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I am combining clinical work as a midwife with research on labour progression. The combination of clinical work and research work ensure that I always have the woman and infants interest at heart in my research work.
My main research interest is first stage labour progression and reevaluation of the diagnostic tool, Partograph used for 6 decades to identify normal progression during labour. The reserach i am involved in are mainly focusing on the current definitions of normal progress in first stage of spontanous labour. If the timelines in the partograph are not up-to-date or even physiological incorrect it will have a great impact on infant and maternal health.
The research aim to investigate the balance between necessary and unnecessary interventions during first stage of labour in the pursuit of a future clinically and pshycologically safe enviroment for women and infant.
A misleading partograph may consequently lead to an over medicalization in normal labour. Equally important as a correct definition of normal progress of labour is to identify the optimal threshold for when actions and interventions should be performed. There is evidence that “misinterpretation” of normal progress have led to unnecessary interventions too early in labour including an over use of emergency caesarean sections due to labour dystocia diagnosed in the first stage of labour.
In the first study in my PhD project we have created labour curves based on Stockholm Gotland Obstetric Cohort, 175 000 women giving birth during 2008-2014. Our results, in this world largest cohort study of the first stage of labor, indicate that duration and trajectories of cervical dilation of the first stage of labor differ substantially from seminal findings. Traditional partograph alert lines differentiating normal progress of labor vs. labor dystocia may be inaccurate. Labor may progress both faster and slower than 1 cm per hour throughout the first stage of labor and still conclude in a vaginal birth with normal neonatal outcomes.
Currently we are focusing on maternal anthropogenics influence on labour progression and clinical management and its impact during first stage of labour.
Amelprojektet, Education project, project leading and teaching about Female Genital Mutilation, 2016-2018
CEPS, Neonatal resuscitation instructor for clinical training and Medical without boarder, 2016-2018
Research school for clinicians in Epidemiology, Karolinska Institutet, 2018-2020
PhD student, " Safe labour – reappraisal of labour duration and clinical management for improved maternal and infant outcome " Clinical Epidemiology Division, Karolinska Institutet, 2018
Master of Medical Science, Midwifery Science, Uppsala University ,2016
Higher education in Health science, Mittuniversitetet Sundsvall, 2015
Registered Midwife , Karolinska Institutet 2005-2007
Registered nurse, Sophiahemmets Högskola 1995-2000
Academic honours, awards and prizes
Karolina Widerströms Scholarship for eminent academics, 2019
Kvinnofridspriset, Länsstyrelsen Stockholm, Gender equality and protective support for Women Price, The County of administry board, 2017
Midwiferystudents clinical teaching acknowledgement, Karolinska Institutet 2011