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Lalos, Ann
Alternative names
Publications (10 of 81) Show all publications
Kero, A. & Lalos, A. (2018). Kvinnors och mäns upplevelser av abort. In: Inducerad abort: (pp. 44-46). Stockholm: Svensk förening för obstetrik och gynekologi
Open this publication in new window or tab >>Kvinnors och mäns upplevelser av abort
2018 (Swedish)In: Inducerad abort, Stockholm: Svensk förening för obstetrik och gynekologi , 2018, p. 44-46Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Svensk förening för obstetrik och gynekologi, 2018
Series
Arbets- & Referensgrupper (ARG) rapportserie, ISSN 1100-438X ; 78
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-158711 (URN)
Available from: 2019-05-08 Created: 2019-05-08 Last updated: 2019-05-23Bibliographically approved
Lalos, A. (2018). Sexualitet och gynekolgisk cancer. In: Sexologi ur gynekologisk synvinkel: (pp. 100-107). Stockholm: Svensk förening för obstetrik och gynekologi
Open this publication in new window or tab >>Sexualitet och gynekolgisk cancer
2018 (Swedish)In: Sexologi ur gynekologisk synvinkel, Stockholm: Svensk förening för obstetrik och gynekologi , 2018, p. 100-107Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Svensk förening för obstetrik och gynekologi, 2018
Series
Arbets- & Referensgrupper (ARG) rapportserie, ISSN 1100-438X ; 80
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-158718 (URN)
Available from: 2019-05-08 Created: 2019-05-08 Last updated: 2019-05-23Bibliographically approved
Lalos, A. (2018). Sexualitet och infertilitet. In: Sexologi ur gynekologisk synvinkel: (pp. 71-76). Stockholm: Svensk förening för obstetrik och gynekologi
Open this publication in new window or tab >>Sexualitet och infertilitet
2018 (Swedish)In: Sexologi ur gynekologisk synvinkel, Stockholm: Svensk förening för obstetrik och gynekologi , 2018, p. 71-76Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Svensk förening för obstetrik och gynekologi, 2018
Series
Arbets- & Referensgrupper (ARG) rapportserie, ISSN 1100-438X ; 80
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-158716 (URN)
Available from: 2019-05-08 Created: 2019-05-08 Last updated: 2019-05-23Bibliographically approved
Nilsson, M. & Lalos, A. (2018). Sexualitet och urininkontinens. In: Sexologi ur gynekologisk synvinkel: (pp. 77-81). Stockholm: Svensk förening för obstetrik och gynekologi
Open this publication in new window or tab >>Sexualitet och urininkontinens
2018 (Swedish)In: Sexologi ur gynekologisk synvinkel, Stockholm: Svensk förening för obstetrik och gynekologi , 2018, p. 77-81Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Svensk förening för obstetrik och gynekologi, 2018
Series
Arbets- & Referensgrupper (ARG) rapportserie, ISSN 1100-438X ; 80
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-158717 (URN)
Available from: 2019-05-08 Created: 2019-05-08 Last updated: 2019-05-23Bibliographically approved
Idahl, A., Hermansson, A. & Lalos, A. (2018). Social support and ovarian cancer incidence: a Swedish prospective population-based study. Gynecologic Oncology, 149(2), 324-328
Open this publication in new window or tab >>Social support and ovarian cancer incidence: a Swedish prospective population-based study
2018 (English)In: Gynecologic Oncology, ISSN 0090-8258, E-ISSN 1095-6859, Vol. 149, no 2, p. 324-328Article in journal (Refereed) Published
Abstract [en]

Objective: Low social support is associated with worse prognosis for epithelial ovarian cancer (EOC) patients. However, few studies have explored the relation between low social support and incidence of EOC. The aim of this prospective nested case-control study was to examine whether self-perceived low social support was associated with the incidence of EOC.

Methods: The Swedish Cancer Registry was used to identify participants in the Vasterbotten Intervention Programme (VIP) comprising 58,000 women, who later developed EOC. Each case was matched to four cancer free controls. The VIP uses the Social Support questionnaire, a modified version of the validated questionnaire "The Interview Schedule for Social Interaction" (ISSI) measuring quantitative (AVSI) and qualitative (AVAT) aspects of social support.

Results: The risk of EOC in relation to AVSI and AVAT was similar between the 239 cases and the 941 controls after adjustment for educational level, smoking, BMI, Cambridge Physical Activity Index and age (aOR 0.85, 95% CI 0.72-1.01 and aOR 0.54, 95% CI 0.16-1.81). Lagtime was found to have no impact. A decreased risk of serous ovarian cancer was seen in women with fewer persons available for informal socializing (aOR 0.75, 95% CI 0.59-0.95). Adjusted analyses showed non-significant odds ratios below 1.0 in the vast majority of histotypes.

Conclusions: A general trend towards a decreased risk of ovarian cancer associated with low AVSI and AVAT was identified. Solely the serous subtype was significantly associated with low scores of AVSI. Prospective pathophysiological and epidemiological studies regarding social support are needed.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
ovarian cancer, serous ovarian cancer, social support, social integration, attachment, The Interview Schedule for Social Interaction
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-149032 (URN)10.1016/j.ygyno.2018.03.042 (DOI)000432645000017 ()29555331 (PubMedID)2-s2.0-85043997202 (Scopus ID)
Available from: 2018-06-14 Created: 2018-06-14 Last updated: 2018-06-14Bibliographically approved
Andersson, I.-M. & Lalos, A. (2018). Upplevelser och behov hos personal i abortvården. In: Inducerad abort: (pp. 47-49). Stockholm: Svensk förening för obstetrik och gynekologi
Open this publication in new window or tab >>Upplevelser och behov hos personal i abortvården
2018 (Swedish)In: Inducerad abort, Stockholm: Svensk förening för obstetrik och gynekologi , 2018, p. 47-49Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Svensk förening för obstetrik och gynekologi, 2018
Series
Arbets- & Referensgrupper (ARG) rapportserie, ISSN 1100-438X ; 78
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-158715 (URN)
Available from: 2019-05-08 Created: 2019-05-08 Last updated: 2019-05-23Bibliographically approved
Crawshaw, M., Adams, D., Allan, S., Blyth, E., Bourne, K., Bruegge, C., . . . Zweifel, J. E. (2017). Disclosure and donor-conceived children [Letter to the editor]. Human Reproduction, 32(7), 1535-1536
Open this publication in new window or tab >>Disclosure and donor-conceived children
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2017 (English)In: Human Reproduction, ISSN 0268-1161, E-ISSN 1460-2350, Vol. 32, no 7, p. 1535-1536Article in journal, Letter (Refereed) Published
Place, publisher, year, edition, pages
Oxford University Press, 2017
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-137971 (URN)10.1093/humrep/dex107 (DOI)000404889000024 ()
Available from: 2017-08-02 Created: 2017-08-02 Last updated: 2018-06-09Bibliographically approved
Edvardsson, K., Lalos, A., Åhman, A., Small, R., Graner, S. & Mogren, I. (2016). Increasing possibilities - Increasing dilemmas: A qualitative study of Swedish midwives' experiences of ultrasound use in pregnancy. MIDWIFERY, 42, 46-53
Open this publication in new window or tab >>Increasing possibilities - Increasing dilemmas: A qualitative study of Swedish midwives' experiences of ultrasound use in pregnancy
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2016 (English)In: MIDWIFERY, ISSN 0266-6138, Vol. 42, p. 46-53Article in journal (Refereed) Published
Abstract [en]

Objective: to explore Swedish midwives' experiences and views of the use of obstetric ultrasound in clinical management of pregnancy, and in situations where maternal and fetal health interests conflict. Design: an exploratory qualitative study based on focus group discussions (FGDs) was undertaken in 2013 as part of the CROss Country Ultrasound Study (CROCUS). Data were analysed using qualitative content analysis. Setting and participants: midwives (N=25) were recruited from four public hospitals located in the northern and central parts of Sweden. Findings: the analysis resulted in three categories. The first Acknowledging ultrasound as optimising care but also as creating worry and ethical dilemmas' reflects midwives' experiences of two different aspects of ultrasound use, one being recognition of ultrasound as an important tool to optimise care and pregnancy outcomes, the other being the dilemmas that arise for maternity care in situations of uncertain or unwanted findings. The second category Dealing with insufficient informed consent processes and differing expectations of ultrasound' describes routine ultrasound as an unquestioned norm that means its full purpose and use is not always well communicated to, or understood by, expectant parents, resulting in differing expectations of ultrasound outcomes between caregivers and expectant parents. Midwives also experienced expectant parents as having great trust in ultrasound, with perceptions of 'all clear' scan as a 'guarantee' for a healthy baby. The third category Balancing maternal and fetal health interests in a context of medico-technical development' included experiences of the fetus being given greater importance in maternity care as diagnostic and fetal treatment possibilities increase; that new methods are often introduced without appropriate ethical discussion; and also that ethical challenges will increase in line with increasing demand for 'quality assurance' in pregnancy. Key conclusions and implications for practice: midwives described ultrasound as a vital tool in pregnancy surveillance and management, facilitating conditions to be optimised for the woman and her baby during pregnancy, birth and the postpartum period. However, the increasing possibility of obtaining detailed information about the fetus was also experienced as increasing ethical dilemmas in maternity care. This study indicates that there is a need to improve informed consent processes regarding the use of ultrasound for prenatal screening and diagnostic purposes. The ambivalence midwives expressed in relation to management of ultrasound findings furthermore indicates a need for ongoing training for maternity care professionals to increase confidence in counselling women and to promote consistency in management. Finally, it is important to monitor any increasing focus on the fetus by care providers for potential impacts on women's autonomy to make their own decisions about pregnancy and birth.

Keywords
Ethics, Midwives, Obstetric ultrasound, Pregnant women, Prenatal diagnosis, Sweden
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-130475 (URN)10.1016/j.midw.2016.09.009 (DOI)000390548000007 ()27788415 (PubMedID)
Available from: 2017-01-23 Created: 2017-01-20 Last updated: 2018-06-09Bibliographically approved
Edvardsson, K., Mogren, I., Lalos, A., Persson, M. & Small, R. (2015). A routine tool with far-reaching influence: Australian midwives' views on the use of ultrasound during pregnancy. BMC Pregnancy and Childbirth, 15, Article ID 195.
Open this publication in new window or tab >>A routine tool with far-reaching influence: Australian midwives' views on the use of ultrasound during pregnancy
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2015 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 15, article id 195Article in journal (Refereed) Published
Abstract [en]

Background: Ultrasound is a tool of increasing importance in maternity care. Midwives have a central position in the care of pregnant women. However, studies regarding their experiences of the use of ultrasound in this context are limited. The purpose of this study was to explore Australian midwives' experiences and views of the role of obstetric ultrasound particularly in relation to clinical management of complicated pregnancy, and situations where maternal and fetal health interests conflict.

Methods: A qualitative study was undertaken in Victoria, Australia in 2012, based on six focus group discussions with midwives (n = 37) working in antenatal and intrapartum care, as part of the CROss-Country Ultrasound Study (CROCUS). Data were analysed using qualitative content analysis.

Results: One overarching theme emerged from the analysis: Obstetric ultrasound - a routine tool with far-reaching influence, and it was built on three categories. First, the category` Experiencing pros and cons of ultrasound' highlighted that ultrasound was seen as having many advantages; however, it was also seen as contributing to increased medicalisation of pregnancy, to complex and sometimes uncertain decision-making and to parental anxiety. Second, 'Viewing ultrasound as a normalised and unquestioned examination' illuminated how the use of ultrasound has become normalised and unquestioned in health care and in wider society. Midwives were concerned that this impacts negatively on informed consent processes, and at a societal level, to threaten acceptance of human variation and disability. Third, 'Reflecting on the fetus as a person in relation to the pregnant woman' described views on that ultrasound has led to increased 'personification' of the fetus, and that women often put fetal health interests ahead of their own.

Conclusions: The results reflect the significant influence ultrasound has had in maternity care and highlights ethical and professional challenges that midwives face in their daily working lives concerning its use. Further discussion about the use of ultrasound is needed, both among health professionals and in the community, in order to protect women's rights to informed decision-making and autonomy in pregnancy and childbirth and to curb unnecessary medicalisation of pregnancy. Midwives' experiences and views play an essential role in such discussions.

Keywords
Midwives, Ethics, Fetus, Maternal rights, Obstetric ultrasound, Obstetrics, Pregnant women, Prenatal diagnosis, Qualitative studies
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-109452 (URN)10.1186/s12884-015-0632-y (DOI)000360275700001 ()26311437 (PubMedID)
Available from: 2015-10-08 Created: 2015-09-28 Last updated: 2018-06-07Bibliographically approved
Åhman, A., Persson, M., Edvardsson, K., Lalos, A., Graner, S., Small, R. & Mogren, I. (2015). Two sides of the same coin - an interview study of Swedish obstetricians' experiences using ultrasound in pregnancy management. BMC Pregnancy and Childbirth, 15, Article ID 304.
Open this publication in new window or tab >>Two sides of the same coin - an interview study of Swedish obstetricians' experiences using ultrasound in pregnancy management
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2015 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 15, article id 304Article in journal (Refereed) Published
Abstract [en]

Background: The extended use of ultrasound that is seen in maternity care in most Western countries has not only affected obstetric care but also impacted on the conception of the fetus in relation to the pregnant woman. This situation has also raised concerns regarding the pregnant woman’s reproductive freedom. The purpose of this study was to explore Swedish obstetricians’ experiences and views on the role of obstetric ultrasound particularly in relation to clinical management of complicated pregnancy, and in relation to situations where the interests of maternal and fetal health conflict.

Methods: A qualitative study design was applied, and data were collected in 2013 through interviews with 11 obstetricians recruited from five different obstetric clinics in Sweden. Data were analysed using qualitative content analysis.

Results: The theme that emerged in the analysis ‘Two sides of the same coin’ depicts the view of obstetric ultrasound as a very important tool in obstetric care while it also was experienced as having given rise to new and challenging issues in the management of pregnancy. This theme was built on three categories: I. Ultrasound is essential and also demanding; II. A woman’s health interest is prioritised in theory, but not always in practice; and III. Ultrasound is rewarding but may also cause unwarranted anxiety.

Conclusions: The widespread use of ultrasound in obstetric care has entailed new challenges for clinicians due to enhanced possibilities to diagnose and treat fetal conditions, which in turn might conflict with the health interests of the pregnant woman. There is a need for further ethical discussions regarding the obstetrician’s position in management of situations where maternal and fetal health interests conflict. The continuing advances in the potential of ultrasound to impact on pregnancy management will also increase the need for adequate and appropriate information and counselling. Together with other health care professionals, obstetricians therefore need to develop improved ways of enabling pregnant women and their partners to make informed decisions regarding pregnancy management.

Keywords
Autonomy, Human rights, Obstetric ultrasound, Obstetrician, Pregnancy, Pregnant women, Prenatal agnostics, Qualitative study, Sweden
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-113435 (URN)10.1186/s12884-015-0743-5 (DOI)000365264900002 ()26589489 (PubMedID)
Available from: 2015-12-18 Created: 2015-12-18 Last updated: 2018-06-07Bibliographically approved
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