• Emotional, physical, and sexual abuse and the association with symptoms of depression and posttraumatic stress in a multi-ethnic pregnant population in southern Sweden

      Wangel, Anne-Marie; Ryding, Elsa Lena; Schei, Berit; Östman, Margareta; Lukasse, Mirjam; Faculty of Health and Society, Department of Care Science, Malmö University, Malmö, Sweden Department of Women's and Children's Health, Division of Obstetrics and Gynaecology, Karolinska Institutet/University Hospital, Stockholm, Sweden Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway Department of Obstetrics and Gynaecology, St. Olav's University Hospital, Trondheim, Norway Faculty of Health Sciences, Oslo and Akershus University College, Postbox 4 St. Olavs Plass, Oslo, Norway Department of Public Health and General Practice, Department of Obstetrics and Gynecology, NTNU/St. Olavs University Hospital, Trondheim, Norway Karolinska Institutet, Stockholm, Sweden Oslo and Akershus University College of Applied Sciences, Norway, University of Ghent, Belgium, Landspitali University Hospital, Iceland, Copenhagen University Hospital, Rigshospitalet, Denmark, University of Tartu, Estonia, University of Iceland, Landspitali University Hospital, Iceland, Malmö University, Sweden (Elsevier, 2016-10)
      Objectives: This study aims to describe the prevalence of emotional, physical, and sexual abuse and analyze associations with symptoms of depression and posttraumatic stress (PTS) in pregnancy, by ethnic background. Study design: This is a cross-sectional study of the Swedish data from the Bidens cohort study. Ethnicity was categorized as native and non-native Swedish-speakers. Women completed a questionnaire while attending routine antenatal care. The NorVold Abuse Questionnaire (NorAQ) assessed a history of emotional, physical or sexual abuse. The Edinburgh Depression Scale-5 measured symptoms of depression. Symptoms of Posttraumatic Stress (PTS) included intrusion, avoidance and numbness. Results: Of 1003 women, 78.6% were native and 21.4% were non-native Swedish-speakers. Native and non-native Swedish-speakers experienced a similar proportion of lifetime abuse. Moderate emotional and physical abuse in childhood was significantly more common among non-native Swedish-speakers. Sexual abuse in adulthood was significantly more prevalent among native Swedish-speakers. Emotional and sexual abuse were significantly associated with symptoms of depression for both natives and non-natives. Physical abuse was significantly associated with symptoms of depression for non-natives only. All types of abuse were significantly associated with symptoms of PTS for both native and non-native Swedish-speakers. Adding ethnicity to the multiple binary regression analyses did not really alter the association between the different types of abuse and symptoms of depression and PTS. Conclusion: The prevalence of lifetime abuse did not differ significantly for native and non-native Swedish-speakers but there were significant differences on a more detailed level. Abuse was associated with symptoms of depression and PTS. Being a non-native Swedish-speaker did not influence the association much
    • Home birth constructed as a safe choice in Iceland: A content analysis on Icelandic media

      Gottfredsdottir, Helga; Magnúsdóttir, Herdís; Hálfdánsdóttir, Berglind; [ 1 ] Univ Iceland, Dept Midwifery, Fac Nursing, IS-101 Reykjavik, Iceland [ 2 ] Landspitali Univ Hosp, Womens & Children Clin, Reykjavik, Iceland   Organization-Enhanced Name(s)      Landspitali National University Hospital (Elsevier Ireland, 2015-10)
      Background: The rate of home birth in Iceland increased from 0.1% in the 90's, to 2.2% in 2012. As the media contributes to the development and public perceptions, engagement and use of health care, it is of interest to explore the media representation of planned home birth in Iceland. Objectives: The aim of this study was to explore the way in which the constructions of planned home birth are represented in the Icelandic media; the frequency with which planned home birth was discussed and by whom it was discussed; whether the discourse was congruent with practice development in the country; and if so, how such congruency was effected. Methods: Data from the main newspapers in Iceland published from the beginning of 1990 until the end of 2011 were explored using content analysis. Results: In total, 127 items were summarized and we identified five themes: approach to safety, having a choice, the medicalization of childbirth, the relationship between women and midwives, and the reaction of the pregnant woman's local community. Central in the analysis were the importance of being able to choose a safe place of birth and the need for woman-centred care. Conclusion: Overall planned home birth was not discussed with much intensity or frequency, but in general the discussion was shaped by a positive attitude. There was a distinction in the public media discourse among midwives and physicians or obstetricians who do not argue against planned home birth but who nevertheless speak with caution. The pregnant women who chose home birth found their own home to be safe and similar views were identified among women and midwives.