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The structure and organisation of home-based postnatal care in public hospitals in Victoria, Australia : A cross-sectional survey

Forster, Della A.; McKay, Heather; Powell, Rhonda; Wahlstedt, Emma; Farrell, Tanya; Ford, Rachel and McLachlan, Helen L. (2016) In Women and Birth 29(2). p.172-179
Abstract

Background: There is limited evidence regarding the provision of home-based postnatal care, resulting in a weak evidence-base for policy formulation and the further development of home-based postnatal care services. Aim: To explore the structure and organisation of public hospital home-based postnatal care in Victoria, Australia. Methods: An online survey including mostly closed-ended questions was sent to representatives of all public maternity providers in July 2011. Findings: The response rate of 87% (67/77) included rural (70%; n = 47), regional (15%; n = 10) and metropolitan (15%; n = 10) services. The majority (96%, 64/67) provided home-based postnatal care. The median number of visits for primiparous women was two and for... (More)

Background: There is limited evidence regarding the provision of home-based postnatal care, resulting in a weak evidence-base for policy formulation and the further development of home-based postnatal care services. Aim: To explore the structure and organisation of public hospital home-based postnatal care in Victoria, Australia. Methods: An online survey including mostly closed-ended questions was sent to representatives of all public maternity providers in July 2011. Findings: The response rate of 87% (67/77) included rural (70%; n = 47), regional (15%; n = 10) and metropolitan (15%; n = 10) services. The majority (96%, 64/67) provided home-based postnatal care. The median number of visits for primiparous women was two and for multiparous women, one. The main reason for no visit was the woman declining. Two-thirds of services attempted to provide some continuity of carer for home-based postnatal care. Routine maternal and infant observations were broadly consistent across the services, and various systems were in place to protect the safety of staff members during home visits. Few services had a dedicated home-based postnatal care coordinator. Discussion and conclusion: This study demonstrates that the majority of women receive at least one home-based postnatal visit, and that service provision on the whole is similar across the state. Further work should explore the optimum number and timing of visits, what components of care are most valued by women, and what model best ensures the timely detection and prevention of postpartum complications, be they psychological or physiological.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Domiciliary, Home-based, Midwifery care, Postnatal, Postpartum
in
Women and Birth
volume
29
issue
2
pages
8 pages
publisher
Elsevier
external identifiers
  • Scopus:84962359386
  • WOS:000373631300010
ISSN
1871-5192
DOI
10.1016/j.wombi.2015.10.002
language
English
LU publication?
no
id
94bd73cd-d8f8-4aaa-89b3-d4ffb9b7b4ed
date added to LUP
2016-06-01 13:32:33
date last changed
2017-01-01 08:27:23
@article{94bd73cd-d8f8-4aaa-89b3-d4ffb9b7b4ed,
  abstract     = {<p>Background: There is limited evidence regarding the provision of home-based postnatal care, resulting in a weak evidence-base for policy formulation and the further development of home-based postnatal care services. Aim: To explore the structure and organisation of public hospital home-based postnatal care in Victoria, Australia. Methods: An online survey including mostly closed-ended questions was sent to representatives of all public maternity providers in July 2011. Findings: The response rate of 87% (67/77) included rural (70%; n = 47), regional (15%; n = 10) and metropolitan (15%; n = 10) services. The majority (96%, 64/67) provided home-based postnatal care. The median number of visits for primiparous women was two and for multiparous women, one. The main reason for no visit was the woman declining. Two-thirds of services attempted to provide some continuity of carer for home-based postnatal care. Routine maternal and infant observations were broadly consistent across the services, and various systems were in place to protect the safety of staff members during home visits. Few services had a dedicated home-based postnatal care coordinator. Discussion and conclusion: This study demonstrates that the majority of women receive at least one home-based postnatal visit, and that service provision on the whole is similar across the state. Further work should explore the optimum number and timing of visits, what components of care are most valued by women, and what model best ensures the timely detection and prevention of postpartum complications, be they psychological or physiological.</p>},
  author       = {Forster, Della A. and McKay, Heather and Powell, Rhonda and Wahlstedt, Emma and Farrell, Tanya and Ford, Rachel and McLachlan, Helen L.},
  issn         = {1871-5192},
  keyword      = {Domiciliary,Home-based,Midwifery care,Postnatal,Postpartum},
  language     = {eng},
  month        = {04},
  number       = {2},
  pages        = {172--179},
  publisher    = {Elsevier},
  series       = {Women and Birth},
  title        = {The structure and organisation of home-based postnatal care in public hospitals in Victoria, Australia : A cross-sectional survey},
  url          = {http://dx.doi.org/10.1016/j.wombi.2015.10.002},
  volume       = {29},
  year         = {2016},
}