University of Oxford, Oxford, United Kingdom.
Birmingham City University, Birmingham, United Kingdom.
Qual Health Res. 2020 Oct;30(12):1876-1887. doi: 10.1177/1049732320944141.
Postnatal care is the aspect of maternity care with which women in England are least satisfied. Little is known about first-time mothers' expectations of postnatal care, or how these expectations relate to their experiences and appraisal of care. Thirty-two first-time mothers took part in a longitudinal qualitative descriptive study, based on two semi-structured interviews-the first in pregnancy, and the second 2 to 3 months after birth. Trajectory analysis was used to identify the thematic patterns in the relationships between postnatal care expectations, needs, experiences, and confidence. Five trajectories were identified, showing that mothers' satisfaction with postnatal care and confidence were primarily influenced not by the extent to which their expectations were met but the varied extent to which their individual postnatal needs were met. Rapid and responsive assessment of needs both antenatally and postnatally, and appropriate adjustment of care, is key in supporting women effectively at this time.
产后护理是英国女性最不满意的母婴护理方面。对于初产妇对产后护理的期望，以及这些期望如何与其护理体验和评价相关，人们知之甚少。32 名初产妇参与了一项纵向定性描述研究，该研究基于两次半结构化访谈——第一次在怀孕期间，第二次在产后 2 到 3 个月。轨迹分析用于确定产后护理期望、需求、体验和信心之间关系的主题模式。确定了五条轨迹，表明母亲对产后护理的满意度和信心主要不是受期望满足程度的影响，而是受个人产后需求满足程度的不同影响。在产前和产后迅速而有反应地评估需求，并适当调整护理，是此时有效支持妇女的关键。
