Hafrún Finnbogadóttir - Academia.edu (original) (raw)

Papers by Hafrún Finnbogadóttir

Research Square (Research Square), Mar 3, 2020

BMJ Open, 2019

IntroductionGlobally, nurse practitioner (NP) has become an important nursing role in the pursuit... more IntroductionGlobally, nurse practitioner (NP) has become an important nursing role in the pursuit of a more efficient healthcare, possessing the necessary expert skills to work as autonomous practitioners. Nevertheless, there are barriers in the implementation of this role. One barrier concerns the different levels of education required for NPs. Previous studies demonstrate the importance of acting for a uniform international education. The aim of the scoping review was to compile research about education to become an NP, focusing on the content of curricula and learning objectives.Methods and analysisThe six-stage methodological framework by Arksey and O’Malley will guide the scoping review through the following stages: identifying the research questions; identifying relevant studies; study selection; charting the data; collating, summarising and reporting the results; and consultation. The research questions are as follows: What is the content of curricula in NP programmes? What a...

European Journal of Midwifery

INTRODUCTION Families may benefit from increased focus on partner emotional wellbeing during preg... more INTRODUCTION Families may benefit from increased focus on partner emotional wellbeing during pregnancy and the perinatal period. Our aim was to explore the risk for depression and anxiety during pregnancy and one year postpartum in relation to partners' self-reported health, sense of coherence, social support, and lifestyle factors. METHODS This is a longitudinal cohort study using three questionnaires that were answered twice during pregnancy and at one year postpartum. Participants (n=532) were recruited between April 2012 and September 2013, and follow-up was between April 2012 and March 2015, in Sweden. RESULTS In late pregnancy, 8.9% of the prospective partners were at high risk for depression and 8.3% one year postpartum. An increased risk for depression was found amongst those reporting 'fair or very poor' sexual satisfaction and those reporting 'fair or very poor' health during pregnancy and postpartum. High anxiety was reported by 10.8% during late pregnancy and 12.4% one year postpartum. Partners who were unemployed, had financial difficulties, and who scored low on a Sense of Coherence scale, showed significantly higher anxiety in late pregnancy and postpartum. Social support has a significant and positive impact concerning signs of depression and anxiety, both during pregnancy and postpartum. CONCLUSIONS More than 10% of partners in this study showed depressive symptoms and anxiety, indicating a problem in need of attention by stakeholders. Strengthening social support is of greatest importance. It is time for the introduction of family-focused care aimed at prevention of depression and anxiety, and maintenance of family well-being.

Andrology, 2019

This case control study aimed to investigate whether symptoms of sexual dysfunction are more comm... more This case control study aimed to investigate whether symptoms of sexual dysfunction are more common in males from infertile couples than in the general population and to explore whether symptoms of sexual dysfunction are associated to hypogonadism.

Midwifery, 2019

Objective: To explore first-time mothers´satisfaction with their birth experience using Visual An... more Objective: To explore first-time mothers´satisfaction with their birth experience using Visual Analog Scale and to identify possible risk factors for a negative birth experience. Design: A cross-sectional design using retrospective data collection from electronic medical files. Setting: A birthing center in southern Sweden, which has approximately 1400 births annually. Participants: Primiparous women (N = 584) who gave birth during 2017. The cutoff point for a negative birth experience was set as ≤ 4 on the Visual Analog Scale. Measurements and findings: The mean age of the women was 29 years (SD 5.1; range 16-47 years). Prevalence of a negative birth experience was 9.6%. The strongest risk factors for a negative birth experience were having obstetric anal sphincter injuries (AOR 2.8 CI 95% 1.1-7.2) and oxytocin augmentation started in the first stage of labor (AOR 2.2 CI 95% 1.1-4.4). Key conclusions: Women who had their labours augmented with oxytocin or sustained an anal sphincter injury were statistically significantly more likely to have a negative birth experience. However, it is uncertain whether the women scored pain experience or birth experience when they reported their satisfaction on the Visual Analog Scale; further investigation is required. Implications for practice: It is important to use a reliable and validated instrument to measure birth experience in order to promote respectful and supportive care for new mothers.

BMC Pregnancy and Childbirth, 2011

Background: Although both labour dystocia and domestic violence during pregnancy are associated w... more Background: Although both labour dystocia and domestic violence during pregnancy are associated with adverse maternal and fetal outcome, evidence in support of a possible association between experiences of domestic violence and labour dystocia is sparse. The aim of this study was to investigate whether self-reported history of violence or experienced violence during pregnancy is associated with increased risk of labour dystocia in nulliparous women at term. Methods: A population-based multi-centre cohort study. A self-administrated questionnaire collected at 37 weeks of gestation from nine obstetric departments in Denmark. The total cohort comprised 2652 nulliparous women, among whom 985 (37.1%) met the protocol criteria for dystocia.

... h a f r ú n f i n n b o g a d ó t t i r m a l m ö u n i v e r s i t y 2 0 1 1 hafrún finnboga... more ... h a f r ú n f i n n b o g a d ó t t i r m a l m ö u n i v e r s i t y 2 0 1 1 hafrún finnbogadóttir domestic violence and pregnancy ... Page 5. HAfRúN fINNbOGADóTTIR DOMESTIC VIOLENCE AND PREGNANCY Impact on outcome and midwives&amp;#x27; awareness of the topic ...

Tidigare studier har papekat att pappan ar oerhort viktig som stodperson till sin gravida kvinna,... more Tidigare studier har papekat att pappan ar oerhort viktig som stodperson till sin gravida kvinna, men hans egen upplevelse och erfarenhet av graviditeten samt hans utveckling till pappa forefaller samre belyst. Det kandes darfor viktigt att ta reda pa hur de blivande papporna upplevde graviditeten. Studien genomfordes som kvalitativ intervjustudie med kvalitativ innehallsanalys. Sju svensktalande blivande forstagangsfader intervjuades. Resultatet visade att graviditeten kan jamforas med en ny epok i mannens liv. Graviditeten blir en tid av forandring vilket utgor huvudkategori. Darutover ar resultatet representerat av atta foljande kategorier; kansla av overklighet, otillracklighet, utanforskap, verklighet, sociala forandringar, fysiska forandringar, ansvar och utveckling. Resultatet styrker att det bor vara sjalvklart for barnmorskan att ta sig an den blivande fadern under graviditeten. Deras sarskilda behov av stod och uppmuntran ar lika viktigt som moderns. (Less)

................................................................................. 11 PREFACE ....... more ................................................................................. 11 PREFACE ..................................................................................... 13 ORIGINAL PAPERS ........................................................................ 14 ABBREVIATIONS .......................................................................... 15 DEFINITIONS AND TERMINOLOGY ................................................. 16 INTRODUCTION .......................................................................... 18 BACKGROUND ............................................................................ 20 Prevalence and incidence worldwide ........................................................ 21 During pregnancy .............................................................................. 22 Prevalence and incidence in Sweden ........................................................ 23 During pregnancy .............................................................................. 23 Consequences of abuse for maternal/foetal/child health outcome ................ 24 Adverse maternal conditions and behaviour ......................................... 24 Pregnancy complications ................................................................... 24 Adverse pregnancy outcome ............................................................... 25 Stress .................................................................................................... 26 Labour dystocia ...................................................................................... 27 The formulation of a hypothesis ........................................................... 27 Factors associated with increased risk of domestic violence ......................... 27 The process of normalising violence .......................................................... 28 Prevention ............................................................................................. 29 Woman-Centred Care ............................................................................. 31 Complexity of the topic – ethics and laws .................................................. 31 Swedish Antenatal Care .......................................................................... 32 AIM ........................................................................................... 34 METHODS .................................................................................. 35 Paper I ................................................................................................. 36 Criteria for labour dystocia ................................................................. 36 Design ............................................................................................. 37 Participants and Setting ...................................................................... 37 Data Collection .................................................................................. 38 Variables and definitions ..................................................................... 38 Statistical analysis .............................................................................. 39 Paper II ................................................................................................ 39 Focus Group .................................................................................... 39 Participants and Setting ...................................................................... 40 Recruitment ....................................................................................... 40 Data Analysis .................................................................................... 41 Paper III ................................................................................................ 41 A Grounded Theory .......................................................................... 42 Participants and Setting ...................................................................... 42 Recruitment ....................................................................................... 42 Data Analysis .................................................................................... 43 Paper IV ................................................................................................ 44 Design ............................................................................................. 44 Participants and Setting ...................................................................... 44 Recruitment ....................................................................................... 45 Questionnaire and Instruments ............................................................. 45 Variables and classification ................................................................. 48 Statistical Analysis ............................................................................. 49 RESEARCH ETHICAL CONSIDERATIONS ........................................... 50…

Journal of Women's Health Care, 2016

Objective: The aim of this study was to explore the strength of the pelvic floor muscles after de... more Objective: The aim of this study was to explore the strength of the pelvic floor muscles after delivery by performing pelvic floor muscle exercises using the biofeedback method, with and without supporting visits and to compare with a conventional method. Further, to explore the objective measurement by EMG (electromyography) of the contracting ability of those with weakest pelvic floor muscle strength and compare the effect of the intervention. Methods: An intervention study, where 150 recently delivered women were consecutively selected, at their first postpartum visit, into one of three groups. Results: There was no significant difference between the three groups in pelvic floor muscle (PFM) contraction at 6-months. Analysis of a subgroup of women (n = 42), who had the poorest ability to contract their PFM with Periform ® , controlled by EMG (<17.5 µV) at the first visit postpartum, showed that there was a statistical difference between group I (n = 15) and group III (n = 15) at the six month control (p = 0.010), where group III had significantly better objective results of the strength in their PFM. Significantly more women in groups II (n = 11 of 12) and III (n = 14 of 15) increased their PFM strength (p = 0.005 and 0.001), respectively. Conclusion: Women with a poor ability to contract their PFM had better results regarding the strength of their PFM when they exercised using the biofeedback method with the Periform ® instrument compared to those who exercised without it. Motivation and support from the midwife had a positive impact on the results.

Scandinavian Journal of Caring Sciences

International Journal of Women's Health

The aim of this study was to investigate whether women, who reported "symptoms of depression" dur... more The aim of this study was to investigate whether women, who reported "symptoms of depression" during pregnancy and up to 1.5 years postpartum, who reported domestic violence or not, were treated with antidepressant medication. Patients and methods: A prospective longitudinal cohort study recruited primi-and multiparous women (n=1,939). The Edinburgh Postnatal Depression Scale (EPDS), the NorVold Abuse Questionnaire, and a questionnaire about medication during pregnancy were distributed and administered three times, during early pregnancy, late pregnancy, and the postpartum period. Antidepressant medication was compared between women with EPDS scores ,13 and EPDS scores 13astheoptimalcutoffforsymptomsofdepression.Results:EPDSscores13 as the optimal cutoff for symptoms of depression. Results: EPDS scores 13astheoptimalcutoffforsymptomsofdepression.Results:EPDSscores13 were detected in 10.1% of the women during the whole pregnancy, of those 6.2% had depressive symptoms already in early pregnancy and 10.0 % during the postpartum period. Women with EPDS scores 13andnon−exposuretodomesticviolenceweremoreoftennon−medicated(P,0.001).NoneofthewomenwithEPDSscores13 and non-exposure to domestic violence were more often non-medicated (P,0.001). None of the women with EPDS scores 13andnon−exposuretodomesticviolenceweremoreoftennon−medicated(P,0.001).NoneofthewomenwithEPDSscores13 exposed to domestic violence had received any antidepressant medication, albeit the relationship was statistically nonsignificant. Conclusion: Pregnant women who experienced themselves as having several depressive symptoms, social vulnerability, and even a history of domestic violence, did not receive any antidepressant treatment during pregnancy nor postpartum. This study shows the importance of detecting depressive symptoms during early pregnancy and a need for standardized screening methods.

Sexual & Reproductive Healthcare

Objectives To explore the degree of self-reported suffering following violent incidents and the p... more Objectives To explore the degree of self-reported suffering following violent incidents and the prevalence of police reporting as well as other help-seeking behaviour among women in early pregnancy that have experience of a history of violence. Study design A cross sectional design. 1939 pregnant women ≥ 18 years were recruited prospectively between March 2012 and September 2013 in southwest of Sweden. Of those 761 (39.5 %) reported having a history of violence and that dataset comprises the cohort investigated in the present study. Descriptive statistics, Chi-square analysis and T-test were used for the statistical calculations. Results More than four of five women (80.5 %) having a history of emotional abuse (n = 374), more than half (52.4 %) having history of physical abuse (n = 561) and almost three of four (70.6%) who experienced sexual abuse (n = 302) reported in the early second trimester of their pregnancy that they still suffered from their experience. Of those women who had experienced emotional-, physical-and sexual abuse, 10.5 % respectively 25.1 % and 18.0% had never disclosed their experiences to anyone. At most, a quarter of the abused women had reported a violent incident to the police. Conclusions All actors who meet women with experience of abuse need to have increased knowledge about the long-term consequences of all types of abuse. This in order to increase the rate of asking women about their violent experiences to be able to prevent experiences of violence from affecting pregnancy and childbirth negatively by offering help and support.

Journal of advanced nursing, Jan 17, 2017

To determine the differences in breastfeeding among women who did and did not experience domestic... more To determine the differences in breastfeeding among women who did and did not experience domestic violence during pregnancy and postpartum in a Swedish context. In addition, to identify possible differences regarding breastfeeding between groups with or without a history of violence. Further, determine the relationship between exclusive breastfeeding and symptoms of depression. History of violence may increase the risk of depression and a decrease in, or cessation of, breastfeeding. The study has a cross-sectional design. Data were collected prospectively from March 2012 - May 2015. A cohort of 731 mothers answered a questionnaire from a larger project (1.5 years postpartum). Breastfeeding was reported by 93.7% of participants. Women exposed to domestic violence during pregnancy and/or postpartum (4.5%) were just as likely to breastfeed as women who had not reported exposure to domestic violence. There were no statistically significant differences between the groups with or without ...

BMC pregnancy and childbirth, Dec 5, 2016

In the original publication of this article [1], the table heading in the fourth column of Table ... more In the original publication of this article [1], the table heading in the fourth column of Table 1 should have been "Answered a Q-III n (%) 731 (37.7)", and not "Answered a Q-III n (%) 731 (731.7)". Please see updated table below; this has also been updated in the original article accordingly.

BMC Pregnancy and Childbirth, 2016

Background: Domestic violence during pregnancy is not only a severe public health issue that jeop... more Background: Domestic violence during pregnancy is not only a severe public health issue that jeopardizes maternal and foetal health but also violates human rights. The aim was to explore the prevalence and incidence of domestic violence among pregnant women, in the southwestern region of Scania in Sweden, and their experience of a history of violence. In addition, to explore the association between domestic violence during pregnancy and possible risk factors. Methods: This is a longitudinal cohort-study including pregnant women ≥18 years of age, registered at antenatal care when pregnant. A cohort of 1939 pregnant women answered Questionnaire I (QI) in gestational week 13 (mean 12.8 week, SD 5.11). Response rate of Questionnaire II (QII) in gestation week 34 (mean 33.9 week, SD 2.2) was 78.8 % (n = 1527). Statistical analysis was descriptive statistics, logistic regression and multiple regression with Odds ratios (OR) and 95 % confidence intervals (95 % CI). Results: Both QI and QII were completed by 77.8 % (n = 1509) of the women and 44.3 % (n = 668) reported a lifetime experience of abuse irrespective of type, severity or perpetrator. Also, 5.1 % (n = 77) reported some experience of abuse past year. Prevalence of domestic violence during pregnancy was 2.0 % (n = 29) and the incidence was 7.3 new cases per 1000 women. The strongest risk factor for domestic violence, during early and late pregnancy, was history of violence whereby all women who disclosed exposure had also reported history of violence (p < 0.001). To be single/living apart gave 8.4 times more risk associated with domestic violence during pregnancy (AOR 8.4; 95 % CI: 2.2-32.6). Having several symptoms of depression and lack of sleep gave 3.8 times more risk respectively (AOR 3.8; 95 % CI: 1.1-13.6) and (AOR 3.8; 95 % CI 1.1-12.9). Conclusions: Pregnant women with a history of violence as well as being single/living apart and/or having several symptoms of depression during pregnancy should be alerts for clinical working midwives and obstetricians. Further, this is important knowledge for health care providers to develop or upgrade guidelines and plans of action for pregnant women exposed to violence.

Midwifery, 2012

Objective: to explore midwives' awareness of and clinical experience regarding domestic violence ... more Objective: to explore midwives' awareness of and clinical experience regarding domestic violence among pregnant women in southern Sweden. Design: an inductive qualitative design, using focus groups interviews. Setting: midwives with experience of working in antenatal care (ANC) units connected to two university hospitals in southern Sweden. Participants 16 midwives recruited by network sampling and purposive sampling, divided into four focus groups of three to five individuals. Findings: five categories emerged: 'Knowledge about 'the different faces' of violence', perpetrator and survivor behaviour, and violence-related consequences. 'Identified and visible vulnerable groups', 'at risk' groups for exposure to domestic violence during pregnancy, e.g. immigrants and substance users. 'Barriers towards asking the right questions', the midwife herself could be an obstacle, lack of knowledge among midwives as to how to handle disclosure of violence, fear of the perpetrator and presence of the partner at visits to the midwife. 'Handling the delicate situation', e.g. the potential conflict between the midwife's professional obligation to protect the pregnant woman and the unborn baby who is exposed to domestic violence and the survivor's wish to avoid interference. 'The crucial role of the midwife', insufficient or non-existent support for the midwife, lack of guidelines and/or written plans of action in situations when domestic violence is disclosed. The above five categories were subsumed under the overarching category 'Failing both mother and the unborn baby' which highlights the vulnerability of the unborn baby and the need to provide protection for the unborn baby by means of adequate care to the pregnant woman. Key conclusions and implication for practice: avoidance of questions concerning the experience of violence during pregnancy may be regarded as a failing not only to the pregnant woman but also to the unprotected and unborn baby. Nevertheless, certain hindrances must be overcome before the implementation of routine enquiry concerning violence during pregnancy. It is important to develop guidelines and a plan of action for all health-care personnel at antenatal clinics as well as to provide continuous education and professional support for midwives in southern Sweden.