Hildingsson Ingegerd, Parment Helene, Öhrn Ulrika, Johansson Margareta
Department of Women's and Children's Health, Faculty of Medicine, Uppsala University, Uppsala, Sweden.
Department of Nursing, Mid Sweden University, Sundsvall, Sweden.
Eur J Midwifery. 2023 Nov 14;7:32. doi: 10.18332/ejm/172573. eCollection 2023.
Although high-quality postnatal care provides information and recognizes women's personal and cultural contexts, foreign-born women are more exposed to poor health and adverse birth outcomes. The aim of this study was to compare the length and model of postnatal care, along with the content of care, between foreign-born and native-born women living in Sweden. Another aim was to explore factors associated with being very satisfied with various aspects of postnatal care.
This was a descriptive cross-sectional study of 483 postnatal women in two Swedish hospitals in 2017. Women completed a questionnaire comprising background data, pregnancy and birth related variables and the Early Postnatal Questionnaire. Data were analyzed using descriptive statistics, analysis of variance and multivariate logistic regression analyses.
Foreign-born women were more likely to have a shorter (<24 h) or longer (>48 h) length of postnatal stay than women born in Sweden. No differences in birth outcomes emerged between the two groups. Foreign-born women rated the medical (OR=1.77; 95% CI: 1.04-3.03) and emotional (OR=2.0; 95% CI: 1.17-3.40) aspects of postnatal care as being more important than Swedish-born women did. The most important aspect of overall satisfaction was the content of care, and the subscale Caring Relationship (AOR=8.15; 95% CI: 4.87-14.62) outscored all other aspects.
Important factors of satisfactory experiences with postnatal care in a Swedish context were receiving information, professional care, and a hospital environment that facilitates recovery after labor and birth. Culturally sensitive and individualized postnatal care with continuity should therefore be prioritized.
尽管高质量的产后护理能提供信息并考虑到女性的个人及文化背景，但出生在国外的女性面临健康状况不佳和不良分娩结局的风险更高。本研究旨在比较瑞典出生的女性和国外出生的女性在产后护理的时长、模式以及护理内容方面的差异。另一个目的是探讨与对产后护理各方面非常满意相关的因素。
这是一项2017年对瑞典两家医院483名产后女性进行的描述性横断面研究。女性们完成了一份包含背景数据、妊娠和分娩相关变量以及产后早期问卷的调查问卷。数据采用描述性统计、方差分析和多变量逻辑回归分析进行分析。
与瑞典出生的女性相比，国外出生的女性产后住院时间更短（<24小时）或更长（>48小时）的可能性更大。两组在分娩结局方面没有差异。国外出生的女性认为产后护理的医疗（OR=1.77；95%CI：1.04-3.03）和情感（OR=2.0；95%CI：1.17-3.40）方面比瑞典出生的女性更为重要。总体满意度最重要的方面是护理内容，“关怀关系”子量表（AOR=8.15；95%CI：4.87-14.62）得分高于所有其他方面。
在瑞典背景下，产后护理满意体验的重要因素包括获得信息、专业护理以及有利于产后恢复的医院环境。因此，应优先提供具有文化敏感性、个性化且具有连续性的产后护理。
