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Utilising a hermeneutic phenomenological approach twenty women’s experiences of breast cancer were explored through semi-structured interviews at three time points during their healthcare trajectory from recent diagnosis to early follow-up. Phenomenological analysis guided by van Manen’s (1990) principles revealed numerous multifaceted themes some of which were time limited while others spanned the data collection period. Use was made of an adapted life grid approach in order to enhance the implicit meanings to be elicited through interpretation of text. Central themes depicting the medicalisation of breast cancer, perceptions and management of the body and participants’ emotional journey were uncovered. Breast cancer was found to represent a biographical disruption that had a long-term impact on a woman’s body, self, identity and sense of embodiment. Changes to the body, due to breast cancer treatment, and an altered way of being in the world, elicited disruption to the body-self relationship, a separation that was reinforced by the healthcare system. Participants were found to adopt a variety of coping strategies to manage ongoing change and the stress elicited by experiencing breast cancer as a chronic illness. Avoidance, information management, conscious passivity in treatment decision-making and positive cognitive restructuring are examples of such mechanisms. However, women’s experiences of each theme identified and the emergence and maintenance of these themes varied according to women’s biography, diagnosis and prescribed treatment regime, cancer schema, and social support. Accordingly, models of care must address women’s individual experiences and recognise their changing needs throughout the year post diagnosis.

Bakgrund   Förlossningsdepression är en sjukdom som drabbar 8 till 15 procent av alla kvinnor efter förlossningen. Detta kan leda till långvariga konsekvenser för både kvinnan och barnet. För många kvinnor kan hjälpsökandeprocessen vara svår, vilket leder till att flertalet inte får den vård de behöver. Förlossningsdepression är en komplex sjukdom med flera allvarliga symtom. Därför är det viktigt för sjuksköterskor och annan vårdpersonal att ha kunskap om sjukdomen för att kunna ge adekvat vård.  Syfte Syftet var att belysa kvinnors erfarenheter av vården vid förlossningsdepression.  Metod Designen för detta arbete var en litteraturöversikt. Författarna för arbetet har genomfört sökningar i databaserna PubMed samt CINAHL för att hitta relevanta forskningsstudier som besvarade syftet. Totalt 16 vetenskapliga artiklar inkluderades och analyserades samt granskades av författarna. De vetenskapliga artiklarna var främst baserade på kvalitativ forskning med inslag av kvantitativa delar. Data analyserades med hjälp av en integrerad analys. Resultat Resultatet av litteraturöversikten visade att många kvinnor med förlossningsdepression är missnöjda med den vård som erbjuds och hur de blir bemötta av vården. Vidare visade resultatet att information om var kvinnor kan söka hjälp var bristfällig. Flertalet kvinnor uppgav att de inte blivit tagna på allvar samt att de upplevt att stigmatiseringen i samhället som så stor att de inte vågat söka hjälp trots symtom. Ett annat resultat är att kvinnor upplevde att sjukvården inte tagit hänsyn till deras åsikter om önskad behandling.   Slutsats Utifrån resultatet kan slutsatsen dras att stigmatiseringen i samhället påverkar kvinnor i deras hjälpsökande, något som bör förändras. Sjukvården behöver utveckla vården vid förlossningsdepression på flera sätt, bland annat genom att göra den mer lättillgänglig. Sjukvårdspersonalen bör även lyssna mer på kvinnorna och anpassa behandlingen utifrån deras behov och önskemål. / Background Postpartum depression is a disease that affects 8-15 percent of all women after childbirth. This can lead to long-term consequences for both the woman and the child. For most women, the help-seeking process can be difficult, leading to the majority not receiving the care they need. Postpartum depression is a complex disease with various serious symptoms. Therefore, it is important for nurses and other healthcare professionals to have knowledge of the disease in order to provide adequate care. The Edinburgh Postnatal Depression Scale (EPDS) screening tool is used to diagnose postpartum depression. Aim The purpose was to shed light on women's experiences of the healthcare in the event of postpartum depression. Method The design for this study was a literature review. The authors have conducted searches in the databases PubMed and CINAHL to find relevant research studies that answered the aim. A total of 16 scientific articles were included and analysed and reviewed by the authors. The scientific articles were mainly based on qualitative research with elements of quantitative parts. The data were analysed using an integrated analysis. Results The results of the literature review showed that the majority of women with postpartum depression are dissatisfied with the care provided and the treatment. Furthermore, the results showed that information on where women can seek help was deficient. The majority of women stated that the healthcare professionals had not taken the women seriously and that the stigma felt so big in society that they did not dare to seek help. The results of the literature review also showed that women felt that the health service did not take into account their views on the desired treatment. Conclusions Based on the results, it can be concluded that the stigma in society affects women in their search for help, something that should change. The healthcare system needs to develop care for postpartum depression in several ways, including by making it more accessible. Healthcare professionals should also listen more to women and adapt treatment based on their needs and wishes. Keywords