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Hildebrand, E., Nelson, M. & Blomberg, M. (2021). Long-term effects of the nine-item list intervention on obstetric and neonatal outcomes in Robson group 1-A time series study. Acta Obstetricia et Gynecologica Scandinavica, 100(1), 154-161
Open this publication in new window or tab >>Long-term effects of the nine-item list intervention on obstetric and neonatal outcomes in Robson group 1-A time series study
2021 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 100, no 1, p. 154-161Article in journal (Refereed) Published
Abstract [en]

Introduction

The nine‐item list, with organizational and cultural changes, was implemented at the delivery unit in Linköping, Sweden between 2007 and 2010, aiming at improving the quality of care by offering more women a safe and attractive vaginal delivery. The target group for the intervention was nulliparous women at term with spontaneous onset of labor and cephalic presentation (Robson group 1). The aim of this study was to evaluate pregnancy outcomes before, during, early post and late post introduction of the nine‐item list.

Material and methods

Robson group 1 births (n = 12 763) from 2004 to 2018 were divided into four time periods; before the nine‐item list (2004‐2006), during introduction of the nine‐item list (2007‐2010), early post introduction of the nine‐item list (2011‐2014) and late post introduction of the nine‐item list (2015‐2018). The nine‐item list consists of monitoring of obstetric results, midwife coordinator, risk classification of women, three midwife‐competence levels, teamwork—the midwife, obstetrician and nurse working as a team with the common goal of a normal delivery, obstetric morning round, fetal monitoring skills and obstetric skills training. Perinatal outcomes before, during, early post and late post introduction were compared using a Student's t test for numerical variables and a Pearson chi‐squared test for categorical variables.

Results

Apgar score <7 at 5 minutes, Apgar score <4 at 5 minutes and umbilical cord arterial pH <7 did not differ significantly between the four time periods. Between before introduction and early post introduction, instrumental vaginal delivery decreased from 19.8% to 12.2% and cesarean section from 9.6% to 4.5%. The late post introduction period showed a maintained effect with 10.7% instrumental deliveries and 3.9% cesarean sections. Obstetric anal sphincter injury grade III decreased instantly during the introduction of the nine‐item list from 7.8% to 5.1% and thereafter remained unchanged.

Conclusions

Implementation of the nine‐item list increased the proportion of spontaneous vaginal deliveries by reducing the number of instrumental deliveries and cesarean sections without affecting the neonatal outcomes in nulliparous women with spontaneous onset of labor. The nine‐item list intervention seems to provide long‐term sustainable results.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
cesarean section; intervention; neonatal outcome; nine-item list; Robson group 1
National Category
Gynaecology, Obstetrics and Reproductive Medicine
Identifiers
urn:nbn:se:liu:diva-170063 (URN)10.1111/aogs.13970 (DOI)000564471500001 ()32767668 (PubMedID)2-s2.0-85090058404 (Scopus ID)
Note

Funding Agencies|ALF-grants Region Ostergotland, Sweden

Available from: 2020-09-28 Created: 2020-09-28 Last updated: 2025-02-11Bibliographically approved
Hildebrand, E., Nelson, M. C. & Blomberg, M. (2021). The impact of the nine-item list intervention on the rate of obstetric anal sphincter injury in women with spontaneous and operative vaginal births [Letter to the editor]. Acta Obstetricia et Gynecologica Scandinavica, 100(1), 179-180
Open this publication in new window or tab >>The impact of the nine-item list intervention on the rate of obstetric anal sphincter injury in women with spontaneous and operative vaginal births
2021 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 100, no 1, p. 179-180Article in journal, Letter (Other academic) Published
Abstract [en]

n/a

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
National Category
Gynaecology, Obstetrics and Reproductive Medicine
Identifiers
urn:nbn:se:liu:diva-171196 (URN)10.1111/aogs.14004 (DOI)000580484500001 ()32981034 (PubMedID)2-s2.0-85092930564 (Scopus ID)
Available from: 2020-11-13 Created: 2020-11-13 Last updated: 2025-02-11Bibliographically approved
Nelson, M. C. (2020). Tuberkulos och tuberkulin i svensk medicin kring sekelskiftet 1900. In: Motzi Eklöf (Ed.), Humanimalt: oss djur emellan i medicin och samhälle förr och nu (pp. 63-67). Malmköping: Exempla förlag, Sidorna 63-67
Open this publication in new window or tab >>Tuberkulos och tuberkulin i svensk medicin kring sekelskiftet 1900
2020 (Swedish)In: Humanimalt: oss djur emellan i medicin och samhälle förr och nu / [ed] Motzi Eklöf, Malmköping: Exempla förlag , 2020, Vol. Sidorna 63-67, p. 63-67Chapter in book (Other academic)
Abstract [sv]

Robert Kochs upptäckt av Mycobacterium tuberculosis år 1882 var startpunkten till en ny tidsålder när det gäller behandling av tuberkulos. Snart lanserade han även tuberkulin som ett vaccin eller läkemedel mot tuberkolos. Hur reagerade svenska läkare på de nya rönen?

Place, publisher, year, edition, pages
Malmköping: Exempla förlag, 2020
Keywords
Tuberkulos
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-167940 (URN)9789198331943 (ISBN)
Available from: 2020-08-11 Created: 2020-08-11 Last updated: 2022-09-13Bibliographically approved
Nelson, M. C. & Förhammar, S. (2014). Preventing Physical Disability: Motivating the Treatment of Non-pulmonary Tuberculosis in Early Twentieth Century Sweden. In: : . Paper presented at 10th European Social Science History Conference, Vienna, Austria, 23-26 April 2014.
Open this publication in new window or tab >>Preventing Physical Disability: Motivating the Treatment of Non-pulmonary Tuberculosis in Early Twentieth Century Sweden
2014 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

Although tuberculosis is often considered synonimous with pulmonary tuberculosis, approximately thierty percent of those afflicted suffered from non-pulmonary form that, if left untreated, were for the survivors, disfiguring and/or disabling. This paper deals with the developement of social policy and national legislation that were part of the attempt toconquer this form of Tb and thusprevent disabilities. 

Keywords
tuberculosis, disability history, scrofula, health legislation, health policy
National Category
Other Humanities Health Sciences
Identifiers
urn:nbn:se:liu:diva-109747 (URN)
Conference
10th European Social Science History Conference, Vienna, Austria, 23-26 April 2014
Projects
"Krokiga barn..."
Funder
Swedish Research Council
Available from: 2014-08-27 Created: 2014-08-27 Last updated: 2025-01-31
Nelson, M. C. (2013). Confronting Tuberculosis and Reducing Risk: Developing health policies in early 20th century Sweden. In: : . Paper presented at European Association for the History of Medicine and Health (EAHMH) ,"Risk and Disaster in Medicine and Health," Lisbon, Portugal, 4-7 September 2013.
Open this publication in new window or tab >>Confronting Tuberculosis and Reducing Risk: Developing health policies in early 20th century Sweden
2013 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

This paper deals with the development of health legislation concerning various forms of tuberculosis in Sweden in the late 19th and early 20th centuries. It even sketches the kind of information that was disributed as one of the weapons in the struggle against tuberculosis. The question of why pulmonary tuberculosis received most attention is also discussed. Paramount are the relationships between the national and international organizations in the shaping of actions in Sweden. 

Keywords
health policy, health legislation, tuberculosis, international health movement
National Category
Other Humanities Health Sciences
Identifiers
urn:nbn:se:liu:diva-109742 (URN)
Conference
European Association for the History of Medicine and Health (EAHMH) ,"Risk and Disaster in Medicine and Health," Lisbon, Portugal, 4-7 September 2013
Projects
"Krokiga barn..."
Funder
Swedish Research Council
Available from: 2014-08-27 Created: 2014-08-27 Last updated: 2025-01-31
Nelson, M. C. (2013). Inte bara barkbröd: nödmat i 1800-talets Sverige. In: Carl Henrik Carlsson (Ed.), Mat och dryck: smakprov ur arkiven (pp. 255-270). Stockholm: Riksarkivet
Open this publication in new window or tab >>Inte bara barkbröd: nödmat i 1800-talets Sverige
2013 (Swedish)In: Mat och dryck: smakprov ur arkiven / [ed] Carl Henrik Carlsson, Stockholm: Riksarkivet, 2013, p. 255-270Chapter in book (Other academic)
Abstract [sv]

Artikeln behandlar mat och surrogatmat under hungerkriser i 1800-talets Sverige

Place, publisher, year, edition, pages
Stockholm: Riksarkivet, 2013
Series
Årsbok för Riksarkivet och Landsarkiven, ISSN 1103-8233
Keywords
mat historia, mat kultur, svält, nödår, surrogatmat
National Category
Other Humanities
Identifiers
urn:nbn:se:liu:diva-109739 (URN)978-91-87491-02-3 (ISBN)
Available from: 2014-08-27 Created: 2014-08-27 Last updated: 2025-02-07Bibliographically approved
Nelson, M. C. (2013). Tubeculosis and Legislation in Sweden circa 1900: Making Disease Visible. In: : . Paper presented at 38th Social Science History Association Meeting, "Organizing Powers," Chicago, Illinois, USA, November 21-24, 2013.
Open this publication in new window or tab >>Tubeculosis and Legislation in Sweden circa 1900: Making Disease Visible
2013 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

This paper deals with the development of health legislation that was part of the fight against tuberculosis. It deals with not only the legislation passed, but even the changing political philosophies and scientific paradigms. Not least are the relationships between the national level and developments in the Nordic countries and other parts of Europe.

Keywords
health legislation, tuberculosis, information campaigns, international health organizations, philanthropy, disease history
National Category
Other Humanities Health Sciences
Identifiers
urn:nbn:se:liu:diva-109745 (URN)
Conference
38th Social Science History Association Meeting, "Organizing Powers," Chicago, Illinois, USA, November 21-24, 2013
Projects
"Krokiga barn..."
Funder
Swedish Research Council
Available from: 2014-08-27 Created: 2014-08-27 Last updated: 2025-01-31
Nelson, M. C. & Förhammar, S. (2012). Intersectionality: The Concept and its Use in Disability History. In: : . Paper presented at 37th Social Science History Association Meeting, "Histories of Capitalism," Vancouver, BC, Canada, November 2012.
Open this publication in new window or tab >>Intersectionality: The Concept and its Use in Disability History
2012 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

This paper seeks to explore the definitions of the concept of intersectionality, its use and the ways in which it has been adapted in the field of disability studies. Furthermore, it discusses the dimensions that the use of this concept may add to an analysis of the material in our study of the treatment of children and youths suffering from non-pulmonary tuberculous.

Keywords
disability history, patients, identity creation, intersectionality
National Category
Other Social Sciences
Identifiers
urn:nbn:se:liu:diva-109753 (URN)
Conference
37th Social Science History Association Meeting, "Histories of Capitalism," Vancouver, BC, Canada, November 2012
Projects
"Krokiga barn..."
Funder
Swedish Research Council
Available from: 2014-08-27 Created: 2014-08-27 Last updated: 2014-09-25
Nelson, M. C. & Förhammar, S. (2012). Outside In and Inside Out: The Creation of Identity among Sanatoria Patients in the Early 20th Century. In: : . Paper presented at 9th European Social Science History Conference (ESSHC), Glasgow, Scotland, 11-14 April 2012.
Open this publication in new window or tab >>Outside In and Inside Out: The Creation of Identity among Sanatoria Patients in the Early 20th Century
2012 (English)Conference paper, Oral presentation with published abstract (Other academic)
Keywords
Non-pulmonary tuberculosis, seaside sanatoria, identity, patient, intersectionality
National Category
Other Humanities Health Sciences Other Social Sciences
Identifiers
urn:nbn:se:liu:diva-109749 (URN)
Conference
9th European Social Science History Conference (ESSHC), Glasgow, Scotland, 11-14 April 2012
Projects
"Krokiga barn..."
Funder
Swedish Research Council
Available from: 2014-08-27 Created: 2014-08-27 Last updated: 2025-01-31
Förhammar, S. & Nelson, M. C. (2012). Treating Children with Non-pulmonary Tuberculosis in Sweden: Apelviken, c. 1900-30. In: Anne Borsay and Pamela Dale (Ed.), Disabled Children: Contested Caring, 1850-1979 (pp. 103-116). London: Pickering & Chatto
Open this publication in new window or tab >>Treating Children with Non-pulmonary Tuberculosis in Sweden: Apelviken, c. 1900-30
2012 (English)In: Disabled Children: Contested Caring, 1850-1979 / [ed] Anne Borsay and Pamela Dale, London: Pickering & Chatto, 2012, p. 103-116Chapter in book (Other academic)
Place, publisher, year, edition, pages
London: Pickering & Chatto, 2012
Series
Studies for the Society for the Social History of Medicine ; 8
Keywords
Children with disabilities, care, 20th century, tuberculosis, seaside hospital
National Category
Humanities
Identifiers
urn:nbn:se:liu:diva-89866 (URN)9781848933613 (ISBN)
Projects
Unga, krokiga och kroniskt sjuka. Kulturella bestämningar av funktionshinder. Bentuberculos på Apelviken 1902 - c. 1930
Funder
Swedish Research Council
Available from: 2013-03-08 Created: 2013-03-08 Last updated: 2014-10-08
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8032-1749

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