“The new approach will help tocophobic”

“Anxiety, stress, and fear. A new way of working where the same midwife follows a woman before, during and after the birth to meet the many fears that pregnant women can feel.”

“– You have the opportunity to be present in the parturient in a completely different way, ” says the midwife, Emma Jonsson.”

“To women who are pregnant get care, support, and advice of one and the same midwife throughout pregnancy, birth and aftercare takes place very rarely. Various efforts have been done around the country for women who wish to retain the ”

“In the middle of december reached a two-year agreement with the Swedish association of health professionals for two barnmorskelag to work according to model”

“– this is a smaller project, there is not enough room for all pregnant women. Therefore, directed the project, above all, against the group who are tocophobic which you believe may have additional great benefit of being with, “says Emma Jonsson, who also is a board member of the Swedish association of health professionals, Stockholm”

“to Space and staff shortages.”

“Care means simplified to the pregnant has the same team with three to four midwives from the beginning of pregnancy to a few weeks after the birth. According to Emma Jonsson, it is not uncommon to pregnant women due to the lack of space or staff shortages, for example, may change the maternity ward or will be assigned to a different midwife.”

“– It is quite common that as a midwife, have two women in the delivery would at the same time. Even if the midwife work with a nursing assistant, there are the tasks that only the midwife and then sometimes another midwife have to be called in that have not met the family before, ” she says.”

“Elisabet Ulén, one of the seven midwives, who worked according to the model, at Karolinska in Huddinge then in the fall is positive to the new way of working:”

“– It has worked really well, it is at the same time, a new way of working as we have learned more since, ” she says.”

“Ulén, an elected representative in the Barnmorskeförbundet, says that the big change for employees is the relationship that can be created over time with the family.”

” It is fantastic to be able to work on it this way, just to have time to establish a relationship. It is much more relaxing for me, but also for the women, I think. They appreciate it very much.”

“a Lot with a pregnancy and, above all, the actual birth is uncertain. According to Emma Jonsson it has been important to ensure that the system works for all involved:”

” It’s not all midwives can or want to work in this way, will be available for the pregnant and feeding around the clock for a couple of days. It is important that there is a healthy work also, that there is time for recovery for the staff.”

“In the event that a midwife already have worked for a longer pass or if the birth drags on, another midwife from Huddinge childbirth having to take over.”

“It is very clear to the women, but the aim is to have it as in Denmark, where it has had a midwife from their team with 80 per cent of birthing,” says Elisabet Ulén.”

“The initial work with the model of caseload midwifery have, according to the Swedish association of health professionals has been so successful that the Karolinska in Huddinge, sweden now investigating the potential to extend for a further two barnmorskelag that can work in the same way.”

“so Far, 35 women born after they were written into the project. 33 of them have given birth by ”

“the Plan when the business is expanded is to be able to have 120 enrolled per barnmorskelag and year, thus for the four different groups of midwives is about 480 women per year.”

“Source: Karolinska university hospital Huddinge”