lnu.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Förlossningsrädsla: med fokus på kvinnors upplevelser av att föda barn
Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
2012 (Svenska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)Alternativ titel
Fear of childbirth : with a focus on women´s experiences of giving birth (Engelska)
Abstract [en]

Aim: The overall aim of this study is to describe experiences of, and the association between, fear of childbirth and birth experiences of women with fear ofchildbirth.

Methods: In studies I, II, and IV, a reflective lifeworld approach based on phenomenological philosophy was used to describe women’s experiences of fear of childbirth (I), previous birth experiences (II), and fear of childbirth and of birth experience in a long-term perspective (IV). In study III, differences between women who reported fear of childbirth and those who did not were calculated using risk ratios with a 95 % confidence interval and multivariate logistic regression analysis. Data were collected from interviews with eight (I) and nine (II) pregnant women with intense fear of childbirth, and with six women who had sought care for intense fear of childbirth 7 to 11 years prior to the interview (IV), and via questionnaire from a sample of 763 women during pregnancy and again one year following birth (III).

Findings: Fear of childbirth was described as “to lose oneself as a woman into loneliness” (I). Previous birth experience was described as “a sense of not being present in the delivery room and an incomplete childbirth experience” (II). Fear of childbirth was associated with a previous negative birth experience and a previous emergency caesarean section (III). From a long-term perspective, fear of childbirth and birth experience was described as “an effort to make all the pieces come together” (IV).

Conclusions: This thesis generates evidence on the importance of previous birth experience for women with fear of childbirth, from both qualitative and quantitative perspectives. These perspectives illustrate the complexity where women´s experiences in the delivery room are central. To avoid creating fear of childbirth, it is important that maternity care services focus on women’s birth experiences and critically evaluate care in relation to childbirth.

Ort, förlag, år, upplaga, sidor
Växjö, Kalmar: Linnaeus University Press, 2012. , s. 76
Serie
Linnaeus University Dissertations ; 92/2012
Nyckelord [en]
Fear of childbirth, Negative birth experience, Phenomenology, Childbirth, Birth trauma, Suffering, Midwifery, Support, Long-term, Birth narrative, Lived experice
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsovetenskap, Vårdvetenskap
Identifikatorer
URN: urn:nbn:se:lnu:diva-18750ISBN: 978-91-86983-65-9 (tryckt)OAI: oai:DiVA.org:lnu-18750DiVA, id: diva2:530765
Disputation
2012-06-08, Myrdal, Växjö, 10:30 (Svenska)
Opponent
Handledare
Tillgänglig från: 2012-11-08 Skapad: 2012-05-22 Senast uppdaterad: 2017-02-14Bibliografiskt granskad
Delarbeten
1. Women's lived experience of fear of childbirth
Öppna denna publikation i ny flik eller fönster >>Women's lived experience of fear of childbirth
2009 (Engelska)Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 25, nr 2, s. e1-e9Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: to describe women’s lived experience of fear of childbirth.

Design: a qualitative study using a phenomenological approach and a lifeworld perspective. Data were collected via tape-recorded interviews.

Setting: Sahlgrenska University Hospital, Go¨teborg, Sweden in 2003.

Participants: eight pregnant women (24–37 gestational weeks) seeking help within an outpatient clinic for women with severe fear of childbirth. Two of the women were primiparous.

Findings: four constituents were identified: feeling of danger that threatens and appeals; feeling trapped; feeling like an inferior mother-to-be and on your own. The essential structure was described as ‘to lose oneself as a woman into loneliness’.

Key conclusions: fear of childbirth affects women in such a way that they start to doubt themselves and feel uncertain of their ability to bear and give birth to a child. Previous birth experience was central to the multiparous women. They described their experiences of suffering in relation to the care they received during childbirth. This mainly concerned pain and negative experiences with staff.

Implications for practice: pregnant women who fear childbirth are an exposed group in need of much support during pregnancy and childbirth. The encounter between the woman and the midwife can be a way of breaking down the feeling of loneliness and restoring the woman’s trust in herself as a childbearing woman.

Nyckelord
Fear of childbirth, Maternity care, Self-esteem, Suffering
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsovetenskap, Vårdvetenskap
Identifikatorer
urn:nbn:se:vxu:diva-3139 (URN)10.1016/j.midw.2007.01.017 (DOI)
Tillgänglig från: 2008-01-07 Skapad: 2008-01-07 Senast uppdaterad: 2017-12-13Bibliografiskt granskad
2. Previous birth experience in women with intense fear of childbirth
Öppna denna publikation i ny flik eller fönster >>Previous birth experience in women with intense fear of childbirth
2010 (Engelska)Ingår i: Journal of Obstetric, Gynecologic and Neonatal Nursing, ISSN 0884-2175, E-ISSN 1552-6909, Vol. 3, nr 39, s. 298-309Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: To describe the meaning of previous experiences of childbirth in pregnant women who have exhibited intense fear of childbirth such that it has an impact on their daily lives.

Design: A descriptive phenomenological study.

Setting: A maternity clinic for women with fear of childbirth in the western part of Sweden.

Participants: Nine women with intense fear of childbirth who were pregnant with their second child and considered their previous birth experiences negative.

Methods: Interviews that were transcribed verbatim and analyzed with a reflective life-world approach.

Results: The essential meanings that emerged were a sense of not being present in the delivery room and an incomplete childbirth experience. The women felt as if they had no place there, that they were unable to take their place, and that even if the midwife was present, she did not provide support. The experience remained etched in the women's minds and gave rise to feelings of fear, loneliness, and lack of faith in their ability to give birth and diminished trust in maternity care. These experiences contrasted with brief moments that made sense.

Conclusions: Previous childbirth experiences for pregnant women with intense fear of childbirth have a deep influence and can be related to suffering and birth trauma. The implication is to provide maternity care where the nurse/midwife is present and supports women during birth in a way that enables them to be present and take their place during birth.

Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsovetenskap, Vårdvetenskap
Identifikatorer
urn:nbn:se:lnu:diva-20468 (URN)10.1111/j.1552-6909.2010.01139.x (DOI)
Tillgänglig från: 2012-06-26 Skapad: 2012-06-26 Senast uppdaterad: 2017-12-07Bibliografiskt granskad
3. Self reported fear of childbirth and its association with women´s birth experience and mode of delivery: a longitudinal population-based study
Öppna denna publikation i ny flik eller fönster >>Self reported fear of childbirth and its association with women´s birth experience and mode of delivery: a longitudinal population-based study
2012 (Engelska)Ingår i: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 25, nr 3, s. 114-121Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective

To explore fear of childbirth (FOC) during pregnancy and one year after birth and its association to birth experience and mode of delivery.

Design

A longitudinal population-based study.

Population

Pregnant women who were listed for a routine ultrasound at three hospitals in the middle-north part of Sweden.

Method

Differences between women who reported FOC and who did not were calculated using risk ratios with a 95% confidence interval. In order to explain which factors were most strongly associated to suffer from FOC during pregnancy and one year after childbirth, multivariate logistic regression analyses were used.

Results

FOC during pregnancy in multiparous women was associated with a previous negative birth experience (RR 5.1, CI 2.5–10.4) and a previous emergency caesarean section (RR 2.5, CI 1.2–5.4). Associated factors for FOC one year after childbirth were: a negative birth experience (RR 10.3, CI 5.1–20.7), fear of childbirth during pregnancy (RR 7.1, CI 4.4–11.7), emergency caesarean section (RR 2.4, CI 1.2–4.5) and primiparity (RR 1.9, CI 1.2–3.1).

Conclusion

FOC was associated with negative birth experiences. Women still perceived the birth experience as negative a year after the event. Women's perception of the overall birth experience as negative seems to be more important for explaining subsequent FOC than mode of delivery. Maternity care should focus on women's experiences of childbirth. Staff at antenatal clinics should ask multiparous women about their previous experience of childbirth. So that FOC is minimized, research on factors that create a positive birth experience for women is required.

Nyckelord
Fear of childbirth, Birth experience, Mode of delivery, Pregnancy, Midwifery
Nationell ämneskategori
Omvårdnad
Forskningsämne
Hälsovetenskap, Vårdvetenskap
Identifikatorer
urn:nbn:se:lnu:diva-20471 (URN)10.1016/j.wombi.2011.06.001 (DOI)1764400 (PubMedID)2-s2.0-84865342349 (Scopus ID)
Tillgänglig från: 2012-06-26 Skapad: 2012-06-26 Senast uppdaterad: 2017-12-07Bibliografiskt granskad
4. An effort to make all the pieces come together: women's long-term experience of intense fear of childbirth
Öppna denna publikation i ny flik eller fönster >>An effort to make all the pieces come together: women's long-term experience of intense fear of childbirth
(Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:lnu:diva-22379 (URN)
Tillgänglig från: 2012-11-08 Skapad: 2012-11-08 Senast uppdaterad: 2012-11-08Bibliografiskt granskad

Open Access i DiVA

Doctoral Thesis (Kappa)(1239 kB)4347 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 1239 kBChecksumma SHA-512
8600c31d1bca8c43c54bb04d7513fc1f600cae240cfdaa9ff3a37f03039362f530783c8aad594f3e9d7da82a27c2dda63683640c18cb79423fcabdacfd0ed9fd
Typ fulltextMimetyp application/pdf

Personposter BETA

Nilsson, Christina

Sök vidare i DiVA

Av författaren/redaktören
Nilsson, Christina
Av organisationen
Institutionen för hälso- och vårdvetenskap, HV
Omvårdnad

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 4347 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

isbn
urn-nbn

Altmetricpoäng

isbn
urn-nbn
Totalt: 2163 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf