School of Nursing, Moi University, P.O Box 3900-30100, Uasin Gishu County, Eldoret, Kenya.
School of Health Systems and Public Health, University of Pretoria, Private Bag X323, Pretoria, 0001, South Africa.
BMC Pregnancy Childbirth. 2017 Nov 16;17(1):385. doi: 10.1186/s12884-017-1576-1.
A large number of maternal and neonatal deaths occur during birth and 48 h after birth. The benefits of postnatal care to the mother and newborn cannot be overemphasized as this is another opportunity where complications that might arise from pregnancy and childbirth can be treated, as well as the time to provide important information on maternal and newborn care after delivery. This study aimed to determine the information needs of mother-baby pairs in the first 6 weeks after birth.
An exploratory qualitative study using in-depth interviews at three points in time was conducted with 15 women who had their births at Moi Teaching and Referral Hospital, Kenya. The first interview was done within 48 h after birth followed by a telephone interview at 2 weeks and at 6 weeks after birth. Data were audio recorded and transcribed. Transcripts and field notes were analyzed using thematic content analysis and NVIVO 11 software. Ethical approval was obtained before commencement of studies and permission to conduct the study granted by the chief executive of the hospital.
The only health needs that participants reported were unmet health information needs. Four major themes emerged from the study. 'Connecting with baby' centered on understanding and meeting baby's needs, monitoring growth and progress and protecting the baby. The second theme: "Birth as a unique encounter' is a blend of what was found to be new and a unique. The theme 'Regaining self' is a combination of managing self as a mother and handling discomfort related to birth. The final theme: 'Disconnected information' is a collection of unmet information needs, the need for clarity in information booklets and conflicting information by different providers.
Participants used the hospital stay as an opportunity to receive more detailed information on how to take care of their babies both directly after birth and in the longer term. Participants had a range of unmet health information needs that extended beyond family planning and fertility. Needs extended to their own care and management of discomforts. The need for consistency in health information by different providers and updated printed material on postnatal care that includes sensitive information and allows opportunities for personalized information was highlighted.
大量的母婴死亡发生在分娩时和分娩后 48 小时内。产后护理对母亲和新生儿的益处怎么强调都不为过，因为这是另一个可以治疗怀孕和分娩期间可能出现的并发症的机会，也是提供分娩后母婴护理重要信息的时间。本研究旨在确定母婴在出生后 6 周内的信息需求。
在肯尼亚莫伊教学和转诊医院，采用探索性定性研究方法，在三个时间点对 15 名产妇进行了深入访谈。第一次访谈是在出生后 48 小时内进行的，然后在 2 周和 6 周后进行电话访谈。数据以音频形式记录并转录。使用主题内容分析法和 NVIVO 11 软件对转录本和现场记录进行分析。在开始研究之前获得了伦理批准，并获得了医院首席执行官的研究许可。
参与者报告的唯一健康需求是未满足的健康信息需求。研究中出现了四个主要主题。“与婴儿建立联系”的主题是关于理解和满足婴儿的需求，监测生长和进展，保护婴儿。第二个主题：“分娩是一次独特的经历”是新事物和独特事物的融合。主题“恢复自我”是管理作为母亲的自我和处理与分娩相关的不适的结合。最后一个主题：“信息脱节”是一系列未满足的信息需求，对信息手册的清晰度以及不同提供者之间的冲突信息的需求。
参与者利用住院机会获得更多关于如何直接在出生后和更长期内照顾婴儿的详细信息。参与者有一系列未满足的健康信息需求，不仅限于计划生育和生育能力。需求延伸到他们自己的护理和管理不适。强调不同提供者的健康信息需要保持一致，并更新有关产后护理的印刷材料，包括敏感信息，并允许个性化信息的机会。
