Läkartidningen
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A considerable proportion of the Swedish population are of immigrant or refugee origin. This puts new demands on psychiatric care. ⋯ Available evidence suggests the existence of several subgroups with high frequencies of mental ill-health in these areas. If sectorized psychiatry is to meet the demands of the population as a whole, economic prioritization is needed, as well as improved knowledge and methodology regarding cross-cultural psychiatry.
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A questionnaire answered by all 55 Swedish labour wards in 1995 showed oxytocic treatment to be given routinely to all parturients during the third stage of labour at only 38% (21/55) of the units, and that five of these 21 units were considering cessation of the practice. At a further 25 units the treatment was given routinely only in selected risk cases, the most common risk factors being a history of postpartum haemorrhage (a criterion at 20 units), multiple pregnancy (14 units), prolonged labour (12 units), and a large baby (8 units). Of the remaining nine units, where oxytocic treatment was given only on clinical indications (i.e., postpartum haemorrhage), two were considering the introduction of routine treatment. In view of results obtained in a recent randomised, placebo controlled Swedish study, the authors of the article conclude that, if clinical practice in this respect has remained unchanged since the questionnaire study was performed, Swedish parturients are undertreated with oxytocics during the third stage of labour.