Syftet med studien var att undersöka förekomst av gravida kvinnors upplevelse av förlossningsrädsla i relation till deras sociodemografiska, psykiatriska och obstetriska bakgrund samt önskat förlossningssätt. Metod. Förstföderskor och omföderskor som skrevs in på barnmorskemottagning tillfrågades om deltagande i studien och fick besvara två frågeformulär under graviditeten. Resultat. Totalt 776 kvinnor svarade på båda frågeformulären och svarsfrekvensen för de flesta frågor som användes till studien var över 92 %.

About 1000 women in the so called developing countries die every day associated with pregnancy and childbirth. Sub-Saharan Africa is the worst affected region. This study aims to explore the different key factors in national development that can interact with a reduced maternal mortality. The study compares 15 countries in sub-Sahara where the greatest reduction in maternal mortality occurred with 15 countries in sub-Sahara where maternal mortality reduction has been at its lowest, between the years 2000 to 2010. This study also analyzes the link between reduced maternal mortality and various key factors for national development.

Background: The incidence of caesarean section for breech presentation has reached approximately 90 % in Sweden. In many of these cases, by means of specific selection criteria, it would be as safe to plan for vaginal breech delivery. Aim: The objective of this study was to investigate differences in management and to compare maternal and fetal outcomes according to delivery mode of breech presentation; vaginal vs. caesarian section. The study included breech presentation in full term singleton pregnancies at the UppsalaUniversityHospital, Uppsala, Sweden (UAS). Method: The study was based on medical record data with a retrospective, descriptive, comparative design with quantitative approach. The method for data collection was a manual review of patient records using a structured questionnaire. Results: Of the women with children in breech presentation during the period studied, 11 % gave birth vaginally.

Bakgrund: Övervikt hos barn och ungdomar är ett internationellt folkhälsoproblem. Skolsköterskan har en viktig roll i det hälsofrämjande arbetet med överviktiga elever för att kunna främja goda levnadsvanor.Syfte: Syftet var att beskriva skolsköterskors erfarenheter av arbetet med övervikt hos elever inom skolhälsovården.Metod: Studien genomfördes med en kvalitativ ansats. Åtta skolsköterskor intervjuades med semistrukturerade frågor utifrån en intervjuguide. Intervjuerna analyserades med en kvalitativ manifest innehållsanalys.Resultat: Studiens resultat presenterades utifrån fyra kategorier och 12 underkategorier. Kategorin ?Mötet i fokus? visade att skolsköterskorna använde sig av ett individuellt och professionellt förhållningssätt i mötet med elev och föräldrar.

Syfte: Undersöka preventivmedelsanvändning, sexuellt riskbeteende gällande könssjukdomar och oönskade graviditeter samt skillnader i sexuellt riskbeteende mellan olika ursprung, självförtroende och ålder vid sexuell debut hos kvinnor i åldern 14-31 år. Metod: En enkätundersökning, konsekutivt urval, utförd på RFSU-kliniken under år 2011 inkluderade 419 kvinnor. Resultat: Kondom var det vanligaste preventivmedlet vid första samlaget och p-piller var vanligast vid senaste samlaget. Nästan hälften, 48,7 %, hade haft en könssjukdom, klamydia var vanligast. Över hälften, 60,2 %, hade riskerat att få en könssjukdom och 45,6 % hade riskerat att bli oönskat gravid under de senaste tolv månaderna.

Selenium (Se) is an essential trace element that is involved in several physiological functions in mammals. Mostly, Se is bound to proteins, many of them with enzymatic functions. A group of seleno-depending enzymes, glutathione peroxidases (GSH-Px?s), are important as antioxidants and protects against free radicals. The activity of GSH-Px is strongly regulated by Se storage in the liver.

Menopause is a complex, paradoxical totality and every menopausal experience is differentfrom the other. This essay aims to capture some of the experiences surrounding it.The main questions is what it is that the women of the study share about menopause, andhow they talk about it. The material consists of interviews with eight women from the ages 51to 81, all of whom are either in menopause or have come out of it, and narratives collectedpartly on my own website ?Övergången? (?Transition?) and on the Internet via blogs and adiscussion board on menopause.Using Goffmans theories on interaction and roles and theories about gender and age as asocial construction I discovered that it is ambiguous messages that are thrown at the middleaged woman in menopause. Menopause is not always a welcome part of the role as a woman.The menopause is also associated with aging and a woman is expected to experiencemenopause during a certain age and period in the life schedule, often the middle age.

To fit into our society the dogs of today need a good mentality. To investigate their mentalitydifferent behavior tests have been developed. The tests are useful tools in the selection ofbreeding animals as well as for working and companion dogs. To counter the demand for atest that could be suited for all kind of dogs, regardless of their future function, the mentalitytest Beteende- och personlighetsbeskrivning hund (BPH) was developed. BPH consists ofseven subtests that expose dogs to various situations that can be found in everyday life, suchas meeting an unfamiliar person, sudden noises and suddenly appearing objects.The aim of this study was to find out if there are differences in physiological values betweenindividuals, validate the behavior observations during BPH and get aware of how the dogsexperience the situation.

Bakgrund: Globalt ses en ökad internationell migration där Sverige varje år tar emottiotusentals asylsökande. De asylsökandes rättigheter skyddas av internationelladeklarationer och konventioner om mänskliga rättigheter, där rätten till hälsa ärcentral. Ändå lider asylsökande av hög grad av ohälsa, mycket till följd av derasstatus som asylsökande och den utsatthet som det medför. Att dessutom vara gravidgör dem extra utsatta trots att de har rätt till mödrahälsovård på samma villkor somicke-asylsökande i Sverige, då de inte har rätt till övrig sjukvård. Barnmorskor inommödrahälsovården arbetar för vård på lika villkor utifrån kompetensbeskrivningen ochden etiska koden, men utifrån lagstiftningens begränsningar riskerar barnmorskornaställas inför professionsetiska dilemman i vården av asylsökande gravida kvinnor.Syfte: Att förstå hur barnmorskor upplever det är att vårda asylsökande gravidakvinnor inom mödrahälsovården i Sverige.

The mountainous Central Asian and former Soviet country Tajikistan is the least advantaged country economically among the former Soviet Union states. Approximately 6.5 % of the land is arable in a country where roughly 80 % of the households typically own small numbers of sheep and goats. Management practices and animal husbandry in the villages such as uncontrolled breeding, mixing of animals on pastures favor transmission of infectious diseases. Brucellosis is a zoonotic bacterial disease caused by Brucella spp. The disease is endemic in Tajikistan. B.

The incidence of many of the most common diseases in dairy cattle has been proven to be highest during the time closest to calving. It is possible that the current breeding strategy with 12 month calving intervals increases the risk for disease in dairy cattle, which is problematic concerning both animal welfare and for economic reasons. The economic incentives behind a calving interval of 12 to 13 months have mainly been based on milk- and feed- costs and no costs due to diseases or fertility disturbances have been included.The aim of this study was to see if a lengthening of the calving interval would result in lower disease frequency. The hypothesis is that cows with a planned calving interval of 15 months have a lower disease incidence than cows with a calving interval of 12 months due to less number of calvings. Therefore the difference in disease frequency should be larger when compared over a long period of time, such as over lifetime, since cows with a longer calving interval experience fewer calvings.The study was performed between August 17th, 1994, and January 24th, 2007.

Bakgrund: Social media tillhörde den vardagliga rutinen för många. Gravida använde internet som den största informationskällan. Kvinnans självkänsla lyftes vid en positiv bekräftelse. Genom att de gravida fick ett socialt stöd och fick höra andras berättelser om deras erfarenheter och upplevelser fick de tröst och bekräftelse, ett sätt att finna välbefinnande.   Syfte: Att beskriva gravidas erfarenheter och användning av social media, samt se om det finns ett samband mellan självkänsla och välbefinnande.  Metod: Studien gjordes med en kvantitativ ansats genom en enkätundersökning. Enkätinsamlingen gjordes med hjälp av Mödrahälsovården (MHV) i Kalmar Län.

The fertility of dairy cows is of great importance in order to maintain high production. The decline in fertility of dairy cows the latest decades can have several explanations. The large emphasis on high yielding cows and the negative genetic correlation between milk production and fertility traits could be one of the main factors for impaired fertility. To find heats and inseminate the cow at the right time is crucial to receive high conception rate. Delaval has, in corporation with FOSS, developed Herd Navigator which is a management program that measure four biological parameters in the milk; progesterone, betahydroxybutyrate, lactate dehydrogenase and urea.

In the dairy production it is necessary to be able to sort cows. Dairy cows are sorted for many different reasons i.e. regrouping into production strings or for treatments i.e. inseminations, pregnancy and health checks, vaccinations or hoof trimmings. One labour saving way of conducting sorting is by using an automatic sort gate.

Introduction: Pregnancy, obesity, aging and certain diseases are examples of conditions thataffect the body, its constitution and composition. Simpler methods to estimate bodycomposition are needed to complement more advanced traditional methods to better identifythe health status without sacrificing accuracy and precision.Objective: To validate the results of body composition from bioelectrical impedancespectroscopy (BIS) against results from the study reference method, dual energy X-rayabsorption (DXA), in overweight and obese lactating women after childbirth.Method: The design of the LEVA-study (Lifestyle for Effective Weight loss during lactation)consisted both intervention and longitudinal follow-up, which gave the opportunity tovalidate the absolute values (accuracy) and the ability to detect changes (precision). Themean difference between methods was tested statistically by paired t-test. Bland-Altman plotsused to examine the degree of agreement between BIS and DXA, but also distribution andany systematic differences. Association between methods was measured by using Pearson´scorrelation coefficient.Results: Between BIS and DXA, absolute measurements of the variables fat-free mass (FFM)and fat mass (FM) showed a statistically significant difference (p < 0.001).