Mari-Cristin Malm's research while affiliated with Uppsala University and other places

Publications (11)

Article
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...
Article
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...
Article
To study women's description of fetal movements in full-term pregnancy. Further to investigate if their descriptions could be sorted with regard to intensity and type of movements, using a matrix under development to be a tool for evaluating fetal movements in clinical praxis. Data were collected by distributing questionnaires including an open que...
Article
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...
Article
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...
Article
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...
Article
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...

Citations

... There were a variety of countries represented in the review, with three undertaken in Turkey [29][30][31] and Norway [32][33][34], and two studies in Italy [35,36]. One study in Japan [37], Sweden [38], Korea [39], Brazil [40], the United States of America [41], Switzerland [42], Colombia [43], and Taiwan [44]. The variety of study designs used is outlined in Table 3. ...
... There is no consensus among health care professionals about the benefits and disadvantages of the methods used by the pregnant women to count fetal movements (Heazell and Frøen, 2008 ). However , there was a high level of acceptance among pregnant women of observing their unborn infant's movements in a systematic way, both in terms of measuring the time it takes to feel ten movements and focusing upon the intensity, character and frequency but not counting the movements (Malm et al., 2014). In a study by Saastad with colleagues (2012), most of the women (79%) experienced counting fetal movements as positive and 76% agreed that counting fetal movements contributes to getting to know the infant during pregnancy (Saastad et al., 2012). ...
... Given this evidence-practice gap, consideration of the effect of formal FMC beyond clinical outcomes is warranted, as FMC has the potential to also affect maternal psychological states, either positively or negatively. The use of kick charts, for example, have been associated with higher levels of maternal-fetal attachment (MFA) and enhanced communication with the fetus 1,11,12 . Others, however, have reportedly found no difference in MFA when women use objective FMC compared to no FMC, suggesting instead that levels of MFA are affected by other influencing factors such as women approaching the end of their pregnancy or possible fear of childbirth 13 . ...
... Perinatal grief is framed within a social context in which a perinatal death is not recognised as the death of a baby [27][28][29]. Research shows that after a perinatal death, parents receive inaccurate information too late [30,31] and receive inappropriate comments from healthcare professionals [32]. In Spain, unlike in other countries, there is no standardised care for families suffering perinatal grief, with a great variability of care in daily practice for mothers and fathers who suffer the death of their baby [33]. ...
... Just counting kicks implies a huge loss of information and we must find new means for fetal monitoring [11]. The results in this qualitative study have been validated in a study with 400 women in full-term pregnancy [12]. ...
... 6 A large number of studies have now investigated the experiences of expectant parents when receiving news of complications via ultrasound. [7][8][9][10][11][12] Together, these studies have suggested that receiving this news is experienced by parents as a journey. This journey begins with generally positive expectations of ultrasound scans followed by shock after the finding, the need to make decisions regarding further testing or pregnancy management and eventual adaptation to their new and unexpected situation. ...
... When women contact care providers due to DFM, they may receive inappropriate advice, such as recommendations to wait for movements to return, or advice to drink cold water or eat sugary food to stimulate fetal movements [3,33,41]. Not only are these recommendations not supported by any scientific evidence, but such advice can delay acute antenatal assessment putting a potentially compromised fetus in jeopardy [21]. ...
... Broken or shattered expectations were a key finding in all of the studies. This concept was also reported in the findings of other qualitative perinatal studies of parents' experiences of unexpected perinatal events such as fetal loss (Malm, Raedestad, Erlandsson, & Lindgren, 2011), preterm birth (Lusiuk, Comeau, & Newburn-Cook, 2013) and admission to the Neonatal Intensive Care Unit (Lowenstein, Barroso, & Phillips, 2019). ...