Department of Women's and Children's Health, Uppsala University, Sweden; Department of Obstetrics and Gynecology, Södersjukhuset, Sweden.
Co-author: Department of Midwifery Research - Reproductive, Perinatal and Sexual Health, Lund University, Sweden; Department of Obstetrics and Gynecology, Helsingborg Lasarett, Sweden.
Midwifery. 2019 Nov;78:140-149. doi: 10.1016/j.midw.2019.07.010. Epub 2019 Jul 15.
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.
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 childbirth, 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.
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.
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.
产后护理的目标是以尽可能最低的干预提供尽可能高的护理质量和医疗安全性，以优化新家庭的健康和幸福。本研究的目的是描述母亲们在新的基于家庭的产褥期助产护理模式下的体验。
本研究采用横断面混合方法设计，评估瑞典新的基于家庭的产褥期助产护理模式。健康、无并发症的妊娠和分娩、以及健康婴儿的母亲在分娩后一周内在线回答问卷。数据在一年（2017-2018 年）内收集，对定量数据采用描述性和推断性统计分析，对定性数据采用显式内容分析。
共有 180 名有 1 至 6 个孩子的母亲参与。她们最有可能在分娩后 6-12 小时出院（56%），90%的母亲报告说她们的出院时间是合适的。产后检查包括电话联系（100%）、家访（94%）和医院访视（98%）。大多数母亲对使用新的产褥期助产护理模式有积极的体验（平均 VAS 8.74，标准差 1.438）。对于 75%的参与者来说，她们希望在下一次分娩时选择基于家庭的产后护理。
基于家庭的产后护理得到了分娩后早期出院的母亲的认可。对新的产褥期助产护理模式有积极体验的母亲，会在下一次分娩时选择基于家庭的产后护理。助产护理应包括基于家庭的产后护理。
