students also rated their mental health as being better than male campus students. Female students, in general, rated their mental health as worse than male students. A larger proportion of male prospective exchange students had sex together with alcohol compared with male campus students, and a larger proportion of female prospective exchange students had sex with a new partner and drank more alcohol compared to female campus students. Conclusion: The result shows that risky alcohol use and sexually risky behaviour is prominent amongst prospective exchange students. It is possible that they will continue, and even increase their risky behaviour whilst abroad as they find themselves in a new social context, and free from influence of the rules and restrictions that they might have at home. With limited knowledge of the local culture, native language, and in an unfamiliar environment, it is possible that the risks will be enhanced and possibly decrease their health. This highlights the need for proactive interventions, conceivably with some variations in content between sexes.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
Keywords
mental health, sexually risky behaviour, students, alcohol use, drug use, health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-123614 (URN)10.3389/fpubh.2023.1116497 (DOI)001027978600001 ()37457242 (PubMedID)2-s2.0-85164872289 (Scopus ID)
Available from: 2023-08-11 Created: 2023-08-11 Last updated: 2023-10-10Bibliographically approved
Bjelke, M., Thurn, L. & Oscarsson, M. (2023). Mode of delivery and birth outcomes in relation to the duration of the passive second stage of labour: A retrospective cohort study of nulliparous women. PLOS ONE, 8(1), Article ID e0281183.
Open this publication in new window or tab >>Mode of delivery and birth outcomes in relation to the duration of the passive second stage of labour: A retrospective cohort study of nulliparous women
2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 8, no 1, article id e0281183Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate the mode of delivery and birth outcomes in relation to the duration of the passive second stage of labour in nulliparous women.

Methods and findings: A retrospective cohort study of all nulliparous women (n = 1131) at two delivery units in Sweden. Maternal and obstetric data were obtained from electronic medical records during 2019. The passive second stage was defined as the complete dilation of the cervix until the start of the active second stage. The duration of the passive second stage was categorized into three groups: 0 to 119 min (0 to <2 h), 120–239 min (2- <4h) and ≥240 min (≥4h). Differences between the groups were examined using t-test and Chi2-tests and regression analyses were used to analyse adjusted odds ratio with 95% confidence intervals. The primary outcome was mode of delivery in relation to the duration of the passive second stage and the secondary outcomes covered a series of adverse maternal and neonatal birth outcomes. The rates of instrumental and caesarean deliveries increased as the duration of the passive second stage increased. A ≥4-hour duration of the passive second stage was associated with a nine-times increased risk of caesarean section, and a four-times risk of instrumental delivery compared to a duration of <2 hours in the adjusted analyses. No differences were found in the maternal birth outcomes. The risk of a 5-minute Apgar score <7 was increased in the 2-<4h group. A longer passive second stage was not associated with an increased risk of negative birth experience.

Conclusions: Our study demonstrates an increased risk of operative delivery for a longer duration (>2h) of the passive second stage in nulliparous women, although most of the women gave birth by spontaneous vaginal delivery even after ≥4 hours. There was no evidence of an increased risk of adverse maternal outcomes in a longer duration of the passive second stage but there were indications of increased adverse neonatal outcomes. Assessment of fetal well-being is important when the duration of the passive phase is prolonged.

Place, publisher, year, edition, pages
Public Library of Science, 2023
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-117924 (URN)10.1371/journal.pone.0281183 (DOI)000945530400001 ()2-s2.0-85147175511 (Scopus ID)
Note

Forskningsprojektets diarienummer hos huvudman: 2020/4663-4.3.2.2

Available from: 2022-12-15 Created: 2022-12-15 Last updated: 2023-04-20Bibliographically approved
Tallhage, S., Årestedt, K., Schildmeijer, K. & Oscarsson, M. (2023). Modifiable and non-modifiable risk factors for umbilical cord prolapse when amniotomy is used: a swedish nationwide register study. In: Presented at the 33rd ICM Triennial Congress, Bali, Indonesia, June 11-14, 2023: . Paper presented at 33rd ICM Triennial Congress, Bali, Indonesia, June 11-14, 2023.
Open this publication in new window or tab >>Modifiable and non-modifiable risk factors for umbilical cord prolapse when amniotomy is used: a swedish nationwide register study
2023 (English)In: Presented at the 33rd ICM Triennial Congress, Bali, Indonesia, June 11-14, 2023, 2023Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background

Amniotomy is one of the most commonly used interventions in modern obstetric and midwifery practice. The most severe complication to amniotomy is umbilical cord prolapse; a rare obstetric emergency that can cause fetal morbidity and/or mortality. 

Objectives

To identify risk factors for umbilical cord prolapse in labours when amniotomy is performed.

Methods

This retrospective nationwide study included data from the Swedish Pregnancy Register on all births from January 2014 to June 2020. The main outcome, umbilical cord prolapse, was identified in the data by the International Classification of Diseases (ICD-10), diagnosis code O69.0. Multiple binary logistic regression analysis was used to identify risk factors.

Results

During the study period, a total of 614 857 women gave birth, of which 234 756 (38.18%) underwent amniotomy. Umbilical cord prolapse occurred in in 362 (0.15%) of the cases. In the final multiple regression model, twin delivery was the strongest non-modifiable risk factor (OR 10.90). Other risk factors associated with umbilical cord prolapse were higher maternal age (OR 1.02), higher Body Mass Index (OR 1.02), increasing parity (OR 1.06) and maternal country of birth outside of the EU (OR 1.43). Induction of labour was the strongest modifiable risk factor (OR 2.82). Epidural analgesia decreased the probability for umbilical cord prolapse (OR 0.33).

Conclusions

Risk factors for umbilical cord prolapse when amniotomy is used were maternal country of birth outside of the EU, higher maternal age and BMI, increasing parity, induction of labour and twin delivery. 

Key message

Knowledge on risk factors to umbilical cord prolapse, when using amniotomy, can prevent causing significant harm. In the present study; induction of labour was a modifiable risk factor for umbilical cord prolapse.

National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:lnu:diva-123451 (URN)
Conference
33rd ICM Triennial Congress, Bali, Indonesia, June 11-14, 2023
Available from: 2023-08-07 Created: 2023-08-07 Last updated: 2023-09-28Bibliographically approved
Danehorn, E., Oscarsson, M., Smirthwaite, G., Peterson, U. & Swahnberg, K. (2023). Swedish exchange students' alcohol use, drug use, risky sexual behaviour, mental health, and self-rated health: A follow-up study. Nordic Studies on Alcohol and Drugs, 40(3), 287-300
Open this publication in new window or tab >>Swedish exchange students' alcohol use, drug use, risky sexual behaviour, mental health, and self-rated health: A follow-up study
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2023 (English)In: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 40, no 3, p. 287-300Article in journal (Refereed) Published
Abstract [en]

Aims: To follow up on exchange students' alcohol use, drug use, mental health, self-rated health, and risky sexual behaviour after a semester abroad and to compare them with students who remained on campus. Methods: The study design was a follow-up study based on a previous baseline survey of 114 prospective exchange students and 451 campus students. Of the original 565 students, 48 (42.1%) prospective exchange students and 209 (43.3%) campus students responded to the follow-up. Both the baseline survey and the follow-up survey included the General Health Questionnaire 12, one single item from Self-Rated Health, and nine items from Knowledge, Attitudes and Sexual Behaviour in Young People in Sweden. Results: We found a statistically significant increase in the weekly consumption of alcohol among exchange students after their semester abroad. A larger proportion of exchange students had sex with a new partner and sex with more than three partners during their semester abroad compared to follow-up campus students. Conclusions: Our findings indicate that exchange students consume alcohol more frequently during their semester abroad and indulge in sexually risky behaviour. Exchange students' use of alcohol and sexually risky behaviour could be associated with even greater risks due to them being in an unknown environment, unfamiliar culture, and with limited support from family and friends. This highlights the need for further research on exchange students' experiences, especially concerning alcohol use and sex while abroad.

Place, publisher, year, edition, pages
Sage Publications, 2023
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-119836 (URN)10.1177/14550725231160331 (DOI)000950302900001 ()2-s2.0-85150996472 (Scopus ID)
Available from: 2023-03-17 Created: 2023-03-17 Last updated: 2023-08-31Bibliographically approved
Bitar, D., Oscarsson, M. & Stevenson-Ågren, J. (2022). Application to promote communication between midwives and Arabic-speaking women at antenatal care: Challenges met by researchers when developing content. European Journal of Midwifery, 6, Article ID 68.
Open this publication in new window or tab >>Application to promote communication between midwives and Arabic-speaking women at antenatal care: Challenges met by researchers when developing content
2022 (English)In: European Journal of Midwifery, E-ISSN 2585-2906, Vol. 6, article id 68Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION Providing good communication is at the core of recent international guidelines for improving women's outcomes at birth. Communication barriers are identified as major obstacles to providing effective and equal care among foreign-born women. There is a need for accurate communication tools in antenatal care. The aim of this study was to describe challenges met by researchers when developing culturally sensitive content in a Swedish-Arabic application for communication support at antenatal care in Sweden. METHODS A co-design methodology was used for the development of the application, entailing collaboration between users and researchers in five different phases: users' needs and preferences, development, field testing I, refinement, and field testing II. RESULTS Five challenges emerged: evidence-based information, time frame, realistic photographs, norm-critical perspective, and cultural issues. One challenge was to meet the needs of the users and combine it with information following evidence-based obstetric welfare guidelines. It was also challenging to produce short informational videos that could be adjusted for the duration of the visit with the midwife without omitting important information and to produce photographs which can become outdated. It was also a challenge to portray a less clinical environment and to maintain parents' integrity. It was also challenging to produce norm-critical content from the women's perspective. CONCLUSIONS When developing content of an application for antenatal care, converting content proposals into a finished product is challenging. Collaboration between a cross-disciplinary research team, midwives and target-language women is essential to ensure that the content is usable and reliable.

Place, publisher, year, edition, pages
European Publishing, 2022
Keywords
antenatal care, application, co-design, content, communication, immigrant woman
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-118367 (URN)10.18332/ejm/156451 (DOI)000895933300004 ()36514372 (PubMedID)2-s2.0-85143863116 (Scopus ID)
Available from: 2023-01-16 Created: 2023-01-16 Last updated: 2023-03-30Bibliographically approved
Tallhage, S., Årestedt, K., Schildmeijer, K. & Oscarsson, M. (2022). Prevalence of amniotomy in Sweden: a nationwide register study. BMC Pregnancy and Childbirth, 22(1), Article ID 486.
Open this publication in new window or tab >>Prevalence of amniotomy in Sweden: a nationwide register study
2022 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 22, no 1, article id 486Article in journal (Refereed) Published
Abstract [en]

Background Amniotomy is a commonly used labor intervention with uncertain evidence, and there are complications connected to the intervention. Yet, the Swedish prevalence of amniotomy is unknown. The aim of the study was therefore to describe the prevalence of amniotomy in Sweden. Methods This nationwide register-based study included 330,913 women giving birth in 2017-2020. Data were collected from the Swedish Pregnancy Register in which the majority of data is collected via direct transfer from medical records. Prevalence of amniotomy was described for all births, for nulliparous and multiparous women with spontaneous onset of labour, and at the hospital level. Descriptive statistics and chi-square test were used to analyse the data. Results For all births, the prevalence of amniotomy was 40.6%. More amniotomies were performed in Robson group 1 compared to Robson group 3; 41.1% vs 32.3% (p < 0.001). The prevalence for all births remained the same during the study period; however, a decrease from 37.5 to 34.1%, was seen in Robson group 1 and Robson group 3 (p < 0.001). Variations in the prevalence between hospitals were reported. The hospitals with the fewest number of births annually had the highest prevalence of amniotomy (45.0%), and the lowest prevalence was reported at the University hospitals (40.4%) (p < 0.001). Conclusions Amniotomy is a common labor intervention in Sweden, given that almost half of the laboring women underwent the intervention. Our results, regarding variations in the prevalence between hospitals, could imply a potential for fewer amniotomies in Swedish childbirth care.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
Keywords
Amniotomy, Labor intervention, Nulliparity, Multiparity, Register study, Prevalence
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-115194 (URN)10.1186/s12884-022-04805-w (DOI)000811201100003 ()35701766 (PubMedID)2-s2.0-85131866675 (Scopus ID)
Available from: 2022-07-06 Created: 2022-07-06 Last updated: 2023-04-17Bibliographically approved
Tallhage, S., Årestedt, K., Schildmeijer, K. & Oscarsson, M. (2022). Prevalence of amniotomy in Sweden: a nationwide register study. In: Presented at the 22nd Nordic Midwifery Congress (NJF 2022), Helsinki, Finland, May 4-6, 2022: . Paper presented at 22nd Nordic Midwifery Congress (NJF 2022), Helsinki, Finland, May 4-6, 2022.
Open this publication in new window or tab >>Prevalence of amniotomy in Sweden: a nationwide register study
2022 (English)In: Presented at the 22nd Nordic Midwifery Congress (NJF 2022), Helsinki, Finland, May 4-6, 2022, 2022Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: There is a global concern about the escalating use of labour interventions in low-risk women. Despite the lack of evidence for spontaneous labour, amniotomy is commonly used. However, the prevalence is not known. Information on prevalence and possible differences between hospitals offers opportunity for comparisons, identification of best practice, and clinical improvement.

Aim: To explore the prevalence of amniotomy in Sweden in relation to variations between hospitals and over time.

Methods: This was a retrospective nationwide register-based study, including data from January 2017 to June 2020. Data were collected from the Swedish Pregnancy Register which covers 93% of all births in Sweden. Data were analysed in relation to Robson Group (RG) 1 and 3, using descriptive statistics and chi-square test.

Results: During the study period a total of 330 913 women gave birth, whereof 134 493 (40.6%) underwent amniotomy. The prevalence was significantly higher for RG 1 compared to RG 3, 41.1% vs. 32.3% (p<0.001). In RG 1 and RG 3, the highest prevalence was reported at the hospitals with <1000 births annually, while the lowest prevalence was reported at University hospitals, 42.3% vs. 34.5% (p<0.001). The overall prevalence did not change during the study period (p=0.678), thus, for RG 1 and RG 3, the prevalence of amniotomy decreased from 37.5% to 34.1% (p<0.001).

Conclusions: Amniotomy is a commonly used labour intervention that is used in more than one third of all births in Sweden. Regarding prevalence in RG 1 and RG 3, significant variations between hospitals and a small but significant decrease over time, were observed. However, the overall prevalence remained the same, indicating an increase of amniotomy in other Robson Groups.

National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-123449 (URN)
Conference
22nd Nordic Midwifery Congress (NJF 2022), Helsinki, Finland, May 4-6, 2022
Available from: 2023-08-07 Created: 2023-08-07 Last updated: 2023-09-28Bibliographically approved
Bjelke, M., Thurn, L. & Oscarsson, M. (2022). Prolonged passive second stage of labor in nulliparous women-Prevalence and risk factors: A historical cohort study. Acta Obstetricia et Gynecologica Scandinavica, 101(5), 499-505
Open this publication in new window or tab >>Prolonged passive second stage of labor in nulliparous women-Prevalence and risk factors: A historical cohort study
2022 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 101, no 5, p. 499-505Article in journal (Refereed) Published
Abstract [en]

Introduction This study examined the prevalence of and risk factors for a prolonged passive second stage of labor in nulliparous women. Material and Methods This was a historical cohort study of all nulliparous women (n = 1131) at two delivery units in Sweden. Maternal and obstetric data were obtained from electronic medical records during 2019. Duration of the passive second stage was measured as time from retracted cervix to start of pushing. Prolonged passive second stage was defined as >= 2 h. Prevalence was calculated and associations between prolonged passive second stage and maternal, obstetric and neonatal characteristics and potential risk factors were assessed using logistic regression models. Results The prevalence of prolonged passive second stage was 37.6%. Factors associated with an increased risk of prolonged passive second stage were epidural analgesia (adjusted odds ratio [aOR] 3.93; 95% confidence interval [CI] 2.90-5.34), malpresentation (aOR 2.26; 95% CI 1.27-4.05), maternal age >= 30 years (aOR 2.00; 95% CI 1.50-2.65) and birth weight >= 4 kg (aOR 1.50; 95% CI 1.05-2.15). Maternal body mass index >= 30 (aOR 0.52; 95% CI 0.34-0.79) and noncohabiting (aOR 0.51; 95% CI 0.30-0.89) reduced the odds of prolonged passive second stage. Conclusions A prolonged passive second stage of labor in nulliparous women is common (n = 425 [38%]). We found epidural analgesia, malpresentation, maternal age >= 30 years and birthweight >= 4 kg to be major risk factors associated with an increased risk of a prolonged passive second stage. Birth outcomes for prolonged passive second stage need to be investigated to strengthen evidence for the management of the second stage of labor.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
labor stage, nullipara, passive, second stage, second stage labor duration
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-111108 (URN)10.1111/aogs.14342 (DOI)000769476000001 ()35293611 (PubMedID)2-s2.0-85126322826 (Scopus ID)
Available from: 2022-04-07 Created: 2022-04-07 Last updated: 2022-10-07Bibliographically approved
Ek, E., Lönnberg, T. & Oscarsson, M. (2022). Sömnproblem och sömnkvalitet bland gravida – en enkätstudie. Sömn och hälsa (7), 13-32
Open this publication in new window or tab >>Sömnproblem och sömnkvalitet bland gravida – en enkätstudie
2022 (Swedish)In: Sömn och hälsa, ISSN 2003-234X, no 7, p. 13-32Article in journal (Refereed) Published
Abstract [sv]

Sömnen påverkas under en graviditet med bland annat fler uppvaknanden och mindre djupsömn. Sömnproblem under graviditeten ökar risken för psykiska problem och medicinska komplikationer hos den gravida och fostret. Det saknas svenska studier om sömnproblem och graviditet.

Syftet var att kartlägga sömnproblem och sömnkvalitet bland gravida och jämföra de tre trimestrarna, samt undersöka samband mellan sömnproblem och självskattad hälsa.

Studien genomfördes som en tvärsnittsstudie med en webbaserad enkät som besvarades av 836 gravida kvinnor.

Resultatet analyserades med en deskriptiv och analytisk statistik. Resultatet visar att majoriteten av de gravida (69,5 %) rapporterade sömnproblem och 84,2 % rapporterade dålig sömnkvalitet. Inga signifikanta skillnader fanns mellan de olika trimestrarna. Av de gravida skattade 79,5 % sin hälsa som god. Bland gravida med god självskattad hälsa hade 65,3 % sömnproblem, bland gravida med dålig självskattad hälsa hade 86 % sömnproblem (p <0,001). Av de gravida med god självskattad hälsa hade 81,4 % dålig sömnkvalitet och bland gravida med dålig självskattad hälsa hade 95,3 % dålig sömnkvalitet (p <0,001). Kvinnorna rapporterade många graviditetssymtom störde de gravidas sömn. En majoritet (62,9 %) besvärades av illamående i första trimestern. Påverkan av sura uppstötningar/reflux, ryggont och obekväma ställningar ökade med varje trimester. Livliga drömmar och oro för förlossningen upplevdes störst i första trimestern. Över 80 % av alla gravida kvinnor i alla tre trimestrarna fick störd nattsömn av frekvent urinering.

Majoriteten av de gravida hade sömnproblem och dålig sömnkvalitet. Trots detta skattade de flesta sin hälsa som god.

Place, publisher, year, edition, pages
Kristianstad: Kristianstad University Press, 2022
Keywords
pregnant women, pregnancy symptoms, insomnia, self-rated health sleep quality sleep problems, gravida, graviditetssymtom, insomni, självskattad hälsa, sömnkvalitet, sömnproblem
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-112810 (URN)
Available from: 2022-05-11 Created: 2022-05-11 Last updated: 2023-04-18Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1944-773X

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