Gözüm Sebahat, Kiliç Dilek
Atatürk University School of Nursing, Department of Public Health Nursing, 25240 Erzurum, Turkey.
Midwifery. 2005 Dec;21(4):371-8. doi: 10.1016/j.midw.2005.02.005. Epub 2005 Jul 15.
to determine women's problems when discharged early from hospital after normal vaginal birth among a simple convenience sample of mothers in one part of Turkey.
a descriptive interview study.
primary health-care unit in Erzurum, Turkey.
112 mothers who came to the primary health-care unit for vaccination of their 2-month old babies between May and June 2000. Data were collected by structured face-to-face interviews. A symptom checklist was used to determine health problems.
length of hospital stay after delivery was a mean of 7.1+/-7.0 hrs, and 66.1% (n=74) of mothers did not receive appropriate education about potential postpartum health problems. The findings indicated that the morbidity rate of mothers in the postpartum period was high. Among the most prevalent problems experienced by mothers were fatigue (86.6%; n=97), insomnia (80.4%; n=90), breast problems [engorged breast, tenderness and pain] 71.4%; n=80) and constipation 61.7%; n=69). Vaginal infection was reported by 16 mothers (14.3%; n=16). The prevalence of the use of medical services resulting from postnatal health problems in the postpartum period was 42.0% (n=47). About half of the mothers (51.8%; n=58) were not visited by midwives during the first postpartum week after discharge from hospital because both the maternity hospital and mother had not reported any health problems to the midwife. RECOMMENDATIONS FOR PRACTICE: mothers can experience many problems in the postpartum period. It is not possible to predict which mother will experience risks, such as an infection or mastitis. Therefore, women discharged from hospital in the first 24 hrs after birth should be educated about the problems that may arise during the postpartum period. They should also be given professional care and help in their own home by midwives working in the primary-care unit. Mothers should be told to notify their midwives about delivery and discharge in order to receive early follow-up in their homes. We suggest promoting maternal health education that encourages women to seek appropriate and timely care.
在土耳其某一地区的一个简单便利样本母亲群体中，确定正常阴道分娩后提前出院的女性所面临的问题。
描述性访谈研究。
土耳其埃尔祖鲁姆的初级卫生保健单位。
2000年5月至6月期间到初级卫生保健单位为其2个月大婴儿接种疫苗的112名母亲。通过结构化面对面访谈收集数据。使用症状清单来确定健康问题。
分娩后的住院时间平均为7.1±7.0小时，66.1%（n = 74）的母亲未接受关于潜在产后健康问题的适当教育。研究结果表明，母亲在产后时期的发病率很高。母亲们经历的最常见问题包括疲劳（86.6%；n = 97）、失眠（80.4%；n = 90）、乳房问题[乳房胀痛、压痛和疼痛]（71.4%；n = 80）和便秘（61.7%；n = 69）。16名母亲（14.3%；n = 16）报告有阴道感染。产后时期因产后健康问题而使用医疗服务的比例为42.0%（n = 47）。约一半的母亲（51.8%；n = 58）在出院后的产后第一周没有助产士探访，因为妇产医院和母亲都没有向助产士报告任何健康问题。
母亲在产后时期可能会遇到许多问题。无法预测哪位母亲会经历感染或乳腺炎等风险。因此，产后24小时内出院的女性应接受关于产后可能出现问题的教育。她们还应在自己家中得到初级保健单位助产士的专业护理和帮助。应告知母亲们通知助产士其分娩和出院情况，以便在家中得到早期随访。我们建议加强孕产妇健康教育，鼓励女性寻求适当和及时的护理。
