Western Australian women's perceptions of the style and quality of midwifery postnatal care in hospital and at home.

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dc.contributor.author Fenwick, J
dc.contributor.author Butt, J
dc.contributor.author Dhaliwal, S
dc.contributor.author Hauck, Y
dc.contributor.author Schmied, V
dc.date.accessioned 2011-02-07T06:24:21Z
dc.date.issued 2010-03
dc.identifier.citation Women and birth : journal of the Australian College of Midwives, 2010, 23 (1), pp. 10 - 21
dc.identifier.issn 1871-5192
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/13742
dc.description.abstract AIM AND BACKGROUND: An important part of maternity service provision is the care provided by midwives in the immediate postpartum period. Evidence suggests that postpartum morbidity and its impact on women's health after childbirth is an area of genuine concern. In Western Australia there is limited information on women's postpartum health needs and/or the quality of midwifery care provided in hospital and at home. This paper describes Western Australian (WA) women's perceptions of midwifery care in the early postpartum period. METHOD: A cross-sectional, self report survey was used to describe the practical, emotional and informational support provided by midwives in the initial postpartum period. A questionnaire, specially designed for this population, was posted at 8 weeks postpartum to every woman with a registered live birth in WA between February and June 2006. Completed questionnaires were received from 2699 women. Data were analysed using descriptive statistics, t-tests and chi-squared. RESULTS: Results indicate that overall, women were happy with most aspects of midwifery care related to practical advice and assistance in relation to baby care and their immediate physical recovery. Areas that received a less positive rating were related to providing consistent advice, availability of the midwife, emotional care and information on maternal health needs, immunisation and contraception. In general, first time mothers rated both the style and quality of care more negatively than multiparous women. There was a trend by women accessing private hospital care to rank their care less favourably. There were minimal differences noted between women in metropolitan and non-metropolitan areas. Midwifery care at home was rated very positively and significantly better than hospital care (p</=0.002). CONCLUSION: Although the majority of women in this study were satisfied with the components of physical care and information and assistance with infant feeding and sleep and settling provided in the short-term, there was less satisfaction with emotional care and preparation for life at home with a new baby. This study adds to our understandings of women's experiences of the early postnatal period and provides information on which to base improvements in postnatal care and maternity services in WA and across Australia.
dc.format Print-Electronic
dc.language eng
dc.relation.isbasedon 10.1016/j.wombi.2009.06.001
dc.title Western Australian women's perceptions of the style and quality of midwifery postnatal care in hospital and at home.
dc.type Journal Article
dc.parent Women and birth : journal of the Australian College of Midwives
dc.journal.volume 1
dc.journal.volume 23
dc.journal.number 1 en_US
dc.publocation Australia en_US
dc.identifier.startpage 10 en_US
dc.identifier.endpage 21 en_US
dc.cauo.name FOH.Center for Midwifery, Child and Family Health en_US
dc.conference Verified OK en_US
dc.for 1110 Nursing
dc.personcode 950008
dc.personcode 044296
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Humans
dc.description.keywords Questionnaires
dc.description.keywords Postnatal Care
dc.description.keywords Home Childbirth
dc.description.keywords Mothers
dc.description.keywords Postpartum Period
dc.description.keywords Midwifery
dc.description.keywords Hospitals
dc.description.keywords Maternal Health Services
dc.description.keywords Adolescent
dc.description.keywords Adult
dc.description.keywords Nurse Midwives
dc.description.keywords Middle Aged
dc.description.keywords Patient Satisfaction
dc.description.keywords Nurse-Patient Relations
dc.description.keywords Young Adult
dc.description.keywords Cross-Sectional Studies
dc.description.keywords Pregnancy
dc.description.keywords Quality of Health Care
dc.description.keywords Continuity of Patient Care
dc.description.keywords Western Australia
dc.description.keywords Female
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Closed (ID: 3)

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