Karolinska Institutet

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:

Courses (outside courses for PhD):

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

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

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

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

2.6List of all other scientific works

3 INTERNATIONAL SCIENTIFIC CONGRESSES

3.1 Invited speaker or chair

3.2 Oral presentations of own accepted abstracts

4 RESEARCH FUNDING OBTAINED IN THE PAST FIVE YEARS

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

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

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

7.3 External thesis reviewer

8 EVALUATION OF OTHERS’ WORK

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

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

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.