Frederiksen Marianne Stistrup, Schmied Virginia, Overgaard Charlotte
Public Health and Epidemiology Group, Department of Health Science and Technology, Aalborg University, Niels Jernes Vej 14, 9220 Aalborg Øst, Denmark.
School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia.
Women Birth. 2023 Feb;36(1):117-126. doi: 10.1016/j.wombi.2022.03.009. Epub 2022 Apr 13.
While continuity of care is a core element of high-quality maternity care, it is potentially even more important for pregnant women and their partners who are at risk of adverse health outcomes because of psychosocial vulnerability. However, little is known about how a coherent care journey can be ensured for women and families who may require interdisciplinary and inter-sectoral services during pregnancy and the postnatal period.
To explore the role of continuity of care in creating a coherent care journey for vulnerable parents during pregnancy and the postnatal period.
An ethnographic study conducted in Denmark based on interviews with, and field observations, of 26 mothers and 13 fathers receiving services due to mental health problems, young age, past substance abuse and/or adverse childhood experiences.
Three key findings emerged: 1). Developing relationships allowed parents to know and feel known by care providers, which helped them feel secure and reach out for support. 2). Handover of information allowed parents to feel secure as their need for support was recognised by care providers; some parents, however, felt exposed when information was shared 3). Receiving relevant services allowed parents to have their needs for support addressed, which requires easy referral pathways and coordination of services.
All forms of continuity of care should be prioritised in the organisation of maternity care services for women and families in vulnerable positions. While relational continuity is important, continuity of care must also reach across providers, sectors and services to ensure coherent care journeys.
虽然连续性护理是高质量孕产妇护理的核心要素，但对于因心理社会脆弱性而面临不良健康后果风险的孕妇及其伴侣来说，它可能更为重要。然而，对于如何确保为孕期和产后可能需要跨学科和跨部门服务的妇女和家庭提供连贯的护理过程，我们知之甚少。
探讨连续性护理在为脆弱父母在孕期和产后创造连贯护理过程中所起的作用。
在丹麦进行了一项人种学研究，对26名母亲和13名父亲进行了访谈并进行了实地观察，这些父母因心理健康问题、年龄小、过去有药物滥用和/或不良童年经历而接受服务。
出现了三个关键结果：1）建立关系使父母能够了解护理提供者并被护理提供者了解，这有助于他们感到安全并寻求支持。2）信息交接使父母感到安全，因为护理提供者认识到他们的支持需求；然而，一些父母在信息被分享时感到暴露。3）接受相关服务使父母的支持需求得到满足，这需要便捷的转诊途径和服务协调。
在为处于弱势地位的妇女和家庭组织孕产妇护理服务时，应优先考虑所有形式的连续性护理。虽然关系连续性很重要，但连续性护理还必须跨越提供者、部门和服务，以确保连贯的护理过程。
