Hannakaisa Niela-Vilen

Hannakaisa Niela-Vilen
University of Turku | UTU · Department of Nursing Science

PhD, RM

About

57
Publications
19,430
Reads
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1,492
Citations
Introduction
Current research interests: midwifery: the first hour after birth, breastfeeding support, and pregnancy monitoring
Additional affiliations
October 2012 - April 2016
University of Turku
Position
  • PhD Student

Publications

Publications (57)
Article
Full-text available
Preterm birth (PTB) remains a global health concern, impacting neonatal mortality and lifelong health consequences. Traditional methods for estimating PTB rely on electronic health records or biomedical signals, limited to short-term assessments in clinical settings. Recent studies have leveraged wearable technologies for in-home maternal health mo...
Article
Full-text available
Aim To explore what Internet‐based breastfeeding peer support offers to breastfeeding parents. Design Integrative review. Data Sources and Review Methods A systematic literature search was conducted in March 2024 using the following electronic databases: CINAHL, The Cochrane Library, PubMed/MEDLINE and PsycINFO. Database searches yielded 717 resu...
Preprint
Full-text available
Preterm birth (PTB) remains a global health concern, impacting neonatal mortality and lifelong health consequences. Traditional methods for estimating PTB rely on electronic health records or biomedical signals, limited to short-term assessments in clinical settings. Recent studies have leveraged wearable technologies for in-home maternal health mo...
Article
Family-centred care in maternity unit before and after the Close Collaboration training program The purpose of this study was to evaluate the impact of Close Collaboration training program on the family-centered care in the maternity unit from the perspective of parents and staff. The study was conducted with a quasi-experimental before-after se...
Article
Full-text available
Aim: We compared milk volumes, skin-to-skin contact and breastfeeding by the mothers of very preterm twins and singleton infants born at 28-32 weeks of gestation. Methods: This Norwegian longitudinal prospective comparative study was carried out in two neonatal intensive care units: one with single family rooms and one open bay unit. It comprise...
Article
Objective: The aim of this study was to compare subjectively and objectively measured stress during pregnancy and the three months postpartum in women with previous adverse pregnancy outcomes and women with normal obstetric histories. Methods: We recruited two cohorts in southwestern Finland for this longitudinal study: (1) pregnant women (n = 3...
Article
Full-text available
Objectives To assess, in terms of self-efficacy in weight management, the effectiveness of the SLIM lifestyle intervention among overweight or obese women during pregnancy and after delivery, and further to exploit machine learning and event mining approaches to build personalized models. Additionally, the aim is to evaluate the implementation of t...
Article
Full-text available
Objective The aim of this systematic review was to explore the impact of the COVID-19 pandemic on breastfeeding support services and continuation rates. Methods Electronic searches were undertaken in seven databases: Academic Search Complete, Springer Nature Journals, CINAHL Medline, Health Source: Nursing/Academic Edition, Masterfile premier, and...
Article
Full-text available
Background Photoplethysmography (PPG) is a low-cost and easy-to-implement method to measure vital signs, including heart rate (HR) and pulse rate variability (PRV) which widely used as a substitute of heart rate variability (HRV). The method is used in various wearable devices. For example, Samsung smartwatches are PPG-based open-source wristbands...
Article
Background Breastfeeding practices remain globally suboptimal despite many known maternal and neonatal health benefits and the Baby-Friendly Hospital Initiative as a global effort to support breastfeeding. Objective We aimed to evaluate the effects of the implementation of the Baby-Friendly Hospital Initiative for a proportion of mothers who exclu...
Preprint
Full-text available
Background Maternal loneliness is associated with adverse physical and mental health outcomes for both the mother and her child. Detecting maternal loneliness non-invasively through wearable devices and passive sensing provides opportunities to prevent or reduce the impact of loneliness on the health and well-being of the mother and her child. Obj...
Article
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Background The Baby-Friendly Hospital Initiative aims to improve breastfeeding by implementing the Ten Steps to Successful Breastfeeding (Ten Steps) into routine breastfeeding support in birth hospitals. Maternal perspective to breastfeeding support is important to consider as mothers and their infants are in the center of that support. Objectives...
Preprint
Full-text available
Background Photoplethysmography (PPG) is a low-cost and easy-to-implement method to measure vital signs, including heart rate (HR) and heart rate variability (HRV). The method is widely used in various wearable devices. For example, Samsung smartwatches are PPG-based open-source wristbands used in remote well-being monitoring and fitness applicatio...
Article
Objective : The purpose of this study was to examine maternal perceptions of postnatal breastfeeding support in the hospital before and after designation to the Baby-Friendly Hospital Initiative (BFHI). Further maternal and infant characteristics associated with the maternal perception of breastfeeding support were investigated. Our hypothesis was...
Article
Full-text available
Smart rings, such as the Oura ring, might have potential in health monitoring. To be able to identify optimal devices for healthcare settings, validity studies are needed. The aim of this study was to compare the Oura smart ring estimates of steps and sedentary time with data from the ActiGraph accelerometer in a free-living context. A cross-sectio...
Article
Full-text available
Background: The Baby-Friendly Hospital Initiative represents a global effort to support breastfeeding. Commitment to this program has been associated with the longer duration and exclusivity of breastfeeding and improvements in hospital practices. Further, healthcare professionals’ breastfeeding attitudes have been associated with the ability to pr...
Article
Full-text available
Background Most qualitative research on breastfeeding the preterm or low-birthweight (LBW) infant has focused on negative insights; there are no comprehensive insights into how, when and why mothers experience positive breastfeeding experiences. We aimed to address this knowledge gap by exploring what characterizes and facilitates a positive breast...
Preprint
BACKGROUND Heart rate variability (HRV) is a non-invasive method reflecting autonomic nervous system (ANS) regulations. Altered HRV is associated with adverse mental or physical health complications. ANS also has a central role in physiological adaption during pregnancy causing normal changes in HRV. OBJECTIVE Assessing trends in heart rate (HR) a...
Article
Full-text available
Background Heart rate variability (HRV) is a noninvasive method that reflects the regulation of the autonomic nervous system. Altered HRV is associated with adverse mental or physical health complications. The autonomic nervous system also has a central role in physiological adaption during pregnancy, causing normal changes in HRV. Objective The ai...
Article
Full-text available
Pregnancy is a unique time when many mothers gain awareness of their lifestyle and its impacts on the fetus. High-quality care during pregnancy is needed to identify possible complications early and ensure the mother’s and her unborn baby’s health and well-being. Different studies have thus far proposed maternal health monitoring systems. However,...
Article
Full-text available
Background Maternal overweight is increasing, and it is associated with several risk factors for both the mother and child. Healthy lifestyle behaviors adopted during pregnancy are likely to impact women’s health positively after pregnancy. The study’s aim was to identify and describe weight management behaviors in terms of the Capability, Opportun...
Article
Full-text available
Background Technology enables the continuous monitoring of personal health parameter data during pregnancy regardless of the disruption of normal daily life patterns. Our research group has established a project investigating the usefulness of an Internet of Things–based system and smartwatch technology for monitoring women during pregnancy to expl...
Preprint
BACKGROUND Photoplethysmography (PPG) is a non-invasive and low-cost method to remotely and continuously track vital signs. The Oura ring is a compact PPG-based smart ring, which has recently drawn attention to be used in remote health monitoring and wellness applications. The ring is employed to acquire nocturnal heart rate (HR) and heart rate var...
Article
Full-text available
Background Photoplethysmography is a noninvasive and low-cost method to remotely and continuously track vital signs. The Oura Ring is a compact photoplethysmography-based smart ring, which has recently drawn attention to remote health monitoring and wellness applications. The ring is used to acquire nocturnal heart rate (HR) and HR variability (HRV...
Preprint
Full-text available
Background: Maternal overweight is increasing, and it is associated with several risks for both the mother and child. Healthy lifestyle behaviors adopted during pregnancy are likely impact women’s health positively after pregnancy. The study’s aim was to identify and describe weight management behaviors in terms of the Capability, Opportunity and M...
Article
Full-text available
Background Assessment of sleep quality is essential to address poor sleep quality and understand changes. Owing to the advances in the Internet of Things and wearable technologies, sleep monitoring under free-living conditions has become feasible and practicable. Smart rings and smartwatches can be employed to perform mid- or long-term home-based s...
Article
Full-text available
Background: The COVID-19 pandemic is disrupting normal life globally, every area of life is touched. The pandemic demands quick action and as new information emerges, reliable synthesises and guidelines for care are urgently needed. Breastfeeding protects mother and child; its health benefits are undisputed and based on evidence. To plan and suppo...
Article
Objective To explore midwives’ and parents’ perceptions and actions as well as the culture surrounding the first hour after the birth of a baby – the golden hour. Design Short-term ethnographic study, which included observations, informal interviews and focus group interviews. Thematic network analysis was used to analyse the data. Setting Two bi...
Preprint
Full-text available
BACKGROUND Assessment of sleep quality is essential to address poor sleep quality and understand the changes. Thanks to the advances in Internet-of-Things and wearable technologies, sleep monitoring in free-living conditions has become feasible and practicable. Smart rings and smartwatches can be employed to perform mid- or long-term home-based sle...
Article
Full-text available
Background: Monitoring during pregnancy is vital to ensure the mother's and infant's health. Remote continuous monitoring provides health care professionals with significant opportunities to observe health-related parameters in their patients and to detect any pathological signs at an early stage of pregnancy, and may thus partially replace tradit...
Article
Full-text available
Aims: To understand the perspectives of both healthcare professionals in maternity care and pregnant women with higher-risk pregnancies about remote monitoring in maternity care. Design: Qualitative descriptive design. Methods: Individual and focus group interviews were conducted in public maternity care and in a level III hospital in Finland...
Article
Full-text available
Background: Pregnant women who are at risk of preterm birth are often stressed, anxious and depressed because of worries and fears related to the health of the unborn baby, their own health and uncertainty about the future. Only a few studies have assessed the types of psychological support that would relieve these stress symptoms among women with...
Article
Full-text available
Sleep is a composite of physiological and behavioral processes that undergo substantial changes during and after pregnancy. These changes might lead to sleep disorders and adverse pregnancy outcomes. Several studies have investigated this issue; however, they were restricted to subjective measurements or short-term actigraphy methods. This is insuf...
Preprint
Full-text available
BACKGROUND Monitoring during pregnancy is vital to ensure mothers and their infants’ health. Remote and continuous monitoring provides health care professionals with significant opportunities to observe health-related parameters in their patients and to detect any pathological signs at an early stage of pregnancy, and thus it may partly replace tra...
Article
Full-text available
Remote health monitoring is an effective method to enable tracking of at-risk patients outside of conventional clinical settings, providing early-detection of diseases and preventive care as well as diminishing healthcare costs. Internet of Things (IoT) technology facilitates development of such monitoring systems although significant challenges ne...
Article
Full-text available
Background Smart wristbands enable the continuous monitoring of health parameters, for example, in maternity care. Understanding the feasibility and acceptability of these devices in an authentic context is essential. The aim of this study was to evaluate the feasibility of using a smart wristband to collect continuous activity, sleep and heart rat...
Preprint
Full-text available
The aim of this meta-ethnographic study is to develop a conceptual understanding of the facilitators for positive breastfeeding experiences and the needs for breastfeeding support in mothers of preterm and/or LBW infants. Review question: What facilitators for positive breastfeeding experiences can be identified for mothers of preterm and/or LBW i...
Article
Full-text available
In 2012, the Baby‐friendly Hospital Initiative for Neonatal Wards (Neo‐BFHI) began providing recommendations to improve breastfeeding support for preterm and ill infants. This cross‐sectional survey aimed to measure compliance on a global level with the Neo‐BFHI's expanded Ten steps to Successful Breastfeeding and three Guiding Principles in neonat...
Article
Background: Breastfeeding is an important element of motherhood with a preterm infant, but the role of maternal emotions in relation to breastfeeding is vague. Purpose: To describe maternal emotions regarding and insights into breastfeeding during the first year after a preterm birth. Methods: In total, 80 mothers of preterm infants (<35 gesta...
Article
Objective: To identify and understand how parents develop a close bond to their infants in the neonatal intensive care unit (NICU). Design: A qualitative descriptive study; closeness and separation stories recorded in a smartphone application by the parents were analyzed using thematic analysis. Setting and participants: Twenty-three parents o...
Article
Background: Despite the evidence of multiple benefits of early skin-to-skin contact, it does not always happen and infants are separated from their parents because of different hospital practices. The aim of this study was to explore parent-infant closeness and separation, and which factors promote closeness or result in separation in the birthing...
Article
Full-text available
Background When a newborn requires neonatal intensive care unit (NICU) hospitalization, parent and infant experience an unusual often prolonged separation. This critical care environment poses challenges to parent-infant closeness. Parents desire physical contact and holding and touching are particularly important. Evidence shows that visitation, h...
Article
Aims: The aim of this study was to examine whether an Internet-based peer-support intervention has an effect on the duration of breastfeeding or breast milk expression or maternal breastfeeding attitude compared with routine care in the mothers of preterm infants. In addition, the feasibility of the intervention was examined. Background: A few p...
Article
Objective: To determine factors that predict the initiation and frequency of breastfeeding, attitudes about breastfeeding, and the self-efficacy of mothers of preterm infants in a neonatal intensive care unit. Design: A structured survey using two measurement points. Setting: A university hospital in Finland. Participants: Mothers (N = 124)...
Article
The Internet and social media provide various possibilities for online peer support. The aim of this review was to explore Internet-based peer-support interventions and their outcomes for parents.
Article
Preterm infants are usually breastfed less than full-term infants, and successful breastfeeding requires a supportive environment and special efforts from their mothers. A breastfeeding peer-support group, utilising social media, was developed for these mothers in order to support them in this challenge. Mothers were able to discuss breastfeeding a...

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