Ingela Rådestad's research while affiliated with Sophiahemmet Högskola and other places

Publications (105)

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Background: The proportion of overweight or obese pregnant women is increasing in many countries and babies born to a mother who is overweight or obese are at higher risk for complications. Our primary objective was to describe sociodemographic and obstetric factors across Body Mass Index (BMI) classifications, with secondary objective to investig...
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Background Presentations for decreased fetal movements comprise a significant proportion of acute antenatal assessments. Decreased fetal movements are associated with increased likelihood of adverse pregnancy outcomes including stillbirth. Consensus-based guidelines recommend pregnant women routinely receive information about fetal movements, but p...
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Objective To investigate whether the proportion of pregnant women who use epidural analgesia during birth differed between women registered at a maternity clinic randomised to Mindfetalness or to routine care. Design An observational study including women born in Sweden with singleton pregnancies, with spontaneous onset of labour from 32 weeks’ ge...
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Objectives To identify predictors of seeking care for decreased fetal movements and assess whether care-seeking behaviour is influenced by Mindfetalness. Design Observational study with data from a cluster-randomised controlled trial. Setting 67 maternity clinics and 6 obstetrical clinics in Sweden. Participants All pregnant women with a singlet...
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Introduction and hypothesis: This is a prospective cohort follow-up study based on the hypothesis that primiparous women with non-assisted vaginal deliveries and a second-degree perineal tear have more posterior compartment symptoms 1 year after delivery than those with no or first-degree tears. Methods: A follow-up questionnaire, including vali...
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Background Studies report that women born in some African countries, after migrating to the Nordic countries, have worse pregnancy outcomes than women born in the receiving countries. With the aim of identifying unmet needs among Somali-born women, we here study this subgroup. Objective We compared pregnancy outcomes among women born in Somalia to...
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Background Information given to pregnant women about fetal movements is important in maternity care and decreased fetal movements is associated with fetal growth restriction and stillbirth. The fetal movement pattern is different for every fetus and women perceive different types of movements. Mindfetalness is a self-assessment method for a woman t...
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Background: Maternal perception of decreased fetal movements is commonly used to assess fetal well-being. However, there are different opinions on whether healthcare professionals should encourage maternal observation of fetal movements, as researchers claim that raising awareness increases unnecessary interventions, without improving perinatal he...
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Objective: To examine whether a method for raising women's awareness of fetal movements, Mindfetalness, can affect pregnancy outcomes. Design: Cluster-randomised controlled trial. Setting: Sixty-seven maternity clinics in Stockholm, Sweden. Population: Women with singleton pregnancy with birth from 32 weeks' gestation. Methods: Women regis...
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Objective The aim of this prospective cohort study was to investigate the prevalence of perineal pain related to the perineal injury within the first year after childbirth. The study further explored the rates of postpartum check-up attendance, and whether they had undergone a vaginal examination, pelvic floor assessment and exercise advice. Resea...
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Background: Usually, parents remain at the hospital for two or three days after a stillbirth in Sweden, and the routine until recently has been to place the baby in a refrigerator during the night. A device, the Cubitus Baby, a specially designed cot with cooling blocks, was implemented in all 47 delivery wards during 2013 and 2014. Aim: To inve...
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Introduction and hypothesis Urinary incontinence (UI) is associated with pregnancy and parity and can cause health problems for women. Our objective was to explore risk factors for UI and its effect on women’s daily activities, psychological health and wellbeing 9–12 months postpartum in a low-risk primiparous population. Methods In this prospecti...
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Introduction: Women's awareness of fetal movements is important as perception of decreased fetal movements can be a sign of a compromised fetus. We aimed to study rate of labor induction in relation to number of times women seek care due to decreased or altered fetal movements during their pregnancy compared to women not seeking such care. Further...
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Background In Sweden, three to four out of every 1000 pregnancies end in stillbirth each year. The aim of this study was to investigate whether women who had experienced stillbirth perceived that they had received an explanation of the death and whether they believed that healthcare professionals were responsible for the death of the baby. Methods...
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Objectives: We investigated how women, seeking care due to decreased movements, had paid attention to fetal movements and if the method of monitoring was associated with pregnancy outcome. Methods: A questionnaire was distributed to women from gestational week 28, who had sought care due to decreased fetal movements in Stockholm between January...
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Objective To investigate the prevalence and severity of haemorrhoids after birth among first-time mothers in relation to management during the second stage of labour and to describe the women's experiences with haemorrhoids. Method A mixed method explanatory sequential design was used. Nulliparous women were allocated to an intervention group for...
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Background: Experiencing a stillbirth can be a potent stressor for psychological distress in the subsequent pregnancy and possibly after the subsequent birth. The impact on women's relationship with her partner in the subsequent pregnancy and postpartum remains uncertain. The objectives of the study were 1) To investigate the prevalence of anxiety...
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Objective The second stage of labor is considered to be the most stressful part of the process of childbirth for the woman and her unborn child, and consequently for the midwife. Midwives use different methods to enhance maternal bearing-down efforts and to ascertain the progress during the second stage. The aim of this study was to describe method...
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Background Maternal perception of decreased fetal movements and low awareness of fetal movements are associated with a negative birth outcome. Mindfetalness is a method developed for women to facilitate systematic observations of the intensity, character and frequency of fetal movements in late pregnancy. We sought to explore women’s attitudes, exp...
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Background: An instrumental birth with a ventouse or forceps is a complicated birth, possibly resulting in fear of childbirth which could influence the entire birth experience negatively. Patients who are actively involved in their care have a stronger sense of satisfaction and a sense of participation can contribute to shorter hospital stays. Ai...
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Objective: To investigate healthcare utilisation, induced labour and caesarean section (CS) in the pregnancy after stillbirth and assess anxiety and dread of childbirth as mediators for these outcomes. Design: Population-based pregnancy cohort study. Setting: The Norwegian Mother and Child Cohort Study. Sample: 901 pregnant women; 174 pregna...
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Background: Experience of reduced fetal movements is a common reason for consulting health care in late pregnancy. There is an association between reduced fetal movements and stillbirth. Aim: To explore why women decide to consult health care due to reduced fetal movements at a specific point in time and investigate reasons for delaying a consul...
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Background: Shortening pre-hospital delay may decrease stillbirth rates and rates of babies born with a compromised health. Stillbirth may be preceded by a decrease in fetal movements. Mindfetalness has been developed as a response to the shortcomings of kick-counting for the monitoring of fetal movements by the pregnant woman. We do not know if p...
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Background External (to the fetus) stressors may act together with maternal factors as well as fetal and placental factors to increase the risk of stillbirth. Data published in 2011 indicate non-left side sleeping positions, particularly the supine one, is such a stressor; we do not know, however, if this new knowledge has influenced the choice of...
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Background: decreased fetal movement is a reason for women to seek health care in late pregnancy. Objective: to examine what pregnant women who present with decreased fetal movements want to communicate to health care professionals and to other women in the same situation. Design: a qualitative descriptive study. Setting and participants: qu...
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Background Pregnant women sometimes worry about their unborn baby’s health, often due to decreased fetal movements. The aim of this study was to examine how women, who consulted health care due to decreased fetal movements, describe how the baby had moved less or differently. Methods Women were recruited from all seven delivery wards in Stockholm,...
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Objective: To investigate the association between the magnitude of foetal movements and level of prenatal attachment within a 24h period among women in the third trimester of pregnancy. Design: a prospective population-based survey. Setting: A county in central Sweden. Participants: Low risk pregnant women from 34 to 42 weeks gestation, N=45...
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Decreased fetal movement often precedes a stillbirth. The objective of this study was to describe women's experiences of fetal movement before the confirmation of fetal death. Data were collected through a Web-based questionnaire. Women with stillbirths after 28 gestational weeks were self-recruited. Content analysis was used to analyze the answers...
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Background Low maternal awareness of fetal movements is associated with negative birth outcomes. Knowledge regarding pregnant women’s compliance with programs of systematic self-assessment of fetal movements is needed. The aim of this study was to investigate women’s experiences using two different self-assessment methods for monitoring fetal movem...
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Although there is an increasing interest in siblings' experiences of loss and grief there is limited knowledge of adolescent's own perspectives, especially in a unique situation as after stillbirth in a reconstituted family. The authors interviewed 13 bereaved adolescents. They were sad that their family was not the same and expressed feelings of b...
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Background The process of giving birth to a baby who has died is a significantly traumatic experience for the mother and her family and also for health professionals. Support, or even the perceived lack of support, from professionals often influences whether or not the parents choose to see and hold their baby. Psychosocial clinical care may also a...
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Care after stillbirths has changed radically within the last twenty years, not least because of research. However, less attention has been given to memorialization in the longer perspective. This is a qualitative study based on a web questionnaire with the aim to uncover memorialization practices on anniversary days. 596 bereaved mothers of stillbo...
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(1) To investigate the experiences of women with a previous stillbirth and their appraisal of the care they received at the hospital. (2) To assess the long-term level of post-traumatic stress symptoms (PTSS) in this group and identify risk factors for this outcome. A retrospective study. Two university hospitals. The study population comprised 379...
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This paper has two main aims: to explore fathers' postnatal care experiences with a specific focus on deficiencies and to investigate which service deficiencies remained important for fathers one year after childbirth. This is a prospective longitudinal study. Two months and one year after birth, the overall satisfaction with care were sought. A ca...
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When a baby has died during pregnancy, the first encounter between mother and child occurs when the baby is already dead. Despair, emptiness, and grief characterize the encounter, which is also a gradual farewell to the child and the planned future for the family. This study describes mothers' experiences of the farewell of their stillborn baby at...
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Background: There is a need for evidence-based guidelines on how professionals should act following a suicide. In an effort to provide empiric knowledge, we designed a nationwide population-based study including suicide-bereaved parents. Aim: To describe the process from creating hypotheses through interviews to the development of a population-b...
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Besides the frequency of the fetal movements the woman's perceptions of the movements can give additional information about the unborn baby's wellbeing. To explore women's perceptions of fetal movements in full-term pregnancy. Interviews with 40 women in gestational weeks 37+2 to 41+5, all with uncomplicated pregnancies. All women were recruited fr...
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Objectives: to describe the grief of mothers and fathers and its influence on their relationships after the loss of a stillborn baby. Design: a postal questionnaire at three months, one year and two years after stillbirth. Setting: a study of mothers and fathers of babies stillborn during a one-year period in the Stockholm region of Sweden. P...
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This study aimed to investigate parents' advice to other parents on the basis of their own experiences of siblings' taking leave of a stillborn sister or brother. The study was a Web questionnaire study of 411 parents. The thematic content analysis resulted in two categories: "Make the stillborn baby and the loss real for the siblings" and "Take th...
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Objective: to determine if the way caregivers offer opportunities to see and hold a stillborn baby impacts a mother's feelings about the experience of seeing and holding her newborn. Design and setting: a web questionnaire hosted by the Swedish National Infant Foundation from March 2008 to April 2010. Participants: 840 eligible participants wh...
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While attending birth mostly has a positive impact on becoming a father, it has also been described as including feelings of discomfort and is more demanding than expected. The objective was to explore Swedish fathers' birth experiences, and factors associated with a less-positive birth experience. Mixed methods including quantitative and qualitati...
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Abstract Background: If a mother experiences a change in the pattern of movement of her unborn baby, it could be indicative that the baby is unwell or has died in utero. Aim: To study mothers’ experiences during the time prior to receiving news that their unborn baby has died in utero. Method: In-depth interviews were conducted with 26 mothers who...
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Caring routines in many countries for parents following the death of a baby have shifted over the last 40 years, from initial recommendations that parents should not see their baby, to the opposite in present day. This study aims to describe mothers' gratitude for the actions taken by health professionals in connection with the birth of their child...
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The home birth rate in Sweden is less than 1 in 1000, and home birth is not included within the health care system. This study describes women's experiences concerning reactions to their decision to give birth at home. A nationwide survey (SHE--Swedish Homebirth Experience) in Sweden was conducted between 1992 and 2005 whereas 735 women had given b...
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This study aims to describe how mothers spend the period of time between being diagnosed with a dead baby in utero and the induction of the delivery. Data were collected using a web questionnaire. Five hundred and fifteen women who had experienced a stillbirth after the 22nd week of gestation answered the open question: 'What did you do between the...
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To identify whether mothers of stillborn babies had had a premonition that their unborn child might not be well and how they dealt with that premonition. Design. A mixed method approach.  One thousand and thirty-four women answered a web questionnaire.   Six hundred and fourteen women fulfilled the inclusion criteria of having a stillbirth after th...
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It has been argued that having a stillborn baby in the family affects older siblings more than parents realize. The aim of this study was to describe parenthood and the needs of siblings after stillbirth from the parents' perspective. Six focus groups were held with 27 parents who had experienced a stillbirth and who had had children before the los...
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We investigated mothers' attitudes to autopsy of their stillborn baby and their experiences concerning information and treatment in relation to their loss in an observational study. Data were collected by postal questionnaires and telephone calls. Fifty-four of 72 mothers (76%) replied. Fifty-one (94%) received information from a physician about th...
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Carrying death instead of life is beyond understanding and a huge psychological challenge for a pregnant mother. The aim of this study was to investigate the mothers' experiences of the time from the diagnosis of the death of their unborn baby until induction of labour. In this qualitative study, in-depth interviews were conducted with 21 mothers w...
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In this study the authors describe parents' experiences of support over a 2-year period after a stillbirth and its effect on parental grief. Data was collected by questionnaire from 33 mothers and 22 fathers at 3 months, 1 year, and 2 years after a stillbirth. Midwives, physicians, counselors, and priests--at the hospital where the stillbirth occur...
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Opting for a home birth or requesting a cesarean section in a culture where vaginal birth in a hospital is the norm challenges the health care system. The aim of this study was to compare background characteristics of women who chose these very different birth methods and to see how these choices affected factors of care and the birth experience. T...
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It can be quite natural for pregnant women to believe that a decrease in the frequency of fetal movements at the end of pregnancy is normal if they have been so informed. There is also probably scope for interpretation concerning what is to be regarded as a decrease in the number of movements. Non-evidence-based information that a decrease in fetal...
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Background Fathers involvement in pregnancy and childbirth has increased and this can benefit their own health as well as their partners' and children's health The objective of this study was to investigate the sources of pregnancy and childbirth information that expectant fathers used in pregnancy with a specific focus on the Internet Methods This...
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We studied the advice mothers with stillbirths were given concerning a suitable time to become pregnant. A questionnaire was sent in 2001 to mothers with a stillbirth at one of five hospitals in the Stockholm region in Sweden. At three months follow-up, 33 mothers participated and at 12 months 31. The advices varied from waiting one to 12 months. E...
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This study aims to capture parental descriptions of how siblings take leave of and mourn a stillborn brother or sister and how their parents support them. Data were collected by questionnaires from 16 parents of siblings to a stillborn child one year after the stillbirth. Data were analysed numerically for the multiple-choice questions and content...
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Cesarean section performed in the absence of medical indication is of concern in many countries, but studies focusing on its prevalence are inconclusive. The objective of this study was, first, to describe the prevalence of cesarean section without medical reason in terms of the diagnostic code listed in the Swedish Medical Birth Register, and to a...
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Please cite this paper as: Johansson M, Rådestad I, Rubertsson C, Karlström A, Hildingsson I. Few fathers-to-be prefer caesarean section for the birth of their baby. BJOG 2010; DOI: 10.1111/j.1471-0528.2010.02508.x. The objective of this study was to investigate prospective fathers’ preferences for caesarean section and associated factors. Data wer...
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A change in the pattern of movement of her unborn baby could be indicative that the baby might die. To study mothers' experiences during the time prior to receiving news that their baby has died. Interviews with 26 mothers. Premonition that something had happened to their baby, a sense based on a lack of movements were experienced. Six categories d...
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To study how social support is associated with ensuing maternal depression following stillbirth. Data from a population-based national postal questionnaire. Setting. Sweden. A total of 314 (83%) of all 380 Swedish-speaking women who gave birth to singleton stillborn infants in Sweden during 1991, identified through the Swedish Medical Birth Registe...
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The objectives were to investigate what advice women who have given birth would give to parents-to-be using an open question analysed by content analysis. This was a population-based study including women giving birth in Sweden. Data were collected by means of anonymous postal questionnaires and information was provided by 322 women. The advice was...
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Actions by health professionals and the atmosphere surrounding the birth of a stillborn baby may determine the nature of the mother's contact with her baby. A questionnaire studied mothers' feelings when holding their stillborn baby. A total of 33 mothers of stillborn babies born after 22 weeks completed the questionnaire three months after the bir...
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Some guidelines encourage mothers to see and hold their babies after stillbirth, which might be traumatizing. The study objective was to investigate the effects of women seeing and holding their stillborn baby on the risk of anxiety and depression in a subsequent pregnancy and in the long term. Thirty-seven organizations recruited women who had exp...
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For the first 30 minutes, a stillborn baby feels soft and warm, just like a live baby. The time immediately after birth can be seen as an “acute” situation – a time that can never be relived. After just 30 minutes, the baby will grow cold, and its colour will change. Following stillbirth, parents are in a state of shock, and asking whether they wan...
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To study uptake of care at the antenatal and child health clinic (CHC), and maternal and child health up to 5 years after the birth, as reported by mothers with a non-Swedish speaking background (NSB). A sample of 300 women with a NSB, 175 originated from a poor country and 125 originated from a rich country, were compared with a reference group of...
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The aim of this population-based study was to measure the risk of adverse outcome for mother and child in planned home births in a Swedish population irrespective of where the birth actually occurred, at home or in hospital after transfer. A population-based study using data from the Swedish Medical Birth Register. Sweden 1992-2004. A total of 897...
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Actions taken after a stillbirth can affect long-term psychological morbidity. Our objective was to study how infant bonding and maternal actions after stillbirth are associated with ensuing depressive symptoms. Using the population-based Swedish Medical Birth Register, we identified all 380 Swedish-speaking women who gave birth to singleton stillb...
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The first sexual intercourse after childbirth may be challenging for women, especially if the birth resulted in injuries in the genital area. The purpose of this study was to investigate whether or not tears in the vagina, perineum, sphincter ani, or rectum hindered sexual intercourse during the year after childbirth. We obtained information from 2...
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intimate partner violence is a significant health problem. Fear of retaliation and shame may prevent women from telling anyone about the violence. This study investigated the prevalence of disclosure and police reporting of intimate partner violence during the first year postpartum. a prospective longitudinal Swedish cohort study based on informati...
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to investigate long-term outcomes of mothers who have or have not held their stillborn baby, and predictors of having held the baby. postal questionnaires. a nation-wide cohort study of mothers who gave birth to a singleton stillborn baby in Sweden in 1991. 314 out of 380 women answered the questionnaire and 309 reported whether or not they had hel...
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to describe home-birth risk assessment by parents. interviews using a semi-structured interview guide. Data were analysed using a phenomenological approach. independent midwifery practices in Sweden. five couples who had had planned home births. the parents had a fundamental trust that the birth would take place without complications, and they expe...
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This paper reports a study to investigate how satisfied Swedish women are with their antenatal care. Medical care is of high priority, but other aspects, such as psychosocial support are also important for women during pregnancy. Identifying women who are dissatisfied with their antenatal care could help us to improve this. Methods. A national coho...
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Depression and other psychiatric disorders during pregnancy and postpartum is an important health problem, especially if the symptoms are recurrent or sustained. All Swedish speaking women attending their first antenatal care visit during three predestined weeks were invited to participate. Depressive symptoms were evaluated using the Edinburgh Pos...
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The national recommendation in Sweden regarding number of antenatal care visits was reduced in 1996. The aim of this study was to explore the factors associated with number of visits made and with women's own opinions about these visits. Another aim was to study associations between the number of visits and satisfaction with antenatal care overall....
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The quality of care received by a woman who gives birth to a dead baby is crucial for her long-term well-being, and limiting the period between diagnosis of intrauterine death and induction of delivery decreases her anxiety risk. The primary objective of this study was to explore why induction of delivery for most women should not be delayed more t...
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To be hit by one's intimate partner during the first year after childbirth may affect a woman's health and ability to take care of her newborn. The purpose of this study was to document the prevalence and indicators in early pregnancy of a woman being hit by her partner during the year after childbirth. Information was collected by a postal questio...
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A woman's dissatisfaction with the experience of labor and birth may affect her emotional well-being and willingness to have another baby. The aim of this study was to investigate the prevalence and risk factors of a negative birth experience in a national sample. A longitudinal cohort study of 2541 women recruited from all antenatal clinics in Swe...
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Background: In Sweden, few alternatives to a hospital birth are available, and little is known about consumer interest in alternative birth care. The aim of this study was to determine women's interest in home birth and in-hospital birth center care in Sweden, and to describe the characteristics of these women. Methods: All Swedish-speaking women b...