Women's desire to have a midwife they know during labor and birth has increased significantly over time.

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-03-11 DOI:10.1080/0167482X.2025.2476980

Ingegerd Hildingsson, Hanna Fahlbeck, Maria Lindqvist, Birgitta Larsson, Sophia Holmlund, Margareta Johansson

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引用次数: 0

Abstract

Background: In Sweden, women often meet with different midwives during antenatal, intrapartum, and postpartum care, due to the structure of maternity care, with few alternatives which provide continuity. This study aims to explore women's interest in having a midwife they know present during labor and birth and to identify the characteristics of women who prefer this option.

Methods: A comparative study was conducted involving two Swedish nationwide cohorts of Swedish-speaking pregnant women. The first cohort included 3,061 women, and the second 1,812 women. Descriptive statistics and odds ratios were calculated.

Results: In total, 4,873 pregnant women completed the survey. Most participants were aged 25-35 years, living with a partner, and born in Sweden. Interest in having a midwife they know increased from 53% in 1999 to 76% in 2024. Key factors associated with this preference included primiparity (OR 3.80; 95% CI 3.27-4.40), being pregnant in 2024 (OR 3.21; 2.70-3.86), being born outside Sweden (OR 2.73; 2.11-3.54), and fear of birth (OR 2.03; 1.56-2.63).

Conclusions: Interest in having a known midwife during childbirth has grown significantly in Sweden, highlighting the need for policy changes that promote awareness and expand this option for women.

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随着时间的推移，女性希望在分娩和生产过程中有一个她们认识的助产士的愿望大大增加。

背景：在瑞典，由于产妇护理的结构，妇女在产前、产时和产后护理期间经常遇到不同的助产士，几乎没有其他选择可以提供连续性。这项研究的目的是探索女性在分娩和生产过程中有一个助产士在场的兴趣，并确定喜欢这种选择的女性的特征。方法：进行了一项比较研究，涉及两个瑞典全国性的瑞典语孕妇队列。第一组包括3061名女性，第二组包括1812名女性。计算描述性统计和比值比。结果：共4873名孕妇完成调查。大多数参与者年龄在25-35岁之间，与伴侣同居，出生在瑞典。他们认识的助产士的兴趣从1999年的53%上升到2024年的76%。与这种偏好相关的关键因素包括初产(OR 3.80；95% CI 3.27-4.40)， 2024年怀孕(OR 3.21；2.70-3.86)，出生在瑞典以外的人(OR 2.73；2.11-3.54)，出生恐惧(OR 2.03；1.56 - -2.63)。结论：在瑞典，在分娩时有一名已知助产士的兴趣显著增长，这突出了政策改革的必要性，以提高认识并扩大妇女的这一选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosomatic Obstetrics & Gynecology 医学-妇产科学

CiteScore

6.10

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.