Quality improvement in postnatal care: Findings from two cohorts of women in Sweden

Ulrika Öhrn, Ulrika Öhrn and Helene Parment, Helene Parment and Ingegerd Hildingsson, Ingegerd Hildingsson (2020) Quality improvement in postnatal care: Findings from two cohorts of women in Sweden. European Journal of Midwifery, 4 (1). pp. 1-9. ISSN 2585-2906

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Abstract

INTRODUCTION Postnatal care is an important area of midwifery practice. Changes in the
length of postnatal stay, models of postnatal care, and the content of care have influenced
women’s satisfaction. The aim of this study was to describe women’s assessment of
postnatal care in a Swedish hospital in 2017, and to compare this with women who gave
birth in 2006 in the same hospital.
METHODS A comparative study was conducted of two cohorts of women who gave birth
in 2006 and 2017 in a hospital in the middle-north part of Sweden with 1700 annual
births. Data were collected by questionnaires, where data from 2017 were compared with
data from 2006.
RESULTS In all, 366 women who gave birth in 2006 and 342 in 2017 responded. There
was a reduction in time of discharge in 2017 and more women went home directly from
the labour ward and fewer women had their postnatal stay in the hotel ward, compared to
postnatal women in 2006. A higher percentage of women were ‘Very satisfied’ with the
overall aspects of postnatal care in 2017 compared to women in 2006. The content of
postnatal care showed statistically significant improvements over time for the majority of
variables studied, but some women reported not receiving information/help with specific
postnatal aspects. Multiparous women, women older than 35 years, and women who had
had a caesarean section received less information and practical help.
CONCLUSIONS The study showed an increase in overall satisfaction with postnatal care
over time and most areas were improved. Continuous work is therefore needed in order to
improve postnatal care and put the women and their families at the centre of care. More
research is needed to try new models of care that will increase satisfaction with postnatal
care.

Item Type:	Article
Uncontrolled Keywords:	cohort study, postnatal care, satisfaction
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Mrs Ni Made Yunia Dwi Savitri
Date Deposited:	04 Jul 2022 00:43
Last Modified:	04 Jul 2022 00:43
URI:	http://eprints.triatmamulya.ac.id/id/eprint/1216

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