The study aimed to capture the institutionalized adolescent´s life stories and identified their thoughts and experiences of being institutionalized. This to understand and analyze the process that they go through to become adults with respect to three selected aspects: family relationships, school attendance and self-esteem. The adolescent´s in this study are or have been institutionalized by and according to Swedish law. It was based on 14 life stories and the purpose were to identify the adolescents thoughts and experience and which was later on used to understand and analyze the results with respect to the three selected aspects. Our analysis was based on two theories; symbolic interactionism and labeling theory. The study concludes that the adolescent´s experience their time in institutions as both good and bad in different levels. Some adolescent´s had realized that the life they were living before they got to the institution was bad for them and that they now have come to conclusion that they deserve to have a “normal” and worthy life. Others are so affected by their life situation and background that they can’t bring themselves to improve their future.

Bakgrund: Graviditet och förlossning är en naturlig process i vilken barnmorskan är den primära vårdgivaren. Forskning visar att blivande föräldrar gynnas av att få stöd av en barnmorska under barnafödandet men förlossningsklinikerna i Sverige är underbemannade. Barnmorskor lämnar och det beror troligtvis på den rådande arbetsmiljön.   Syfte: Syftet med studien var att undersöka barnmorskors tankar och upplevelser kring varför de lämnat sitt yrke som barnmorska inom förlossningsvården. Ett ytterligare syfte var att undersöka vilka faktorer som skulle kunna medverka till att de återvänder till förlossningsvården.   Metod: Studien hade en kvalitativ ansats. Nio informanter intervjuades utifrån en semistrukturerad intervjuguide. Informanterna var alla barnmorskor som alla arbetat inom förlossningsvården men som sedermera lämnat. Data analyserades utifrån en kvalitativ innehållsanalys.   Resultat: Två teman tydliggjordes: ” Barnmorskors negativa tankar och upplevelser av förlossningsvården” och ”Om barnmorskor själva fick diktera sina villkor”. Arbetsklimatet, låg bemanning, stress och förändringar i barnmorskans yrkesroll bidrog till att barnmorskor lämnar. Barnmorskor saknar valmöjligheter, exempelvis caseload-midwifery och flexibla scheman med chans till adekvat återhämtning. Barnmorskor saknar också utvecklingsmöjligheter inom kompetensområdet.   Slutsats: Barnmorskorna har upplevt att förlossningsvården förändrats – medikaliserats och hur låg bemanning, ett tufft arbetsklimat samt organisatoriska problem föranlett utbrändhet och sjukskrivningar. Barnmorskorna önskar mer flexibla scheman och större möjligheter till utveckling inom kompetensområdet. Barnmorskorna önskar också, både för sig själva och för de födande kvinnorna, barnmorskeledda kliniker, caseload-modell och statligt finansierade hemförlossningar för att öka valfriheten. / Background: Pregnancy and childbirth is a natural process in which the midwife is the primary care provider. Research show that prospective parents benefit from being supported by a midwife during childbirth. However, the birth clinics in Sweden are understaffed. Midwives leave and this is probably due the prevailing working environment.   Aim: The aim of the study was to examine midwives' thoughts and experiences regarding reasons why they left their profession as a midwife in childbirth care. Another aim was to investigate which factors could help them return to childbirth care.   Methods: The study had a qualitative approach in which nine informants were interviewed based on a semi-structured interview guide. The informants were all midwives who all worked in childbirth care but who subsequently left. Data was analysed by a qualitative content analysis.   Results: Two themes were made clear: "Midwives negative thoughts and experiences of work at the maternity ward" and "If midwives themselves had to dictate their conditions". The working climate, low staffing, stress and changes in the midwife's professional role contribute to midwives leaving. Midwives lack options, such as caseload-midwifery and flexible schedules with the chance to recover properly. Midwives also lack development opportunities in their own field of work.   Conclusions: The midwives have experienced that childbirth care has changed and how low staffing, a tough working climate and organisational problems caused burnout and sick leave. Midwives want more flexible schedules and greater opportunities for development in the field of competence. The midwives also want, both for themselves and for the women they care for, midwife-led clinics, caseload midwifery and state-funded home delivery to increase freedom of choice.