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Kvinnors upplevelser av kontinuerlig barnmorskeledd vårdmodell under graviditet, förlossning och eftervård: En kvalitativ metasyntes
Dalarna University, School of Education, Health and Social Studies, Sexual Reproductive Perinatal Health.
Dalarna University, School of Education, Health and Social Studies, Sexual Reproductive Perinatal Health.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Women's experience of midwife-led continuity of care model during pregnancy, childbirth and postpartum care : A qualitative methasynthesis (English)
Abstract [sv]

Bakgrund: Kontinuerlig barnmorskeledd vårdmodell för kvinnor under graviditet, förlossning och eftervård tillämpas i flera länder runtom i världen. Modellen har visat sig positiv både ur medicinska och ekonomiska aspekter. Kvinnor i Sverige uttrycker en önskan om att kontinuiteten i vården kring graviditet, förlossning och eftervård ska öka. Trots detta tillämpas inte kontinuerlig barnmorskeledd vårdmodell i Sverige idag, bortsett från enstaka nyligen påbörjade projekt.

Syfte: Att beskriva kvinnors upplevelser av kontinuerlig barnmorskeledd vårdmodell under graviditet, förlossning och eftervård.

Metod: Kvalitativ metasyntes med metaetnografisk innehållsanalys. Femton (15) artiklar inkluderades i resultatet.

Resultat: Tre huvudkategorier och sju underkategorier identifierades som centrala och övergripande teman för kvinnors upplevelser av kontinuerlig, barnmorskeledd vårdmodell. De tre huvudkategorierna var personcentrerad vård, relationen till barnmorskan och kommunikationen. Överlag var kvinnornas upplevelser av kontinuerlig, barnmorskeledd vårdmodell positiva.

Slutsats: Kvinnor upplever kontinuerlig barnmorskeledd vårdmodell som stödjande, stärkande och personcentrerad. Kontinuerlig barnmorskeledd vårdmodell är en personcentrerad vårdform som stödjer och stärker kvinnorna genom graviditet, förlossning och eftervård. De positiva upplevelserna av kontinuerlig barnmorskeledd vårdmodell verkar minska när vården under graviditeten bedrivs i gruppform istället för individuellt.

Klinisk tillämpbarhet: Resultatet av denna studie kan vara till stöd för att utveckla mödrahälsovården och förlossningsvården i Sverige. Den här studien kan inspirera till förändring för att uppnå personcentrerad vård för kvinnor under graviditet, förlossning och eftervård.

Abstract [en]

Background: Midwife-led continuity of care model for women during pregnancy, childbirth and postpartum care is applied in several countries around the world. The model has proved positive both from medical and economic aspects. Women in Sweden express the wish that the continuity of care regarding pregnancy, childbirth and aftercare should increase. Despite this, midwife-led continuity of care model is not applied in Sweden today, apart from single recently initiated projects.

Aim: To describe women's experiences of midwife-led continuity of care model during pregnancy, childbirth and aftercare.

Method: Qualitative meta-synthesis with etnographic content analysis. Fifteen (15) items were included in the result.

Results: Three main categories and seven subcategories were identified as central and overarching themes for women's experiences of midwife-led continuity of care model. The three main categories were person-centered care, the relation to the midwife and the communication. Overall, women's experiences of midwife-led continuity of care model were positive.

Conclusion: Women experience midwife-led continuity of care model as supportive, strengthening and person-centred. Midwife-led continuity of care model is a person-centered form of care that supports and strengthens the women through pregnancy, childbirth and postpartum care. The positive experiences of midwife-led continuity of care model seem to decrease when the care is given in group form during pregnancy instead of individually.

Clinical implications: The result of this study can be of value for developing maternity care in Sweden. This study can inspire to create new ways to achieve person-centered care for women during pregnancy, childbirth and postpartum care.

Place, publisher, year, edition, pages
2019.
Keywords [en]
Childbirth, continuity of care, experience, midwife-led continuity of care, postpartum care, pregnancy
Keywords [sv]
eftervård, förlossning, graviditet, kontinuerlig barnmorskeledd vård, upplevelser
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-30981OAI: oai:DiVA.org:du-30981DiVA, id: diva2:1362229
Available from: 2019-10-18 Created: 2019-10-18

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