Unga kvinnors upplevelse av beslutsprocessen vid abort

Syfte: Att belysa den unga kvinnans upplevelse av beslutsprocessen vid valet av abort, som underlag för helhetsförståelse vid omvårdnaden av denna. Metod: Litteraturstudie som redovisar resultat från artiklar med kvalitativ- och kvantitativ ansats samt två systematiska litteraturstudier. Datainsamling skedde genom databaserna ElinDalarna, Academic Search Elite (EBSCO) och SveMed+. Sökord som använts är - abortion, psychological aspects, decision-making, experience och omvårdnad. Huvudresultat: I beslutsprocessen präglades kvinnorna av ambivalens. Känslor vid oönskad graviditet skiljde sig inte mycket mellan olika kvinnor. Även kvinnor som var säkra i sitt beslut upplevde ambivalens. Abort som en lösning på oönskad graviditet hade sitt pris hur beslutsam kvinnan var. Ett abortbeslut var för många kvinnor en smärtsam nödvändighet och många kvinnor upplevde ångest vid abortbeslutet. Känslor och erfarenhet som kvinnor upplevde i beslutsprocessen och vid abort påverkde kvinnornas känsloliv resten av deras liv. Kvinnors konsultationsmönster, angående sin oönskade graviditet, är annorluna än vid andra stora händelser i livet. Kvinnor sökte ofta stöd i sitt beslutsfattande. Det var viktigt att sjuksköterskan, i mötet med den abortsökande kvinna, förhåller sig neutral i tal samt använda öppna frågor. Slutsats: Under förespegling att kvinnan har ett fritt val gör hon sitt val av abort. Detta val innehåller allehanda komplexa känslor och paradoxer. Det är viktigt med medvetenhet om detta, bland sjuksköterskor, för att ge adekvat och neutral omvårdnad.

Kvinnors erfarenheter av framfödandet vid planerad hemförlossning

Background: The prevalence of sphincter rupture during childbirth has increased in Sweden from half percent to three percent from 1973 to 1993. Women who undergo planned home birth have sphincter injuries to a smaller extent than women who undergo planned hospital births. Objective: The purpose of this study was to describe women’s experience of the last stages of delivery during planned home birth. Design: Inductive content analysis of 150 randomly selected delivery reports. The delivery reports were gathered as a reply to an open question in a previously conducted survey.Findings: The woman´s confidence in the natural birthing process emerged as the overall theme of the delivery reports. Fourteen subcategories and five categories emerged during the analysis process: experience of support, physical experience, psychological experience, experience of birthplace and birth position and the woman’s awareness during birth. Conclusion: The support from the surrounding people was very important for the women and they felt calm and secure in the home environment. The women often gave birth in a birthing position that led to a reduced risk of perineal tears. Many risk factors for sphincter injuries were eliminated for the women who went thru planned home birth. For example the women often had experiences of prior deliveries and further no medical instruments were used during late stages of delivery in planned home births.

The Place of Writing in the Poetry of W. B. Yeats and Patrick Kavanagh

Abstract This article addresses the theme of place in the poetry of W. B. Yeats and Patrick Kavanagh, focusing on the concept of place as a physical and psychological entity. The article explores place as a creative force in the work of these two poets, in relation to the act of writing. Seamus Heaney, in his essay “The Sense of Place,” talks about the “history of our sensibilities” that looks to the stable element of the land for continuity: “We are dwellers, we are namers, we are lovers, we make homes and search for our histories” (Heaney 1980: 148-9). Thus, in a physical sense, place is understood as a site in which identity is located and defined, but in a metaphysical sense, place is also an imaginative space that maps the landscapes of the mind. This article compares the different ways in which Yeats and Kavanagh relate to their place of writing, physically and artistically, where place is understood as a physical lived space, and as a liberating site for an exploration of poetic voice, where the poet creates his own country of the mind.

The place of writing in the poetry of W.B Yeats and Patrick Kavanagh

This article addresses the theme of place in the poetry of W. B. Yeats and Patrick Kavanagh, focusing on the concept of place as a physical and psychological entity. The article explores place as a creative force in the work of these two poets, in relation to the act of writing. Seamus Heaney, in his essay “The Sense of Place,” talks about the “history of our sensibilities” that looks to the stable element of the land for continuity: “We are dwellers, we are namers, we are lovers, we make homes and search for our histories” (Heaney 1980: 148-9). Thus, in a physical sense, place is understood as a site in which identity is located and defined, but in a metaphysical sense, place is also an imaginative space that maps the landscapes of the mind. This article compares the different ways in which Yeats and Kavanagh relate to their place of writing, physically and artistically, where place is understood as a physical lived space, and as a liberating site for an exploration of poetic voice, where the poet creates his own country of the mind.