miun.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • 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
Factors influencing decision-making for caesarean section in Sweden - a qualitative study
Trinity College Dublin, School of Nursing & Midwifery, Dublin, Ireland.
Trinity College Dublin, School of Nursing & Midwifery, Dublin, Ireland.
Trinity College Dublin, School of Nursing & Midwifery, Dublin, Ireland; Univ Gothenburg, Sahlgrenska Acad, Gothenburg.
Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
Visa övriga samt affilieringar
2018 (Engelska)Ingår i: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 18, nr 1, artikel-id 377Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Rising rates of caesarean section (CS) are a concern in many countries, yet Sweden has managed to maintain low CS rates. Exploring the multifactorial and complex reasons behind the rising trend in CS has become an important goal for health professionals. The aim of the study was to explore Swedish obstetricians' and midwives' perceptions of the factors influencing decision-making for CS in nulliparous women in Sweden. Methods: A qualitative design was chosen to gain in-depth understanding of the factors influencing the decision-making process for CS. Purposive sampling was used to select the participants. Four audio-recorded focus group interviews (FGIs), using an interview guide with open ended questions, were conducted with eleven midwives and five obstetricians from two selected Swedish maternity hospitals after obtaining written consent from each participant. Data were managed using NVivo (c) and thematically analysed. Ethical approval was granted by Trinity College Dublin. Results: The thematic analysis resulted in three main themes; 'Belief in normal birth - a cultural perspective'; 'Clarity and consistency - a system perspective' and 'Obstetrician makes the final decision, but ...', and each theme contained a number of subthemes. However, 'Belief in normal birth' emerged as the core central theme, overarching the other two themes. Conclusion: Findings suggest that believing that normal birth offers women and babies the best possible outcome contributes to having and maintaining a low CS rate. Both midwives and obstetricians agreed that having a shared belief (in normal birth), a common goal (of achieving normal birth) and providing mainly midwife-led care within a 'team approach' helped them achieve their goal and keep their CS rate low.

Ort, förlag, år, upplaga, sidor
2018. Vol. 18, nr 1, artikel-id 377
Nyckelord [en]
Caesarean section, Decision-making, Midwives, Obstetricians, Normal birth, Nulliparous, Qualitative, Midwife-led care
Nationell ämneskategori
Omvårdnad
Identifikatorer
URN: urn:nbn:se:miun:diva-34727DOI: 10.1186/s12884-018-2007-7ISI: 000444858800003PubMedID: 30223780Scopus ID: 2-s2.0-85053412368OAI: oai:DiVA.org:miun-34727DiVA, id: diva2:1256209
Tillgänglig från: 2018-10-16 Skapad: 2018-10-16 Senast uppdaterad: 2018-10-16

Open Access i DiVA

fulltext(839 kB)109 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 839 kBChecksumma SHA-512
d632252e91f6342b0a0381113b20199cc3702b1f3c7d64be16e52f5a10753819ea07da17b07c5d8f6a24550f4d7b1c745c3ac58f2adc596375bf6131d21ead7e
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMedScopus

Personposter BETA

Karlström, AnnikaLarsson, BirgittaBäck, LenaHildingsson, Ingegerd

Sök vidare i DiVA

Av författaren/redaktören
Karlström, AnnikaLarsson, BirgittaBäck, LenaHildingsson, Ingegerd
Av organisationen
Avdelningen för omvårdnad
I samma tidskrift
BMC Pregnancy and Childbirth
Omvårdnad

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 109 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 123 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • 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