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Mothers´ experiences in relation to a new Swedish postnatal home-based model of midwifery care–A cross-sectional study

Johansson, Margareta ; Thies-Lagergren, Li LU orcid and Wells, Michael B. (2019) In Midwifery 78. p.140-149
Abstract

Background: The goal of postnatal care is to provide the highest possible quality of care and medical safety with the least possible intervention in order to optimize health and wellbeing of the new family. The aim of the study was to describe mothers´ experiences in relation to a new postnatal home-based model of midwifery care. Methods: The current study uses a cross-sectional mixed method design to assess a new postnatal home-based model of midwifery care in Sweden. Healthy women with an uncomplicated pregnancy and childbirth, and with a healthy baby answered an online questionnaire one week after birth. Data were collected during one year (2017–2018) and analyzed using descriptive and inferential statistics for quantitative data,... (More)

Background: The goal of postnatal care is to provide the highest possible quality of care and medical safety with the least possible intervention in order to optimize health and wellbeing of the new family. The aim of the study was to describe mothers´ experiences in relation to a new postnatal home-based model of midwifery care. Methods: The current study uses a cross-sectional mixed method design to assess a new postnatal home-based model of midwifery care in Sweden. Healthy women with an uncomplicated pregnancy and childbirth, and with a healthy baby answered an online questionnaire one week after birth. Data were collected during one year (2017–2018) and analyzed using descriptive and inferential statistics for quantitative data, and manifest content analysis for qualitative data. Findings: In total, 180 mothers with one to six children were included. They were most likely to have been discharged between six and 12 h after childbirth (56%) and 90% reported that the time for their discharge was good. The postnatal check-ups included were telephone contact (100%), home visit(s) (94%) and hospital visit(s) (98%). Most mothers had a positive postnatal care experience from using the new postnatal model of midwifery care (mean VAS 8.74, Std. Deviation 1.438). For 75%, of the participants, home-based postnatal care would be preferred for their next childbirth. Conclusion: Home-based postnatal care is well accepted by mothers who were discharged early after childbirth. Mothers with a positive experience of the new postnatal model of midwifery care would prefer home-based postnatal care for their next childbirth. Midwifery care should include home-based postnatal care.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Childbirth, Experiences, Home-based care, Model of postnatal care, Mothers
in
Midwifery
volume
78
pages
10 pages
publisher
Elsevier
external identifiers
  • scopus:85070887262
  • pmid:31446229
ISSN
0266-6138
DOI
10.1016/j.midw.2019.07.010
language
English
LU publication?
yes
additional info
Copyright 2019 Elsevier B.V., All rights reserved.
id
61ce5db4-2938-4fc8-bb27-bd9b41a25bb0
date added to LUP
2021-03-03 16:28:04
date last changed
2024-06-14 11:10:29
@article{61ce5db4-2938-4fc8-bb27-bd9b41a25bb0,
  abstract     = {{<p>Background: The goal of postnatal care is to provide the highest possible quality of care and medical safety with the least possible intervention in order to optimize health and wellbeing of the new family. The aim of the study was to describe mothers´ experiences in relation to a new postnatal home-based model of midwifery care. Methods: The current study uses a cross-sectional mixed method design to assess a new postnatal home-based model of midwifery care in Sweden. Healthy women with an uncomplicated pregnancy and childbirth, and with a healthy baby answered an online questionnaire one week after birth. Data were collected during one year (2017–2018) and analyzed using descriptive and inferential statistics for quantitative data, and manifest content analysis for qualitative data. Findings: In total, 180 mothers with one to six children were included. They were most likely to have been discharged between six and 12 h after childbirth (56%) and 90% reported that the time for their discharge was good. The postnatal check-ups included were telephone contact (100%), home visit(s) (94%) and hospital visit(s) (98%). Most mothers had a positive postnatal care experience from using the new postnatal model of midwifery care (mean VAS 8.74, Std. Deviation 1.438). For 75%, of the participants, home-based postnatal care would be preferred for their next childbirth. Conclusion: Home-based postnatal care is well accepted by mothers who were discharged early after childbirth. Mothers with a positive experience of the new postnatal model of midwifery care would prefer home-based postnatal care for their next childbirth. Midwifery care should include home-based postnatal care.</p>}},
  author       = {{Johansson, Margareta and Thies-Lagergren, Li and Wells, Michael B.}},
  issn         = {{0266-6138}},
  keywords     = {{Childbirth; Experiences; Home-based care; Model of postnatal care; Mothers}},
  language     = {{eng}},
  pages        = {{140--149}},
  publisher    = {{Elsevier}},
  series       = {{Midwifery}},
  title        = {{Mothers´ experiences in relation to a new Swedish postnatal home-based model of midwifery care–A cross-sectional study}},
  url          = {{http://dx.doi.org/10.1016/j.midw.2019.07.010}},
  doi          = {{10.1016/j.midw.2019.07.010}},
  volume       = {{78}},
  year         = {{2019}},
}