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'A longing for a sense of security' - Women's experiences of continuity of midwifery care in rural Sweden: A qualitative study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Reproductive Health Research.ORCID iD: 0000-0003-0766-9957
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Reproductive Health Research.ORCID iD: 0000-0001-6985-6729
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Reproductive Health Research. Sophiahemmet Univ, Dept Hlth Promoting Sci, S-11486 Stockholm, Sweden.;Sophiahemmet Univ, Dept Hlth Promoting Sci, POB 5605, SE-11486 Stockholm, Sweden..ORCID iD: 0000-0001-5160-8882
2022 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 33, article id 100759Article in journal (Refereed) Published
Abstract [en]

Background: There is evidence that continuity models of midwifery care benefit women and babies in terms of less birth interventions and higher maternal satisfaction. Studies about continuity models in a Swedish context are lacking.Objective: The aim of this study was to describe how women experience continuity of midwifery care in a Swedish rural area, and thereby provide a deeper understanding of what this care entails for women.Methods: A qualitative interview study using thematic analysis was carried out. Telephone interviews were conducted with 33 women who participated in a continuity of midwifery care project in a rural area of Sweden.Results: The overarching theme 'a longing for a sense of security', pervaded the three main themes: 'The importance of professional midwifery care', 'Continuity of midwifery - fulfilled expectations or full of disap-pointments' and 'New prerequisites - acceptable to some, but not a substitute for everyone', which explains different aspects affecting the feeling of security. The endeavour to feel secure during pregnancy, birth and postpartum was a continually recurring subject that cannot be overstated.Conclusion: Continuity of midwifery care strengthened women's feelings of security during pregnancy, birth and postpartum. The deepened relationship developed over time was a central part of the positive aspects of the experience of continuity in midwifery care. Expectations and prerequisite circumstances are important to consider when developing and introducing new care models. Service providers and decision makers should pay attention to and prioritise this relational aspect when planning care for women during the childbearing period.

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 33, article id 100759
Keywords [en]
Caseload midwifery, Continuity of care, Experience, Midwifery qualitative
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-488082DOI: 10.1016/j.srhc.2022.100759ISI: 000870323900002PubMedID: 35969958OAI: oai:DiVA.org:uu-488082DiVA, id: diva2:1709515
Available from: 2022-11-09 Created: 2022-11-09 Last updated: 2022-11-09Bibliographically approved

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Fahlbeck, HannaJohansson, MargaretaHildingsson, IngegerdLarsson, Birgitta

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