Academic Primary Care Centre, Region Stockholm, Sweden; Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
Academic Primary Care Centre, Region Stockholm, Sweden; Department of Medical and Health Sciences, Linköping University, Sweden.
Midwifery. 2024 Jul;134:104020. doi: 10.1016/j.midw.2024.104020. Epub 2024 Apr 26.
This study aimed to investigate new mothers' self-rated and perceived health problems and complications; their reasons for, and the frequency of, emergency department visits; how emergency department visits were associated with sociodemographic and obstetric factors; and new mothers' experiences of received support from the midwifery clinic.
A cross-sectional survey.
The study was conducted at 35 of 64 midwifery clinics in Stockholm, Sweden. The study population consisted of 580 new mothers.
Descriptive statistics and logistic regression were used. New mothers experience a range of different health problems and complications during the first four weeks after giving birth. Sixteen percent sought emergency care. The odds of seeking emergency care increased for women with higher age and poorer self-rated health. Sixty-three percent of the new mothers received support from a midwife in primary care within the first four weeks after childbirth. Mothers who did not receive the support they wanted, expressed a wish for earlier contact and better accessibility.
It is notable that 16 % of new mothers seek emergency care in the first weeks after childbirth. This study has practical implications for midwifery practice and policy. There is a need for tailored postnatal support strategies so that midwives potentially are able to mitigate emergency department visits. Further studies should look at whether the high number of emergency visits among new mothers varies throughout Sweden, and whether this may be a result of reduced time of hospital stay after childbirth or other factors.
本研究旨在调查新妈妈自我评估和感知的健康问题和并发症；她们前往急诊的原因和频率；急诊就诊与社会人口学和产科因素的关联；以及新妈妈从助产士诊所获得的支持体验。
横断面调查。
该研究在瑞典斯德哥尔摩的 64 家中有 35 家助产士诊所进行。研究人群由 580 名新妈妈组成。
使用描述性统计和逻辑回归。新妈妈在分娩后四周内会经历各种不同的健康问题和并发症。16%的人寻求急诊护理。寻求急诊护理的可能性会随着年龄的增加和自我评估健康状况的恶化而增加。在分娩后的头四周内，63%的新妈妈在初级保健中得到了助产士的支持。那些没有得到所需支持的母亲表示希望更早联系和更好的可及性。
值得注意的是，16%的新妈妈在分娩后头几周内寻求急诊护理。本研究对助产实践和政策具有实际意义。需要制定有针对性的产后支持策略，以便助产士能够减轻急诊就诊的可能性。进一步的研究应该观察新妈妈急诊就诊的高发生率是否在瑞典各地有所不同，以及这是否是由于分娩后住院时间缩短或其他因素造成的。
