Redesigning postnatal care: a randomised controlled trial of protocol-based midwifery-led care focused on individual women's physical and psychological health needs

Abstract

Redesigning postnatal care: a randomised controlled trial of protocol-based midwifery-led care focused on individual women's physical and psychological health needs. Health Technol Assess 2003;7(37). Health Technology Assessment is indexed in Index Medicus/MEDLINE and Excerpta Medica/ EMBASE. NHS R&D HTA Programme T he NHS R&D Health Technology Assessment (HTA) Programme was set up in 1993 to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. Initially, six HTA panels (pharmaceuticals, acute sector, primary and community care, diagnostics and imaging, population screening, methodology) helped to set the research priorities for the HTA Programme. However, during the past few years there have been a number of changes in and around NHS R&D, such as the establishment of the National Institute for Clinical Excellence (NICE) and the creation of three new research programmes: Service Delivery and Organisation (SDO); New and Emerging Applications of Technology (NEAT); and the Methodology Programme. This has meant that the HTA panels can now focus more explicitly on health technologies ('health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care) rather than settings of care. Therefore the panel structure was replaced in 2000 by three new panels: Pharmaceuticals; Therapeutic Procedures (including devices and operations); and Diagnostic Technologies and Screening.

A systematic review, evidence synthesis and meta-analysis of quantitative and qualitative studies evaluating the clinical effectiveness, the cost-effectiveness, safety and acceptability of interventions to prevent postnatal depression

“…Collectively they explain many intervention components for individual-based and group-centred approaches. Other interventions derive their imperative not from an explicit theoretical basis but from political or social drivers such as the agendas of the UK government 264 or of the World Health Organization. 148 For a fuller discussion of principal theories underpinning strategies for treatment and by implication, prevention see the useful summary by Beck.…”

“…146,[217][218][219][220] All six trials involved individual sessions. 146,[217][218][219][220] None of the trials provided the intervention only antenatally; three initiated the intervention postnatally, 146,217,264 and two trials initiated the intervention during the pregnancy and continued it postnatally. 219,220 The provision of the midwifery care varied in the number of contacts, with duration ranging from 15 minutes to 1 hour.…”

Where Are We Standing on Postpartum Care? A Cross-sectional Community Based Study

“…4 Bunun yanısıra, kadın sağlığı üzerine odaklanmış bir doğum sonrası bakım hizmetinin, kadınların fizyolojik ve psikolojik sağlığı üzerine olumlu etkileri olduğu bildirilmektedir. 5 Doğum sonrası bakım hizmetleri, anne ve yeni doğanın sağlık sorunlarını belirlemek için sağlık çalışanlarına önemli bir imkan sağlamaktadır. 6 Doğum sonrası bakım hizmetleri verilirken, emzirme, kişisel hijyen, aile planlaması gibi konularda eğitim verilerek, anne ve bebeğe postnatal demir, A ve D vitamini vs desteği sağlanarak anne ve bebeğin daha optimal sağlık hizmeti da sağlanabilir.…”

Screening and Prevention of Postnatal Depression

“…Health professionals can trivialize the symptoms or offer treatment that is not suitable for the women (Dennis, 2009;Dennis & Chung-Lee, 2006). As many women do not report physical or emotional disorders after childbirth, the primary health care service does not adequately address these women's needs (Cox & Holden, 2003;MacArthur et al, 2003). Universal screening for postnatal depression during well-child care visits has been shown to increase detection (Morrell et al, 2009a;McLearn et al, 2006;Glavin et al, 2010c).…”