Sandberg Kedfors Kajsa, Molin Mattias, Lindh Ingela
Department of Obstetrics and Gynecology, Sahlgrenska Academy at Gothenburg University, Sahlgrenska University Hospital, Medicinaregatan 3, Gothenburg, SE- 413 45, Sweden.
Statistic Consulting Group, Stigbergsliden 5, Gothenburg, SE- 414 63, Sweden.
BMC Pregnancy Childbirth. 2025 Sep 8;25(1):930. doi: 10.1186/s12884-025-08061-6.
A growing body of knowledge is questioning the timing of postpartum care (PPC) and suggesting a structural change. The primary aim was to evaluate individuals' satisfaction with additional PPC, and the secondary aim was to identify different needs postpartum.
This comparative study was conducted in six maternity clinics in Gothenburg, Sweden 2019-2020. A total of 1159 eligible individuals were enrolled. An intervention model of care was evaluated, where the intervention group received two postpartum care compared to standard care, one visit (seven weeks postpartum) to their midwives. The participants answered questionnaires in connection to all postpartum care visits and at one-year postpartum a follow-up questionnaire was sent out.
The data from a total of 958 of 1159 participants (82.7%) were analysed: 447 of 554 (80.7%) in the intervention group vs 511 of 605 (84.4%) in the standard group. The participants in the intervention group reported satisfaction with the early, additional visit 413/444 (93%); where primiparous individuals reported a higher appreciation compared to parous individuals; 223/233 (95.7%) vs 190/211 (90.0%), P = 0.051. The three-weeks postpartum visit was perceived as timely, 434/441 (98.4%). Participants attending the clinic situated in a low socioeconomic status area were less likely to report a preference for additional visits. Nearly half of the participants in the standard group 201/466 (43%) expressed a preference towards an additional and early visit and this was more common among primiparous, 127/254 (50%) vs parous 74/212 (34.9%) P = 0.001. Those in the standard group who expressed a need for earlier support reported a wish for discussing abdominal/vaginal problems and experience of giving birth. Primiparous 73/127 (57.7%) were more likely than parous individuals 28/74 (37.8%) P = 0.011 to express a need for additional support with breastfeeding.
The results demonstrate an increased need for early and additional visits among primiparous, and important topics were abdominal/vaginal problems, experience of giving birth and breastfeeding. Information for individuals in low socioeconomic status areas needs to be expanded.
越来越多的知识对产后护理（PPC）的时间安排提出质疑，并建议进行结构调整。主要目的是评估个体对额外产后护理的满意度，次要目的是确定产后的不同需求。
这项比较研究于2019 - 2020年在瑞典哥德堡的六家产科诊所进行。共招募了1159名符合条件的个体。评估了一种护理干预模式，与标准护理相比，干预组接受两次产后护理，即产后七周去助产士处进行一次访视。参与者在每次产后护理访视时都要回答问卷，产后一年会发放一份随访问卷。
对1159名参与者中的958名（82.7%）的数据进行了分析：干预组554名中的447名（80.7%），标准组605名中的511名（84.4%）。干预组的参与者对早期额外访视表示满意，413/444（93%）；初产妇比经产妇的满意度更高，223/233（95.7%）对190/211（90.0%），P = 0.051。产后三周的访视被认为是及时的，434/441（98.4%）。在社会经济地位较低地区诊所就诊的参与者不太可能表示希望有额外访视。标准组中近一半的参与者201/466（43%）表示希望有额外的早期访视，这在初产妇中更为常见，127/254（50%）对经产妇74/212（34.9%），P = 0.001。标准组中表示需要更早支持的人希望讨论腹部/阴道问题和分娩经历。初产妇73/127（57.7%）比经产妇28/74（37.8%）更有可能表示需要在母乳喂养方面获得额外支持，P = 0.011。
结果表明初产妇对早期和额外访视的需求增加，重要话题包括腹部/阴道问题、分娩经历和母乳喂养。需要扩大对社会经济地位较低地区个体的信息提供。
