Global ETD Search

1	Midwifery centers as enabled midwifery: women's experiences of care with a human rights-based approach, before and during the pandemic Stevens, Jennifer Rebecca 25 January 2022 (has links) BACKGROUND: A human rights-based approach (HRBA) to maternal health care is generally recognized as key to improving quality and acceptability of care. Yet examples of a HRBA in practice are limited. Crises exacerbate underlying challenges in current approaches to maternal child healthcare (MCH) and provide an ideal, if unfortunate, opportunity to assess alternatives. The midwifery model of care is a HRBA based on the relationship between the midwife and woman. It is appropriate for the majority of healthy pregnant women, and has been found to provide safe, cost effective, evidence based, and satisfying care. Yet midwives working in the medical model may struggle to fully express midwifery. A quasi-experimental design was used to assess the impact of three models of care on women’s experiences of respectful care, trust and their fear and knowledge around COVID-19, before and during the COVID-19 pandemic. The models were: the fully enabled midwifery (“FEM”) model in a midwifery center, the midwifery and medicine (“MAM”) model in facilities with midwives working alongside medical practitioners, and the no midwifery (“NoM”) model in facilities without midwives. METHODS: Phone survey data were collected and analyzed from all women (n=1191) who delivered from Jan 2020-June 2020 at 7 health care facilities in Bangladesh. Descriptive statistics and ANOVA, post hoc Tukey and effect size analyses were used to explore the relationships between the models, outcomes and time periods. Linear regression was used to explore relationships between outcomes, models and covariates. RESULTS: The experiences of respectful care, and trust were significantly higher (p=<0.01) and the experience of COVID fear/stigma was significantly lower (p=<0.01) for women who gave birth in the FEM model, compared to the other models, in both the pre and pandemic periods, with the exception of respectful care compared to the MAM model in the pre-pandemic period. CONCLUSION: Midwives, when working in the fully enabled environment of midwifery centers, provided care that was positively related to women’s experience of care. As midwives are used in many countries to prevent maternal mortality, the importance of an enabling environment should not be overlooked. Midwifery centers are an example of an HRBA that should be considered wherever midwives work and considered an important response during a crisis. / 2023-01-24T00:00:00Z Public health Birth center
2	Mammisi : A study of factors contributing to women’s childbirth experiences & a conceptual suggestion for a Swedish Birth Center / Mammisi : En studie om bidragande faktorer till kvinnors förlossningsupplevelser & ett konceptuellt förslag för ett Svenskt Birth Center Selin, Lisa January 2021 (has links) This project has researched why a welfare country like Sweden has a growing number of mothers with negative and traumatic childbirth experiences and aimed to propose a conceptual solution on how design could enhance factors contributing to a positive and empowering childbirth experience. With close contact to both midwives and mothers the research brought light on the dissonance between the physiological mechanism behind birth and the existing user journey when giving birth at Maternity Wards at hospitals. A woman in labor is treated in a generalized pathologic medical system and will encounter several blockades, which risks to prevent her from experiencing a smooth birth on her own terms, this often causing unnecessary interventions and most importantly - a disbelief in her own ability to give birth and to be a woman. The result of the project is a couple of guidelines and visual suggestions of how a Swedish Birth Center could be established, interacted with and how a birth space could look like, with focus on providing accessibility for a positive and empowering birth experience. Enabling a woman to find her full capability to give birth requires an undisturbed and respectful environment, protecting the powerful but sensitive hormones of birth. The concept is called Mammisi, the ancient name for birth place; birth house, referring to the findings of ancient temple complexes which were dedicated to worshipping goddesses of motherhood, fertility, birth and rebirth and where birth and fertility rituals took place. make a big difference, both for maternal health, long term economical profits and how a Birth Center implementation can be done with a low carbon footprint. The concept is easily applicable in real time, and can be used as a guide for spaces wanting to create fundations for a positive and smooth birth experience or a relaxation space. birth center birth childbirth mammisi Design Design
3	Faktorer som påverkar kvinnors val av födelseplats : en litteraturöversikt / Factors affecting women's choice of birthplace : a literature review Bengtsson, Veronica, Olsson, Emelie January 2018 (has links) Background: In the world's industrialized countries, most women give birth to their children in hospitals, a birthplace that has become the norm. In Sweden, hospital birth and home birth are the options available. About 0.1 percent of women in Sweden are planning a home delivery but the interest is about 10 times higher. In Sweden, there is no birth center available; which is a midwife's birth clinic where continuity and normal deliveries are in focus. The interest in delivery in a birth center among women in Sweden is about 27 percent. Aim: The aim of this study is to describe factors affecting women's choice of birthplace. Method: The method used in this paper is a general literature study, with a total of 17 articles from the United States, Canada, Sweden, Finland, Holland, England, New Zealand and Australia. Result: In the result it emerged that the different birthplaces had in part the same factors motivating the women. These factors were the attitude towards the childbirth process, access to birthplace choice, safety, environment, pain relief and intervention and influence. There were also unique themes for each birthplace. Home delivery was the birthplace that had the most unique factors, such as control and empowerment, the family's participation and attitudes in society and care. Unique for childbirth at a birth center was localization and continuity with the healthcare provider. The study found no unique factors for hospital birth. The factors for home birth and hospital birth were each other’s opposites, while childbirth at a birth center was something in between. Conclusion: The women in the present essay all had common factors that affect their choice of place of birth. But also, unique individual factors depending on their own preferences. The women who had safety as a priority saw birth as something dangerous and sought a hospital birth. While women who prioritized an intervention-free birth without medical pain relief and routine drugs, sought home birth and birth at a birth center. Keywords: Hospital childbirth, Home childbirth, Birth center childbirth, Choice, Decisionmaking. Sjukhusförlossning Hemförlossning Birth center förlossning Val Beslutsfattande Nursing Omvårdnad
4	Women's experiences of breastfeeding in an out-of-hospital birthing community Marshall, Lindsay J. 20 November 2012 (has links) In this thesis, I examine the experiences of breastfeeding mothers who chose to give birth with Certified Professional Midwives at a free-standing birth center, and the factors that influence their known high rates of breastfeeding initiation and duration. Using grounded theory and data collected from participant observation, semi-structured interviews, and an open-ended survey, I describe the functioning of the birth center and the breastfeeding explanatory models of the birth center staff as well as how the birth center's model of care affects client-participant's experiences of breastfeeding in community that rejects medicalized models of birth and breastfeeding. Findings interpreted from a biocultural perspective reveal how women utilize previously constructed breastfeeding convictions to navigate support and difficulties in a way that allows 92% of client-participants to report overall happiness about their breastfeeding experiences. There was, however, a small subset of women who were disappointed in their breastfeeding experience. Recommendations include changes in care practice to further support breastfeeding women in this community. / Graduation date: 2013 breastfeeding midwifery birth center community research Breastfeeding -- Public opinion Mothers -- Attitudes Birthing centers -- Public opinion
5	Föräldrars erfarenheter av tidigt föräldrastöd : en kvalitativ intervjustudie / Parents´ experiences of early parent support : A qualitative interview study Lindell, Sandra January 2016 (has links) Bakgrund: Föräldrastödet som erbjuds i Sverige har genomgått förändringar genom åren. Eftersom nyblivna föräldrar blir utskrivna från BB allt tidigare ökar också kraven på ett förändrat föräldrastöd både på BB och BVC. Föräldrastöd är kärnan i alla former av mödrahälsovårdens och barnhälsovårdens arbete och är integrerat i varje möte som distriktssköterskan och barnmorskan har med föräldrarna. Definitionen av tidigt föräldrastöd omfattar i denna studie barnets två första levnadsveckor. Syfte: Syftet med studien var att undersöka föräldrars erfarenheter av tidigt föräldrastöd på BB och BVC under barnets två första levnadsveckor. Metod: En kvalitativ ansats användes. Elva semistrukturerade intervjuer genomfördes med mammor och pappor som nyligen fått barn. Intervjuerna analyserades utifrån en kvalitativ innehållsanalys. Resultat: Ett övergripande tema presenteras: En känsla av ökad trygghet. Resultatet visar att föräldrarna behöver stöd i sin föräldraroll för att uppnå en känsla av trygghet. Föräldrarna upplever att det är viktigt att familjen ses som en helhet där alla parter behöver sin del av stödet. Resultatet sammanfattas i två kategorier: Trygghet för min och min familjs skull och Personalens förmåga att inge trygghet. Slutsats: Föräldrar erfar stöd som viktigt och behövligt under barnets två första levnadsveckor. Tidigare forskning bekräftar studiens resultat dock finns det begränsad forskning inom området som utgår från föräldrarnas erfarenheter och därför finns behov av ytterligare forskning. / Background: Parent support offered in Sweden has undergone changes through the years. As parents of newborns gets discharged from the hospital earlier than before, the demands for a changed parent support both at the birth center (BB) and at the children´s healthcare center (BVC) increases. Parent support is the core of all forms of maternal health care and child health care and it is integrated in every meeting that the district nurse and midwife has with the parents. The definition in this study of early parent support includes the child's first two weeks of life. Aim: The aim of this study was to describe parents' experiences of early parent support during the child's first two weeks of life. Method: A qualitative approach was used. Eleven semi-structured interviews were conducted with mothers and fathers who recently had a baby. The interviews were analyzed based on a qualitative content analysis. Results: An overall theme is presented: A sense of increased security. The results show that parents need support in their parental role to achieve a sense of security. The parents feel that it is important for the family to be seen as a whole in which all parties need their share of support. The results are summarized in two categories: Security for my and my family's sake and The ability of the staff to produce a feeling of security. Conclusion: It is of the parentsˈ experience that support is important and needed during the child’s first two weeks of life. Previous research confirms the results of this study, however, there is limited research in this area based on parents' experiences and therefore a need for further research. Birth Center Children´s healthcare Center early parent support experiences parents qualitative content analysis Barnhälsovård BVC BB erfarenheter föräldrar kvalitativ innehållsanalys tidigt föräldrastöd Nursing Omvårdnad
6	ATT VARA ÖPPEN FÖR OLIKHETER I TIDER AV FÖRÄNDRING : Barnmorskors och BVC-sjuksköterskors erfarenheter av föräldrars behov av tidigt föräldrastöd Bondesson, Beatrice January 2012 (has links) Society has an obligation to offer parents support of various types, an example of such a support is “parent support”. The purpose of this study has been to describe midwives and child health care nurses conceptions of the need for early parent support. The definition of early parent support in this study is the first two weeks after delivery. Since the 1970:ies the Swedish delivery and “BB” care has changed in that the time in hospital care after delivery has been reduced from in average six days, till an average of two days. This change created new demands for the information given to new parents by the child health care nurse. The author used a qualitative content analysis and carried out six interviews. The informants were midwives and child health care nurse from different clinics. The result show that today’s information society have resulted in parents being very well informed, and the informants see it as part of their parent support means helping parents to find valid information in the flow of information available. This confirms research which show that much of the information parents gather themselves on the internet is incorrect. The need for experienced personal available for advice and support has also increased with reduced time spent at the hospital. However, research show that mothers value the advice available from their mothers just as high as that given by healthcare personal. The study also shows that those involved in parent support needs to be open to differences between parents. / Samhället har skyldighet att erbjuda föräldrar stöd i olika former, ett exempel på sådant stöd är föräldrastöd. Syftet med denna studie har varit att beskriva barnmorskors och BVC-sjuksköterskors erfarenheter av tidigt föräldrastöd, med fokus på upplevda behov hos föräldrarna. Sedan 1970-talet har den Svenska förlossnings och BB-vården förändrats genom att vårdtiden efter att ett barn är fött har kortats ned från i genomsnitt sex dagar till i genomsnitt två dagar. Denna förändring ställer andra krav på den information som barnmorskor och BVC-sjuksköterskor delger nyblivna föräldrar. Författaren använde sig av en kvalitativ innehållsanalys och genomförde sex intervjuer. Informanterna var barnmorskor från BB och BVC-sjuksköterskor från olika vårdcentraler. Resultatet visar att dagens informationssamhälle har resulterat i att föräldrar är mycket pålästa och informanterna upplever att en del av föräldrastödet innebär att hjälpa föräldrar att hitta rätt bland all information. Detta bekräftar forskningen som visar på att mycket av den information som föräldrar inhämtar själva från Internet är direkt missvisande. Med nedkortade vårdtider efter förlossningen har även behovet för föräldrar att dygnet runt kunna rådfråga erfaren personal ökat. Forskning visar dock att mammor värderar den information de kan inhämta från sina mammor lika högt som den de får från hälso- och sjukvårdspersonal. Studien visar också att de som bedriver föräldrastöd behöver vara öppna för olikheter föräldrar emellan. Birth Center Child health care nurse Children's healthcare Midwife Nurse Parent support qualitative content analysis Barnhälsovård barnmorska BB BVC-sjuksköterska föräldrastöd kvalitativ innehållsanalys
7	Geburtsräume Grohmann, Cornelia 21 March 2016 (has links) (PDF) Die vorliegende Arbeit formuliert Empfehlungen für die strukturelle wie funktionale Gliederung, die Architektur, die Ausstattung und die Gestaltung von Geburtsräumen. Die als Ergebnis dargestellten Kriterien und Hinweise zur Planung leiten sich aus den Wünschen von Nutzern, erkannten Defiziten bestehender geburtshilflicher Einrichtungen und der Raumnutzung ab. Dabei bilden die Anforderungen zur Unterstützung des physiologischen Geburtsprozesses und die Ergebnisse aus der Befragung von rund 400 Elternteilen die wichtigsten Grundlagen. Die konkreten Planungsempfehlungen sind für Architekten und Nutzer verfasst. Sie haben das Ziel, die Privatheit der Gebärenden zu sichern, geburtsgerechte Haltungsvarianten und Bewegung zu unterstützen sowie den ermittelten Raumbedarf der Geburtshilfe bereitzustellen. Weiterhin werden die strukturellen Unterschiede zwischen den Angebotsformen und Versorgungsstufen, die ergonomischen Ansprüche, die körperlichen und psychischen Bedürfnisse sowie die erkundeten Wünsche der Nutzer zur Gestaltung berücksichtigt. Raumgestaltung Architektur Geburtshilfe Geburt Entwurf Krankenhaus Wochenbett Geburtshaus Hausgeburt Evidenz Interior Design Architecture Obstetrics Birth Design Hospital Childbed Birth Center Home Birth Evidence based ddc:710 rvk:ZH 6350 Innenarchitektur Architektur Geburtshilfe Geburt Entwurf Krankenhaus Wochenbett Geburtshaus Hausgeburt
8	Geburtsräume: Ableitung von Empfehlungen zu räumlicher Organisation, Ausstattung und Gestaltung geburtshilflicher Umwelten aus dem physiologischen Geburtsprozess, physischen und psychischen Bedürfnissen, sowie aus Wünschen und Bewertungen von Nutzern Grohmann, Cornelia 11 November 2015 (has links) Die vorliegende Arbeit formuliert Empfehlungen für die strukturelle wie funktionale Gliederung, die Architektur, die Ausstattung und die Gestaltung von Geburtsräumen. Die als Ergebnis dargestellten Kriterien und Hinweise zur Planung leiten sich aus den Wünschen von Nutzern, erkannten Defiziten bestehender geburtshilflicher Einrichtungen und der Raumnutzung ab. Dabei bilden die Anforderungen zur Unterstützung des physiologischen Geburtsprozesses und die Ergebnisse aus der Befragung von rund 400 Elternteilen die wichtigsten Grundlagen. Die konkreten Planungsempfehlungen sind für Architekten und Nutzer verfasst. Sie haben das Ziel, die Privatheit der Gebärenden zu sichern, geburtsgerechte Haltungsvarianten und Bewegung zu unterstützen sowie den ermittelten Raumbedarf der Geburtshilfe bereitzustellen. Weiterhin werden die strukturellen Unterschiede zwischen den Angebotsformen und Versorgungsstufen, die ergonomischen Ansprüche, die körperlichen und psychischen Bedürfnisse sowie die erkundeten Wünsche der Nutzer zur Gestaltung berücksichtigt. info:eu-repo/classification/ddc/710 ddc:710
9	The Delivery Home : Giving Birth with Spatial Support / Förlossningshemmet : Föda med rumsligt stöd Hovrell, Yonna January 2023 (has links) Most labour rooms in Sweden pretty much all look the same. They have a white plastic floor and a light colored wall. The room has one bed, and next to the bed you find machines that will help you if anything goes wrong. These rooms are made to give birth in - but somehow they’re not made for that at all. This project is based on research showing that home births can lower the risk of several medical interventions, infections and helps to get a better birthing experience overall (in low risk pregnancies). In Sweden only about 0,1% give birth at home, which is something that might change with time - but not everyone has the possibility, or feel safe enough, to give birth in their own home - or even want to. In Swedish history there was a transition from giving birth at home to giving birth at the hospital - and during this transition there also existed delivery homes. These were places that gave the opportunity to give birth in a home like setting - but with a more evolved medical security than in the home. These homes were later found not as cheap to run as the cost effective hospitals - and were all eventually shut down. Until now. The project uses biophilic design and rounded shapes to connect to the shapes of nature, while at the same time combining it with the rural Swedish home. The project becomes a space to give birth in - but also share experiences, meeting family on your terms, celebrate the life created and mourn when life gets taken away too soon. The birth of a child is one of the biggest things that can happen in a persons life. And we should give birth, not only with medical support - but with spatial support as well. birth feminism equality curves nature UMA architecture bachelor artistic building body movement bath water process cave birthing women safety healthcare change pool birth center biophilic design rehabilitation rehab postpartum midwife Swedish rural föda feminism jämställdhet kurvor natur UMA arkitektur kandidat konstnärlig byggnad kropp rörelse bad vatten process grotta födande kvinnor trygghet vård förlossning förlossningshem förändring pool eftervård postpartum barnmorska återhämtning svensk Architecture Arkitektur

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