Schmied Virginia, Myors Karen, Burns Elaine, Curry Joanne, Pangas Jacqueline, Dahlen Hannah G
School of Nursing and Midwifery, Western Sydney University, Sydney, Australia.
ESSOMENIC PTY LTD https://www.essomenic.net/, Sydney, Australia.
BMC Health Serv Res. 2024 Dec 3;24(1):1530. doi: 10.1186/s12913-024-11995-w.
Service gaps continue in hospital and community-based postnatal care despite a high prevalence of physical and mental health concerns reported by women following birth. The aim of this study was to describe the postnatal journey and the care provided to women and their babies who were at low risk for health complications from birth to discharge from the maternity service.
A mixed methods design was used to map the postnatal journey, for the woman and baby, from birth to discharge from the maternity service. Data were collected through activity diaries completed by 15 women and telephone interviews with the women two weeks after birth.
The average hospital postnatal stay was 70 h and, in this time, the women received on average, a total of 3 h of direct care from a health professional. That is, 4.3% of the in-hospital postnatal stay was spent interacting with a health professional. Approximately 53 min of care in the postnatal unit was directed at the mother's health, 50 min on the baby's health needs, 43 min supporting breastfeeding and 20 min on discharge information. Most reported that hospital based postnatal care was helpful, although they reported that staff on the postnatal unit were rushed and mostly the midwife caring for them was unfamiliar to them. Breastfeeding support in the first 12-24 h was limited, with women wanting more one-on-one access to midwives. Some women received home-based midwifery care, and on average each home visit by a midwife was 29 min. Women who received home-based midwifery care reported that this care was very helpful. Women reported that home-based midwives were more likely to engage women in conversations about their social and emotional needs than hospital-based midwives. All mothers were offered a home visit from a child and family health nurse and most visited a general practitioner in the first week.
Women often experience limited time in direct interaction with midwives in the postnatal unit in hospital. Those who received midwifery care at home were more satisfied with this care, Women are requesting more support from professionals in the early postnatal period.
尽管产后妇女身心健康问题的发生率很高，但医院和社区产后护理服务仍存在差距。本研究的目的是描述从出生到产科出院期间，健康并发症风险较低的妇女及其婴儿的产后历程和所接受的护理。
采用混合方法设计来描绘妇女和婴儿从出生到产科出院的产后历程。通过15名妇女填写的活动日记以及产后两周对她们进行的电话访谈收集数据。
产后平均住院时间为70小时，在此期间，妇女平均共接受了3小时来自医护人员的直接护理。也就是说，产后住院时间的4.3%用于与医护人员互动。产后病房中约53分钟的护理针对母亲的健康，50分钟针对婴儿的健康需求，43分钟用于支持母乳喂养，20分钟用于出院信息。大多数人表示医院的产后护理很有帮助，尽管她们称产后病房的工作人员很匆忙，而且照顾她们的助产士大多她们并不熟悉。产后12至24小时内的母乳喂养支持有限，妇女希望能有更多一对一接触助产士的机会。一些妇女接受了家庭助产护理，助产士平均每次家访时长为29分钟。接受家庭助产护理的妇女表示这种护理非常有帮助。妇女们称，与医院的助产士相比，家庭助产士更有可能与她们就社会和情感需求展开交谈。所有母亲都收到了儿童和家庭健康护士的家访邀请，大多数母亲在第一周还看了全科医生。
在医院产后病房，妇女与助产士直接互动的时间通常有限。那些在家中接受助产护理的妇女对这种护理更满意。妇女们在产后早期需要专业人员提供更多支持。
