Women's views of their postnatal care by midwives at an adelaide women's hospital

Stamp, Georgina E.; Crowther, Caroline A

doi:10.1016/0266-6138(94)90045-0

Cited by 27 publications

(18 citation statements)

References 18 publications

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“…In comparison with international studies, mainly from Australia, the satisfaction scores in this study are low. In common with other research findings, 13,17,22,23 most of the factors associated with dissatisfaction were related to staff. Friendly and helpful staff that provides support, assistance and adequate information would increase satisfaction with postnatal care.…”

Section: Discussionmentioning

confidence: 49%

New parents’ experiences of postnatal care in Sweden

Hildingsson

2007

Women and Birth

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Section: Discussionmentioning

confidence: 49%

New parents’ experiences of postnatal care in Sweden

Hildingsson

2007

Women and Birth

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“…Women have consistently rated their postnatal care less favourably than other episodes of maternity care, leading to recommendations that postnatal care could be improved[1,3,5-7]. However, in two statewide surveys of recent mothers in Victoria, Australia, women cared for in the private maternity sector were significantly more likely to report higher satisfaction with their postnatal care than women in the public sector[3,5].…”

Section: Introductionmentioning

confidence: 99%

A statewide review of postnatal care in private hospitals in Victoria, Australia

Rayner

McLachlan

Forster

et al. 2010

BMC Pregnancy Childbirth

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BackgroundConcerns have been raised in Australia and internationally regarding the quality and effectiveness of hospital postnatal care, although Australian women receiving postnatal care in the private maternity sector rate their satisfaction with care more highly than women receiving public maternity care. In Victoria, Australia, two-thirds of women receive their maternity care in the public sector and the remainder in private health care sector. A statewide review of public hospital postnatal care in Victoria from the perspective of care providers found many barriers to care provision including the busyness of postnatal wards, inadequate staffing and priority being given to other episodes of care; however the study did not include private hospitals. The aim of this study was replicate the review in the private sector, to explore the structure and organisation of postnatal care in private hospitals and identify those aspects of care potentially impacting on women's experiences and maternal and infant care. This provides a more complete overview of the organisational structures and processes in postnatal care in all Victorian hospitals from the perspective of care providers.MethodsA mixed method design was used. A structured postal survey was sent to all Victorian private hospitals (n = 19) and key informant interviews were undertaken with selected clinical midwives, maternity unit managers and obstetricians (n = 11). Survey data were analysed using descriptive statistics and interview data analysed thematically.ResultsPrivate hospital care providers report that postnatal care is provided in very busy environments, and that meeting the aims of postnatal care (breastfeeding support, education of parents and facilitating rest and recovery for women following birth) was difficult in the context of increased acuity of postnatal care; prioritising of other areas over postnatal care; high midwife-to-woman ratios; and the number and frequency of visitors. These findings were similar to the public review. Organisational differences in postnatal care were found between the two sectors: private hospitals are more likely to have a separate postnatal care unit with single rooms and can accommodate partners' over-night; very few have a policy of infant rooming-in; and most have well-baby nurseries. Private hospitals are also more likely to employ staff other than midwives, have fewer core postnatal staff and have a greater dependence on casual and bank staff to provide postnatal care.ConclusionsThere are similarities and differences in the organisation and provision of private postnatal care compared to postnatal care in public hospitals. Key differences between the two sectors relate to the organisational and aesthetic aspects of service provision rather than the delivery of postnatal care. The key messages emerging from both reviews is the need to review and monitor the adequacy of staffing levels and to develop alternative approaches to postnatal care to improve this episode of care for women and care providers alike. We ...

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“…Determinants of Utilization of Oral Health Services by Postnatal Mothers in Winterveldt, Gauteng Province, South Africa P Gwengu* Sefako Makgatho Health Sciences University, Pretoria, Gauteng, South Africa important factor because it provides emotional support, information, assistance with breast feeding and physical care [7].…”

Section: Discussionmentioning

confidence: 99%

“…There is a need to encourage them to utilise oral health services and to ensure that the Sisters of Mercy dental clinic is accessible to them. Mothers who had to walk for more than an hour to reach oral health services had accessibility constraints which can affect them negatively especially in harsh weathers (rainy, cold or hot days in South Africa).Determinants of Utilization of Oral Health Services by Postnatal Mothers in Winterveldt, Gauteng Province, South Africa P Gwengu* Sefako Makgatho Health Sciences University, Pretoria, Gauteng, South Africa important factor because it provides emotional support, information, assistance with breast feeding and physical care [7].Also important is the utilisation of oral health services by postnatal mothers, as it can influence conducive oral health behaviour in their children. Previous studies have highlighted that mothers are primary care-takers of their children [8].…”

mentioning

confidence: 99%

Determinants of Utilization of Oral Health Services by Postnatal Mothers in Winterveldt, Gauteng Province, South Africa

Gwengu¹

2017

J Oral Hyg Health

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A case control study was conducted to determine factors (enhancers and barriers) relating to the utilization of oral health services by postnatal mothers in the Sisters of Mercy Clinic in Winterveldt. Control of oral diseases of postnatal mothers depends on the availability, readiness and accessibility of oral health systems, but any reduction of risk to diseases is only possible if services are oriented towards Primary Health Care (PHC).107 cases (postnatal mothers who were present users of oral health services in the dental unit at the time of their interviews) and 107 controls (postnatal mothers who were present non-users of oral health services in the postnatal and immunization unit at the time of their interviews) were included in the study. Age matched non-users of oral health services who were fulfilling the same inclusion criteria for users of oral health services were selected for comparison. A closed ended questionnaire was specifically designed for the study in English, and together with the information sheet and consent forms translated into the vernacular. Questionnaires were administered by a trained researcher from December 2010 -February 2012. The questionnaire was divided into four categories, namely, sociodemographic factors, socio-economic factors, access factors and utilization factors. Bivariate (Chi-square test) and multivariate (logistic regression) analyses were carried out to find associations between the factors and use of oral health services. Results:The study revealed that the majority of postnatal mothers were less than 29 years old (61% were cases and 47% were controls); were biological mothers (93% cases and 78% controls); were unemployed (93% cases and 84% controls); were on social grants (68% cases and 66% controls) and had a secondary school education (80% cases and 79% controls). In the control group, 64% reported that they had dental problems compared to 36% in the case group, but only 51% of the controls reported that they had previous visits at Sisters of Mercy dental clinic compared to 64% of the cases. Bivariate analysis revealed significant differences in 14 variables. Logistic regression revealed the strongest predictors for present use of oral health services to be: the number of household children and travelling time. Participants in the dental unit had to travel for 30 minutes who were found to be more likely to utilize oral health services (OR= 1.38; CI=1.01-1.90; P ≤ 0.05) compared to those from the postnatal unit who had to travel longer (more than 1 hour). Participants with fewer children in the postnatal unit were found to be less likely to utilize oral health services (OR= 0.53; CI=0.305-0.924; P ≤ 0.05) compared to those with more children (>5) in the dental unit. Conclusions:Despite having fewer children, most postnatal mothers in the postnatal unit did not make previous use of oral health services. There is a need to encourage them to utilise oral health services and to ensure that the Sisters of Mercy dental clinic is accessible to them. Mothers who...

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Women's views of their postnatal care by midwives at an adelaide women's hospital

Cited by 27 publications

References 18 publications

New parents’ experiences of postnatal care in Sweden

New parents’ experiences of postnatal care in Sweden

A statewide review of postnatal care in private hospitals in Victoria, Australia

Determinants of Utilization of Oral Health Services by Postnatal Mothers in Winterveldt, Gauteng Province, South Africa

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