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First-time parents' experiences of home-based postnatal care in Sweden
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell kvinno- & mödrahälsovård/Essen)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell kvinno- & mödrahälsovård/Essen)
2010 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 115, no 2, 131-137 p.Article in journal (Refereed) Published
Abstract [en]

Aim. To gain a deeper understanding of first-time parents’ experiences of early discharge from hospital after delivery andhome-based postnatal care.Material and methods. The study was comprised of focus group interviews, interviews with couples and with fathers. Twentyoneparents participated. Inclusion criteria: healthy women who have given birth to their first child after a normal pregnancyand delivery, the women’s partners, healthy and full term babies, Swedish-speaking, discharge from the delivery ward within24 hours, resident in the Uppsala community, the parents cohabited at the time of the delivery. The material was analysed byqualitative content analysis.Results. Three themes emerged: The family’s strategy, which describes the family’s expectations of postnatal care and theirexperiences of the real situation. Some are flexible concerning going home early, and others have decided in advance. Selfrelianceand strength, which explores the parents’ feelings of security and uncertainty, freedom and independence, and sharedresponsibility. Breast-feeding is described as the ‘main thing’, an interactive learning process. Professional support in the homesummarizes the parents’ experience of the midwife’s support at home. While conflicting feelings may be revealed during thefirst days, the midwife confirms their new roles as parents. The midwife is seen as a support and adviser to the parents.Conclusion. This study shows that parents welcome home-based postnatal care with professional support from midwives. Weconclude that this care suits healthy families. We think it will be more important in the future to discriminate between healthyfamilies and those in need of hospital care, than to focus on the moment when they leave the hospital, early or late.

Place, publisher, year, edition, pages
Informa Healthcare , 2010. Vol. 115, no 2, 131-137 p.
Keyword [en]
Breast-feeding, early discharge, home-based postnatal care
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-124646DOI: 10.3109/03009730903431809ISI: 000276361900009PubMedID: 20074000OAI: oai:DiVA.org:uu-124646DiVA: diva2:317822
Available from: 2010-05-05 Created: 2010-05-05 Last updated: 2017-12-12Bibliographically approved

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Aarts, ClaraDarj, Elisabeth

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