Curriculum Vitae

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KAROLINSKA INSTITUTET

CURRICULUM VITAE (1–2 A4 pages)

1NAME

Helena Lindgren

2BIRTH DATA

19650618-0188

3ADDRESS

Skogsbrynsbyn 40, 15391 Järna, Sweden

4PHONE AND EMAIL

Phone: +46-733442599

E-mail:

5COURSES AND DEGREES

Degrees:

Dalarna University, Certified nurse / 1992-93
Mälardalen University, Certified midwife / 1998-99
Mälardalens University, Masters degree / 2002-10-10

Courses (outside courses for PhD):

Supervisor for doctoral students, 7,5 ECTS / 2008
Pedagogic for university level I-III, Mälardalen University / 2004-2005
Academic leadership, Vårdalstiftelsen / 2010

6DOCTORAL DEGREE

2008-05-16 at Karolinska Institutet. Title of thesis: Home births in Sweden – Medical outcome and women’s experiences. Supervisors: Ingegerd Hildingsson, Ingela Rådestad and Kyllike Christensson

7POSTDOC APPOINTMENTS

Post-doc position at Sahlgrenska academy, Department of Health and Caring Science from 2010-2011 (two years). Mentor: Professor Ingela Lundgren.

8DOCENT-LEVEL COMPETENCE

Associate professor in Caring science with special focus on reproductive and perinatal health in November 2011, Sahlgrenska Academy.

9CURRENT POSITION

Senior lecturer at Karolinska Institutet, Dpt of Women’s and Children’s Health

10PRIOR POSITIONS

Sahlgrenska academy, postdoc position / 2011-2012
Dalarna University, lecturer, midwifery program
Head of the midwifery program, Dalarna University / 2008-2011
2008-2009
Mälardalen University, doctoral student, lecturer / 2003-2008

11TIME DEDUCTED FROM ACTIVE RESEARCH TIME

No time deducted from active research time during the past five years.

12SELECTED ACADEMIC DISTINCTIONS AND OTHER MERITS

I was in the midwifery program when we received The Award for Best education at the Sahlgrenska Academy 2012.

13LANGUAGE SKILLS

Fluent in English, Swedish mother-tongue.

List of general articles and book chapters

Author of textbook “Midwives’ management in normal birth”, Studentlitteratur / 2013
Editor for Midwives´ textbook in Sweden, Studentlitteratur / 2013-2014
Author of book chapter in Midwives´textbook, Studentlitteratur / 2009

Scientific portfolio

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KAROLINSKA INSTITUTET

SCIENTIFIC PORTFOLIO

1CURRENT SCIENTIFIC ACTIVITY

Current activity in research 20 percent.

2 SCIENTIFIC PUBLICATIONS

2.1 Bibliometric parameters

C / 123 / Total number of citations
/ 1.06 / Field Normalized Citation Score Average
Cf / 20.11 / Total Field Normalized Citation Score
pf5% / 10.5% / Field Normalized Share of Top Publications
∑JIF / 32.49 / Sum of Latest Known Journal Impact Factor

2.2List of all original works

  1. Olesen A, Svahn L, Lindgren H, Elden H. Feeling old in a young body: Women’s experiences of living with consequences of an obstetric anal sphincter rupture: An interview study. Accepted for publication 2014-10-24
  1. Malm MC, Rådestad I, Rubertsson C, Hildingsson I, Lindgren H. Women’s experiences of two different self-assessment methods for monitoring fetal movements in full-term pregnancy - a crossover trial BMC Pregnancy and Childbirth 2014;14:349 doi:10.1186/1471-2393-14-349
  1. Edqvist M, Lundgren I, Lindgren H. Midwives’ experiences of a birth where the woman suffers an anal sphincter injury. BMC Pregancy and Childbirth 2014-08-25
  1. Lindgren H, Kjaergaard H, Olofsdottír OA, Blix E. Praxis and guidelines for planned homebirths in the Nordic countries – an overview. Sexual and Reproductive Health Care e-pub ahead of print, DOI:10.1016/j.srhc.2013.12.002
  1. Blix E, Kjaergaard H, Kumle M, Lindgren H. Transfers in planned home births – a systematic review. BMC Pregnancy and Childbirth 2014-04-20
  1. Malm M-C, Lindgren H, Rubertsson C, Hildingsson I, Rådestad I. Development of a tool to evaluate fetal movements in full-term pregnancy. Sexual and Reproductive Health Care2014;5(1):31-5
  1. Sjöblom I, Idvall E, Lindgren H.Creating a safe haven - Women’s experiences of the midwife´s professional skills during planned home birth in four Nordic countries. Birth 2014;4:100-7
  1. Rådestad I, Malm MC, Lindgren H, Pettersson K, Franklin Larsson L. Being alone in silence – mothers’ experience upon confirmation of their baby’s death in utero. MidwiferyE-pub ahead of print. doi:10.1016/j.midw.2013.10.021
  1. Lindgren H, Malm MC, Rådestad I. You don’t leave your baby – Mothers’ experiences after a stillbirth. Omega Death and Dying e-pub ahead of print 2013;68:4
  1. Karlström A. Lindgren H. Hildingsson I. Maternal and infant complications after caesarean section on maternal request- Findings from a Swedish case-control study. BJOG. 2013;120(4):479-86
  1. Sjöblom I, Idvall E, Lindgren H. Changing attitudes – women’s experiences of negative reactions to their decision for home birth. Sexual and Reproductive Health Care, 2012;3:55-6
  1. Rådestad I, Lindgren H. Women´s perceptions of fetal movements in full-term pregnancy. Sexual and Reproductive Health Care 2012; 3:113-6
  1. Erlandsson K, Lindgren H, Davidsson-Bremborg A, Rådestad I. Mothers’ premonitions prior to the death of their baby in utero and how they deal with the feeling that their baby may be unwell. Acta Obstet Gynecol Scand 2012; 91:28-33
  1. Sjöblom I, Idvall E, Rådestad I, Lindgren H. A provoking choice. Swedish women’s experiences of reaction regarding their planned home birth. Women and Birth 2012;3:11-8
  1. Lindgren H, Rådestad I, Hildingsson I. Transfer in planned home births – effects on the birth experience. Sexual and Reproductive Health care 2011;2:101-5
  1. Lindgren H, Brink Å, Klingberg-Allvin M. Fear causes tears – Perineal injuries in home birth settings. A Swedish interview study. BMC Pregnancy and Childbirth 2011;11:6
  1. Lindgren H, Erlandsson K. She leads – he follows. Fathers’ experiences of a planned home birth. A Swedish interview study. Sexual and Reproductive Health Care 2011;2:65-70
  1. Lindgren H, Erlandsson K. Women’s experiences of empowerment in a planned homebirth. A Swedish national cohort study. Birth 2010;37:309-17
  1. Erlandsson K, Lindgren H, Malm M-C, Davidsson-Bremborg A, Rådestad I. Mothers experience of the time after the diagnosis of an intrauterine death until the induction of the delivery. A qualitative internet based study. Journal of Obstetric and Gynecology Research 2010;37:1677-84
  1. Malm MC, Lindgren H, Rådestad I. Losing contact with one’s unborn baby

Mothers’ experiences prior to receiving news that their baby has died in utero. Omega Death and Dying 2010;

  1. Lindgren H, Rådestad I, Christensson K, Hildingsson I. Perceptions of risk and risk management among 735 women who opted for a home birth.Midwifery 2010;26:163-172
  1. Ljunggren Bomarker E, Hildingsson I, Lindgren H. Playing the second fiddle is ok-Swedish fathers' experiences of prenatal care, Journal of Midwifery & Women's Health 2009;09-172
  1. Erlandsson K, Lindgren H. From belonging to belonging through a blessed moment of love for a child - the birth of a child from the fathers' perspective. Journal of Men's Health, 2009;6:338-344
  1. Erlandsson K, Lindgren H. Being a resource for both mother and child- fathers' experiences following a complicated birth. The Journal of Perinatal Education, 2011;20:91-9
  1. Hildingsson I, Rådestad I, Lindgren H.Birth preferences that deviate from the norm in Sweden - Planned Home Birth versus Planned cesarean section. Birth 2010;37:288-95
  1. Lindgren H, Hildingsson I, Christensson K, Rådestad I. Transfers in planned home births related to midwife availability and continuity.A Nationwide Population-based study. Birth 2008;35:9-15.
  1. Lindgren H, Rådestad I, Christensson K, Hildingsson I.Outcome of planned home births vs hospital births in Sweden between 1992 and 2004. A population-based register study. Acta Obstet Gynecol Scand. 2008;13:1-9.
  1. Lindgren, H., Hildingsson, I., Rådestad, I. A Swedish interview study: parents' assessment of risks in home births. Midwifery. 2006;22(1):15-22
  1. Hildingsson I, Lindgren H, Haglund B, Rådestad I. Characteristics of women giving birth at home in Sweden: a national register study. Am J Obstet Gynecol. 2006;195(5):1366-72

Submitted or re-submitted manuscripts:

  1. Sjöblom I, Lundgren I, Idvall E, Lindgren H. Being a homebirth midwife in the Nordic countries – a phenomenological study. Re-submitted Midwifery 2014-05-05
  1. Ekeus C, Lindgren H. Induced labours in Sweden 1999-2010 - Incidence, risk factors and mode of delivery ACTA 2014-06-30

2.3 The ten most-cited publications

  1. Lindgren H, Rådestad I, Christensson K, Hildingsson I.Outcome of planned home births vs hospital births in Sweden between 1992 and 2004. A population-based register study. Acta Obstet Gynecol Scand. 2008;13:1-9.

Citations: 34

  1. Hildingsson I, Lindgren H, Haglund B, Rådestad I. Characteristics of women giving birth at home in Sweden: a national register study. Am J Obstet Gynecol. 2006;195(5):1366-72

Citations: 24

  1. Lindgren H, Hildingsson I, Christensson K, Rådestad I. Transfers in planned home births related to midwife availability and continuity.A Nationwide Population-based study. Birth 2008;35:9-15.

Citations: 15

  1. Lindgren H, Rådestad I, Christensson K, Hildingsson I. Perceptions of risk and risk management among 735 women who opted for a home birth.Midwifery 2010;26:163-172

Citations: 11

  1. Ljunggren Bomarker E, Hildingsson I, Lindgren H. Playing the second fiddle is ok-Swedish fathers' experiences of prenatal care, Journal of Midwifery & Women's Health 2009;09-172

Citations: 11

The remaining articles on my publication list have between 1 and 10 citations.

2.4 The ten most important publications

From a clinical point of view following publications are the most important:

  1. Lindgren H, Rådestad I, Christensson K, Hildingsson I.Outcome of planned home births vs hospital births in Sweden between 1992 and 2004. A population-based register study. Acta Obstet Gynecol Scand. 2008;13:1-9.
  1. Karlström A. Lindgren H. Hildingsson I. Maternal and infant complications after caesarean section on maternal request - Findings from a Swedish case-control study. BJOG. 2013;120(4):479-86
  1. Lindgren H, Rådestad I, Hildingsson I. Transfer in planned home births – effects on the birth experience. Sexual and Reproductive Health care 2011;2:101-5
  1. Lindgren H, Brink Å, Klingberg-Allvin M. Fear causes tears – Perineal injuries in home birth settings. A Swedish interview study. BMC Pregnancy and Childbirth 2011;11:6
  1. Erlandsson K, Lindgren H. From belonging to belonging through a blessed moment of love for a child - the birth of a child from the fathers' perspective. Journal of Men's Health, 2009;6:338-344
  1. Erlandsson K, Lindgren H. Being a resource for both mother and child- fathers' experiences following a complicated birth. The Journal of Perinatal Education, 2011;20:91-9

With regard to research methods the following publications are the most interesting:

  1. Sjöblom I, Idvall E, Lindgren H.Creating a safe haven - Women’s experiences of the midwife´s professional skills during planned home birth in four Nordic countries. Accepted for publication, Birth November 2013
  1. Hildingsson I, Rådestad I, Lindgren H.Birth preferences that deviate from the norm in Sweden - Planned Home Birth versus Planned cesarean section. Birth 2010;37:288-95
  1. Lindgren H, Malm MC, Rådestad I. You don’t leave your baby – Mothers’ experiences after a stillbirth. Omega Death and Dying e-pub ahead of print 2013; 68:4
  1. Karlström A. Lindgren H. Hildingsson I. Maternal and infant complications after caesarean section on maternal request- Findings from a Swedish case-control study. BJOG. 2013;120(4):479-86

2.5List of general articles and book chapters

Author of textbook “Midwives’ management in normal birth”, Studentlitteratur / 2013
Editor for Midwives´ textbook in Sweden, Studentlitteratur / 2013-2014
Author of book chapter in Midwives´textbook, Studentlitteratur / 2009

2.6List of all other scientific works

3 INTERNATIONAL SCIENTIFIC CONGRESSES

3.1 Invited speaker or chair

Invited speaker Nordic Forum Malmö “Birth and human rights” / 2014
Chair for defence of thesis Ewa Andersson 2014-06-13 / 2014
Chair for defence of thesis Anna-Karin Klint 2014-03-13 / 2014
Chair at the conference in sexual and reproductive health, Falun / 2014
Invited speaker at obstetric conference “Childbirth models” in Lithuania, Vilnius / 2013
Chair at the conference in sexual and reproductive health, Sthlm / 2013
Chair at the Nordic Midwifery conference, Oslo / 2013
Chair at the Conference in sexual and reproductive health, Gothenburg / 2012
Chair at symposium, Nordic Midwifery congress, Copenhagen / 2010
Invited speaker at the National Perinatal conference in Sweden / 2009
Invited speaker, presentation of Thesis at the National conference for obstetrics and gynecology, Skövde / 2008
Invited speaker at the Perinatal conference, Estonia / 2008
Invited speaker at the National conference for obstetrics and gynecology, Luleå / 2007

3.2 Oral presentations of own accepted abstracts

Transfer in planned homebirths in the Nordic countries, Nordic midwifery conference, Oslo / 2013
Home births in the Nordic countries, Regional maternity care conference, Gothenburg / 2010
Planned homebirths in the Nordic countries, Midwifery conference, Copenhagen / 2010
Outcome of planned homebirths, International midwifery conference, Glasgow / 2008
Risk factors for transfer during a planned home birth, Sexual and Reproductive health conference, Stockholm / 2007
Reasons and risk factors for transfer during or shortly after a planned home birth, Nordic Midwifery conference, Åbo / 2007
Parent’s experience of birth, FIGO conference, Kuala Lumpur, Malaysia / 2006
Parents´assessment of risk in home birth, Sexual and Reproductive health conference, Stockholm / 2005

4 RESEARCH FUNDING OBTAINED IN THE PAST FIVE YEARS

4.1 External research funding obtained in international or national competition as principal applicant

Funding for doctoral student, National Research Education in Care Sciences (NFV) / 1 080 000 kr / 2014
Karolinska Institutet funds / 28 000 kr / 2013
Letterstedtska association / 20000 kr / 2013
Sahlgrenska Academy, doctoral student (four years) / 2 400 000 kr / 2011
Dalarna University, doctoral student(four years) / 2 000 000 kr / 2010
Karolinska Institutet funds / 40 100 kr / 2011
Karolinska Institutet funds / 18900 kr / 2010
The Swedish Infant Fund / 40 000 kr / 2010
Karolinska Institutet funds / 27800 kr / 2009
Letterstedtska association / 10000 kr / 2009
Vivianne Wahlbergs minnesfond / 5000 kr / 2007
Baby Bag / 8000 kr / 2004
The Swedish Infant Fund / 20000 kr / 2003

4.2 External research funding obtained in international or national competition as co-applicant

SIDA, project funding / 320 000 kr / 2011
FAS, project funding / 300 000 kr / 2009

4.3 Significant other research funding received (donation, grant in local competition – e.g. ALF project) as principal applicant

4.4 Significant other research funding received (donation, grant in local competition – e.g. ALF project) as co-applicant

5 SCIENTIFIC COLLABORATIONS

Principal investigator for

a)Nordic Homebirths – collaboration between four Nordic countries about experiences and outcomes in planned homebirths and low-risk births in hospital. The project has been going in since 2010 and has resulted in four publications. Data is under analysis and another ten publications are in manuscript.

Partners in this project are Ellen Blix, PhD, RNM. Clinical research center, Tromsö University hospital, Norway, Pål Öian, Obstetrician, professor at Tromsö University hospital, Hanne Hegaard, PhD, RNM, Juliane Marie Research center, Copenhagen, Denmark, Olof Ásta Olofsdóttir, Professor, RNM, Reykjavik University, Iceland

b)OPTIMICS – Optimal rate of Caesarean sections. A European collaborative project.

Ank de Jonge, Professor, RNM,and partners at the EMGO Institute of Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands and Midwifery Research Network Netherlands (MRN), Prof. Jos van Roosmalen and Dr. Thomas van den Akker from the Department of Medical Humanities, Amsterdam Medical Center.

Dr. Serena Donati from the Italian National Health Institute, Rome, Italy, INOSS, Prof. Jahn Albrecht from Heidelberg University, Germany are collaborative partners in this project. Professor Peter Brocklehurst, Institute for Women’s Health at University College, London/ National Perinatal Epidemiology Unit, Oxford, U.K. and Dr Jim Zhang fromShanghai Key Laboratory of Children’s Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, China are associate partners and advisory board.

c)MIMA – Midwive’s management in second stage of labor. Clinical studies on first-time mothers. Partners in this project are professor Ingela Lundgren from the Sahlgrenska Academy, University of Gothenburg, professor Vanora Hundley from Bournemouth University, U.K. and professor Ank de Jonge, RNM, the EMGO Institute of Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands and Midwifery Research Network Netherlands (MRN),

6 SUPERVISION OF GRADUATE STUDENTS

6.1 PhD candidates supervised up to the defence of the candidate’s doctoral thesis, with the applicant serving as main supervisor

6.2 PhD candidates supervised up to the defence of the candidate’s doctoral thesis, with the applicant serving as co-supervisor

6.3 Students supervised up to their licentiate degree, with the applicant serving as main supervisor

6.4 Students supervised up to their licentiate degree, with the applicant serving as co-supervisor

6.5 Ongoing supervision of a PhD candidate, with the applicant serving as main supervisor

RNM Mari-Cristin Malm, (half-time seminar January 2013)

RNM Ingela Sjöblom (half-time seminar December 2012, dissertation 2014-11-21)

RNM Malin Edqvist (planned half-time seminar in December 2014)

RNM Susanne Åhlund, registered 2014-06-28

6.6 Ongoing supervision of a PhD candidate, with the applicant serving as co-supervisor

RNM ShurouqHawamdeh, Sahlgrenska academy, University of Gothenburg (planned half-time seminar in November 2014)

6.7 Postdoc supervision

6.8 Supervision of other researchers who have defended a thesis

6.9 Ongoing careers of holders of earlier PhDs and of postdocs

7 THESIS EVALUATION

7.1 Serving as thesis opponent

7.2 Serving as a member of a thesis examination committee

Reviewer half-time seminar, doctoral student Charlotte Elfvander / 2012
Reviewer half-time seminar, doctoral student Viola Nyman / 2012
Member of theses examination committee for Ing-Marie Carlsson / 2014

7.3 External thesis reviewer

Reviewer for thesis, Kristin Håland, University of Vestfold and Sahlgrenska Academy / 2014

8 EVALUATION OF OTHERS’ WORK

Reviewerof candidates proposed for position as senior lecturer in Caring science with focus on Reproductive health, Dalarna University College / 2014

8.1 Serving as reviewer of candidates proposed for academic positions

8.2 Serving as reviewer for international evaluations

8.3 Evaluator of research applications in international competition

8.4 Evaluator of research applications in national competition

8.5 Evaluator of major research grant applications in local competition

Evaluator of research grant application, Sophiahemmet University College / 2013
Evaluator of research grant application, Sophiahemmet University College / 2012
Evaluator of research grant application, Dalarna Centre for clinical research (twice a year) / 2009-2011

8.6 Editor of scientific journals

8.8 Member of an editorial board

Member of editorial board for Jordemodern, Midwives’ professional journal, from 2008-2012.

8.8 Referee for scientific journals

Scientific journal / Number
Journal of Men as Fathers / 1
Lancet / 1
Canadian Midwives Association Journal / 1
BMC Pregnancy and Childbirth / 3
Sexual and Reproductive Health care / 7
Omega Death and Dying / 1
ACTA Obstetrica e Gynecologica Scandinavica / 1
Midwifery / 1

8.8 Reviewer or advisor for other scientific bodies

Advisor for Stockholm County Council, Health Technology Assessment (systematic review of literature) regarding the risk for first-time mothers who plan for a home birth.Stockholm county council 2012.

8.9 Other relevant evaluation assignments

Abstract evaluator for the Nordic conference in Sexual and Reproductive Health, Copenhagen 2010.

9 INTERNATIONAL VISITING RESEARCH FELLOWSHIPS

Recurrent stays as at Tromsö University Hospital, Dpt of Clinical Research for research collaboration, 2009-2014 and at the EMGO Institute of Health and Care Research, VU University Medical Center, Amsterdam.

10 SCIENTIFIC DISTINCTIONS

11 OTHER SCIENTIFIC MERITS

12 RESEARCH PLAN

The results of my previous research could be summoned as follows:

Women who plan to give birth at home in Sweden are few, about 1/ 1000 births. The transfer rate in Sweden and the Nordic countries is low from an international perspective; 12,5 percent. Women who had planned to give birth at home are more likely to have a spontaneous vaginal delivery and an intact perineum compared with women who give birth in the hospital setting. Women who have an instrumental or surgical birth have less positive experiences and medical outcome compared with women who have a spontaneous birth.

The results generate new research questions and initiative towards Nordic collaboration has been taken and a Nordic group for research in normal birth was established in 2008. The collaboration was extended in 2013 and a group of European researchers are involved in the program. To find best practice in order to optimise the use of interventions in maternity care and to improve tools aiming to identify subgroups that benefits from care on different levels are factors emphasized in the program.