The aim of this study was to describe the experiences and thoughts among Midwives when encountering same sex couples at the maternity ward. Further, the aim was to explore the Midwives attitudes towards education about special needs among same sex couples and their thoughts about contents and design of such education. The study had a descriptive design using a qualitative method. The data was collected through interviews with 10 Midwives in February 2009. The Midwives worked at two different maternity wards.

Objective: To study Midwives management, practice and reasoning regarding contraceptive counseling for women who are experiencing "mild" side effects of the pillMethods: Four focus groups, made up of three to five Midwives per group, participated in focus group discussions. Qualitative design with the method ?Think-Aloud? has been used to collect data and the material was analyzed using content analysis.Results: The study identified three categories, the first "How Midwives practice regarding the side effects of the pill," shows that Midwives have a systematic approach when meeting with women who are experiencing side effects of the pill. The next category "Using a holistic and professional approach for women" highlights that the Midwives take women's side effects seriously and that Midwives respect individual woman?s autonomy.

The hospitalization of childbirth and maternal care in Sweden is from an international perspective quite unique. It was implemented already in the beginning of the 20th century and fully mainstreamed by the 1960?s. This essay examines the professional discussions of Midwives and doctors as depicted in their union?s membership papers, during the hospitalization period.

Youth centres- A qualitative study of how Midwives relate to the potential ethical dilemma between youths right to integrity and parents right to informationThe aim of this study was to investigate how Midwives at youth centres relate to the potential ethical dilemma between parents? right to information that young people between 15-17 years share at the centre, vs. youths right to integrity. The study was based on qualitative interviews with six Midwives in various youth centres in Stockholm County. We analysed our empirical material according to Blennbergers consequential ethical model and Bronfenbrenners ecological system model.

First during early 1960s fathers got access to the labor room in Sweden. Theirparticipation are a relative new trend and it`s not thoroughly described in theliterature. Midwives? responsibility is to give a good and medical safe care, and tocreate a positive childbirth experience for the woman and her partner. No previousstudies have paid attention to Midwives' experiences of fathers' presence duringchildbirth.

The expectations of a successful outcome are great during childbirth. The overall objective of prenatal care and birth care is that Midwives contribute in creating the most positive experience of pregnancy, child birth and infancy as possible. During the past 30 years there has been a significant increase in sectiofrequency both in Sweden and the rest of the Western world. More parents feel an overall insecurity when it comes to child labour. The purpose of this study was to describe how Midwives experience the work of creating a sense of security and good nursing when meeting the expectant parents.

Introduction: Two women die every hour due to pregnancy and childbirth relatedcomplications in Bangladesh. It is well known that a strong midwifery profession is the key toachieving safer childbirth and it is the right of every woman to have access to a fully trainedmidwife and to a safe delivery. However this is not the case in Bangladesh. Today, theexisting nurse-Midwives are not fully utilized for the midwifery services. The profession ismal-distributed, functioning as multi-purpose service provider and are not recognized as aseparate cadre of Midwives.

The purpose of this study was to look at the experiences of Midwives in maternalhealth care encounters with non-european-born women and men, and to determine ifMidwives deem any special competence necessary to handle these encounters well.We gathered information by means of qualitative interviews and semi structuredquestions with eight Midwives all of whom matched the inclusion criterias and gavetheir personal consent. Midwives from four district health care centers in Uppsalawere included. The interviews were transcribed and analyzed by means of qualitativecontent analysis.The results reveal the experiences from encounters with non-european patients to betwofold. On one hand the encounter is a positive, exiting experience with anopportunity to learn more about a foreign culture and exchange experiences. On theother hand complications can occur as patients may have unexpected expectationsregarding the health care, have great difficulties with the language or haveexperienced traumatizing incidents, all on top of coming to Sweden alone withoutrelatives.In the encounter with non-european-born patients the Midwives consider it importantto have special competence in form of knowledge of other cultures and religions asthis provides a greater understanding of the reasoning behind the patients? decisions.Cultural competence is also important as it helps avoid inadvertently insulting thepatient during the encounter.The special competence held by the Midwives has been attained from their basic andspecialist education as well as from self acquired experiences and interests.

Aim: To examine how Midwives describe good and safe postpartum care of mothers with infants in neonatal care, and which prerequisites and obstacles they see to giving good and safe care while minimizing time of separation. Method: Semi structured qualitative interviews with ten Midwives at two maternity wards in Uppsala. The interviews were recorded, transcribed verbatim and processed by manifest analysis. Results: Three categories were identified, Good and safe care, Organization as an obstacle and The midwife role. Good and safe postpartum care of mothers with infants in neonatal care required knowledge, appropriate equipment, good guidelines, possibility to see the mother, contact between mother and infant and good collaboration between the maternity and neonatal wards.

Background: Domestic violence is a major social problem both nationally and internationally. Around the world 35% of the women say that they have experienced physical and/or sexual violence. In most cases it is the woman's partner who subjected her to violence. Every year, 12,000 -14,000 women in Sweden seek medical help as a result of injury incurred of domestic violence. The healthcare in Sweden has a responsibility when it comes to detecting, treating and documenting, but also to prevent violence and its consequences.Aim: To examine the extent to which nurses and Midwives asking women about domestic violence, barriers for asking the question and making visible steps to increase the ability to ask the question.Method: A literature review, were included articles reviewed and quality determined.

Background: According to the Swedish Social Board induced abortions are increasing in the modern day society. Nurses who work with in the gynecological department can come across patients seeking care for an induced abortion.Theoretical framework: The findings of the study will be discussed in relation to Peplau's nursing theory, ethical concepts and nursing concepts.Aim: The aim of the literature review was to illuminate the experiences of nurses working with induced abortion.Method: A systematic literature review with an inductive approach was chosen. The findings are based on seven qualitative and two quantitative studies. The articles were assessed through two different modified templates based on qualitative or quantitative design.Findings: Nurses and Midwives experienced their work with induced abortions as emotionally stressful. However, it was highlighted that all women have the right whether to choose abortion or to proceed with the pregnancy.

I Sverige är det en kvinna på tusen som väljer planerad hemförlossning. Med planerad hemförlossning menas en förlossning som planeras ske i det födande parets hem med stöd av en legitimerad barnmorska eller läkare. Då hemförlossning idag inte ingår i det svenska hälsovårdssystemet får kvinnan själv se till att ordna ett avtal med barnmorska eller läkare och även bekosta vården själv. Det finns forskning om hemförlossning i relation till medicinsk säkerhet och kvinnors upplevelser. Vidare finns ett fåtal studier om barnmorskor som bistår vid hemförlossning dock inga från Sverige.

Objective: The purpose of the study is to explore and illustrate how ultrasound Midwives and medical specialist in obstetrics and gynecology believe the information given to parents about the genetic soft markers should be handled.Design: A quantitative questionnaire study with cross-sectional design. Participants: 44 ultrasound Midwives and 37 medical specialists in obstetrics and gynecology.Findings: Most of the participants would like to inform before the ultrasound starts that they will be looking for genetic softmarkers during the ultrasound. Likewise the majority wanted to inform the parents about possible increases in the risk for chromosomal abnormalities based on findings on the routine ultrasound. There was a difference in frequency between those who responded that they would like to inform before the ultrasound that they will be looking for genetic softmarkers and those who responded that they believe the future parents wants information before the examination.Key conclusions: It could help health care professionals in their role as information providers if there were common recommendations for the information to be given to future parents about genetic softmarkers in connection with the routine ultrasound.

Background: Studies show that unsolved contact tracing of chlamydia increase in Uppsala County. Research shows that the meeting between patient and caregiver, when performing a contact tracing, may be crucial to the outcome of contact tracing. Objective: The aim of the study was to investigate how Midwives describe the encounter with the patient during contact tracing in youth clinics in Uppsala County Council. Methods: A qualitative approach with semi- structured interviews was used to collect data. Nine Midwives of varying age and work experience from seven different youth clinics in Uppsala County Council were interviewed.

The aim with my study is to highlight, illuminate and examine the social and maternal health care motivational work of pregnant women with a risk or abuse of alcohol and / or drugs, and what actions can be considered for these women. In addition, the aim is to explore how social services and maternity care might interact in this type of case. The aim is to convey the subjective experience of each of the interviewees. For the purposes of this study, I have chosen to use the qualitative research method. I have interviewed social workers in individual and family care, and Midwives.