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Mothers' experiences in relation to a new Swedish postnatal home-based model of midwifery care: A cross-sectional study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Obstetrics and Reproductive Health Research. Soder Sjukhuset, Dept Obstet & Gynecol, Stockholm, Sweden.ORCID iD: 0000-0003-0766-9957
Lund Univ, Dept Midwifery Res Reprod Perinatal & Sexual Hlth, Lund, Sweden;Helsingborg Lasarett, Dept Obstet & Gynecol, Helsingborg, Sweden.
Karolinska Inst, Dept Publ Hlth Sci, Solna, Sweden.
2019 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 78, p. 140-149Article in journal (Refereed) Published
Abstract [en]

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 child-birth, 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.

Place, publisher, year, edition, pages
2019. Vol. 78, p. 140-149
Keywords [en]
Childbirth, Experiences, Home-based care, Model of postnatal care, Mothers
National Category
Nursing Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:uu:diva-394945DOI: 10.1016/j.midw.2019.07.010ISI: 000484396500019PubMedID: 31446229OAI: oai:DiVA.org:uu-394945DiVA, id: diva2:1362790
Available from: 2019-10-21 Created: 2019-10-21 Last updated: 2019-10-21Bibliographically approved

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