Swedish program reduces cesarean sections and trauma
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In Sweden, Sigrid Ulander in Järna received support for past traumas while pregnant through a program called “Min barnmorska” (My Midwife).
The program pairs expectant mothers with a team of midwives who provide continuous care throughout pregnancy and childbirth. Research from the Karolinska Institutet, based on data from thousands of pregnant people, shows that “Min barnmorska” correlates with fewer cesarean sections, fewer perineal tears, and less medical intervention during delivery.
The care model began at Huddinge Hospital in 2018 and has since expanded to BB Stockholm and Södertälje Hospital. Region Stockholm has worked to make it easier for more clinics to offer the program, but so far, no additional hospitals have adopted it. Ulander experienced panic attacks related to past negative experiences with sexuality and previous pregnancies, and the consistent support of her midwifery team helped her feel safe during labor.
Mia Ahlberg, a docent at the Karolinska Institutet, explained that the program’s flexibility allows for care tailored to each woman’s individual needs. Despite positive results, Skåne University Hospital recently decided to end its “Min barnmorska” program, a decision that has drawn criticism. The program targets pregnant people with increased support needs, including those with fear of childbirth, psychological conditions, language barriers, or socioeconomic challenges.
