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NORTHERN DISPATCHES

MATERNITY

Swedish health-care staff actually care about us

After the birth of his two bonny baby girls, former Londoner Paul Connolly swoons over Swedish healthcare's 'just the right side of hands off' approach that left him feeling safe despite his wife's swollen elephant trotters and high blood pressure.

Swedish health-care staff actually care about us

You gotta love the Swedish health service. I sped my pregnant girlfriend into hospital a couple of weeks ago with complications – her feet swelled up to the size of elephant trotters and her usual freakishly low blood pressure almost capsized the monitor with its relentless upward trajectory.

We were taken straight to the maternity ward, offered a choice of private rooms and told to relax. Donna was then subjected to a systematic testing process that told the staff exactly what was going on with her. After an overnight stay, two doctors, Rolf and Hannah, came to our room and informed us that they would be performing a Caesarian section the next day to remove our 33-week-old twins a full seven weeks early.

It was all a little bewildering. But by 1pm the following afternoon, I was holding Caitlin and Leila, two stupendously bonny baby girls. I may have shed a tear or two. I may even have hugged a couple of bewildered doctors, a few midwives and a passing cleaner. But I didn’t care. It was, quite simply, amazing.

The whole process up here in northern Sweden has been terrific. Right from the start the care has been pitched at exactly the right level – just the right side of hands-off. Until the late complications we’d had a simple pregnancy so we mainly saw our barnmorska (midwife) and a doctor every few weeks for an ultraljud (scan).

What struck me first about the hospitals up here was how uncrowded and efficient they were. If we had an 11am appointment, the appointment would take place at 11am. In the UK an 11am appointment is purely indicative of the day in which you might be seen. They may as well just offer you an AM or PM slot, like some delivery companies – it would be just as accurate.

There was another remarkable difference between the UK and Sweden. I have had mainly good dealings with the UK’s NHS but some of the staff employed would be better suited to working with delinquent sharks – they’re about as caring as a needle in the eye. The staff here were born to be in healthcare. They’re compassionate, caring, knowledgeable and, generally, good company. Their people skills are first rate.

Some of the nurses, however, are a little too fierce in their advocacy of breastfeeding. One bespectacled bore even advised us to use breast milk to treat skin conditions and backache. She was obsessed with breast milk. During a conversation about our endless house renovation project, I was a little surprised that she didn’t suggest it as an excellent alternative to exterior paint, and then slip out a little hip flask and take a nip of the “white gold”.

The doctors, though, are more pragmatic – they recommend breastfeeding for as long as the mother is comfortable with it but no more.

Twelve days after the birth we’re still in the family unit of the hospital. We have our own room with TV, DVD player and private bathroom. The team here want to make absolutely sure that the girls are ready to come home with us but want to ensure we have plenty of time to bond with them before we do. In the meantime we’re picking up tips from professionals on how to look after our children; it’s been invaluable.

I have a friend in the UK who has just given birth to a premature baby. Her experience has been somewhat different. “I had my C-section on the Monday and stayed on the postnatal ward until the Thursday. My son was in the neonatal unit and I had to get down two corridors and through the labour ward to get to him. The first day I was taken in a wheelchair but after that I had to walk, or rather shuffle there and back. I then had to leave. I have to deliver his breast milk twice a day and then go home. It’s heartbreaking.”

I really do know how lucky I am to be in Sweden.

Paul Connolly

Read more from Paul here, including his Northern Dispatch column

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SWITZERLAND

Despite changing attitudes, Swiss women still fear having a baby will harm their career

Women in Switzerland still feel having a child may damage their job prospects, a study has revealed.

Despite changing attitudes, Swiss women still fear having a baby will harm their career
Photo: DANIEL MIHAILESCU / AFP

Released in November after taking into account responses across the country, the report showed a majority of women said having a child would have a negative impact on their job prospects. 

These concerns were particularly high among tertiary-educated women, of whom 70 percent said they held such fears. 

Currently, women in Switzerland are entitled to 14 weeks of maternity leave, while a recent proposal has been passed to provide men with two weeks off in the birth of a child. 

Women with a lower level of education – 62 percent – also said they feared the impact of childbirth. The fears were less prevalent among men, with 37 percent tertiary-educated and 30 percent of secondary school-educated men saying they thought having a child might have a negative impact on their careers. 

The study also showed that among those who wanted kids, two children was the preferred amount. A total of 60 percent of Swiss said they wanted to have two children, compared with four per cent who wanted just one child and nine percent who wanted no children at all. 

Childcare across the cantons

The study showed that while childcare was popular in Switzerland, there were major differences between cantons. 

In Romandy – the French-speaking part of Switzerland – approximately 50 percent of families used day nurseries or supplementary child care. 

Have your say: How can you save money on raising children in Switzerland

Elsewhere however, childcare use was much less common. In German-speaking Switzerland, only a third of families use childcare – while in the Italian-speaking canton of Ticino less than a quarter use it. 

In both of these regions, care from family members is much more prevalent, with 43 percent and 48 percent in German and Italian-speaking Switzerland respectively. 

The research also illustrated an urban-regional split when it came to the use of childcare. Of Swiss families in urban areas around 60 percent use childcare, while in smaller urban areas that figure falls to 37 percent. 

In rural communities, less than a quarter of Swiss use childcare. 

Working mothers?

The study did however show a continued changing of attitudes with regard to working mothers. 

In the mid-1990s, more than three in five men felt that a child suffers when the mother goes back to work. This figure is now down to 36 percent, after being 44 percent in 2013. 

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Around one half of women surveyed in 1995 felt that returning to work early had negative impacts on the child, with that figure also decreasing to 33 percent in 2013 and around 27 percent currently. 

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