1 Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
2 Dalhousie University, Halifax, Nova Scotia, Canada.
Qual Health Res. 2017 Oct;27(12):1792-1803. doi: 10.1177/1049732317717695. Epub 2017 Jul 14.
Postpartum education can save lives of mothers and babies in developing countries, and the World Health Organization recommends all mothers receive three postpartum consultations. More information is needed to better understand how postpartum education is delivered and ultimately improves postpartum health outcomes. The purpose of this qualitative study was to examine how postpartum care was delivered in three postnatal hospital clinics in Dar es Salaam, Tanzania. Semistructured interviews with 10 nurse-midwives and three obstetricians were conducted. Feminist poststructuralism guided the research process. Postpartum education was seen to be an urgent matter; there was a lack of supportive resources and infrastructure in the hospital clinics, and nurse-midwives and obstetricians had to negotiate conflicting health and traditional discourses using various strategies. Nurse-midwives and obstetricians are well positioned to deliver life-saving postpartum education; however, improvements are required including increased number of nurse-midwives and obstetricians.
产后教育可以挽救发展中国家母婴的生命，世界卫生组织建议所有产妇接受三次产后咨询。需要更多的信息来更好地了解产后教育是如何提供的，以及最终如何改善产后健康结果。本定性研究的目的是探讨坦桑尼亚达累斯萨拉姆的三家产后医院诊所如何提供产后护理。对 10 名助产妇和 3 名产科医生进行了半结构化访谈。女性主义后结构主义指导了研究过程。产后教育被视为当务之急；医院诊所缺乏支持性资源和基础设施，助产妇和产科医生不得不使用各种策略来协商冲突的健康和传统话语。助产妇和产科医生完全有能力提供拯救生命的产后教育；然而，需要进行改进，包括增加助产妇和产科医生的人数。
