Canadian Women's Experience of Postnatal Care: A Mixed Method Study.


Journal

The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres
ISSN: 1705-7051
Titre abrégé: Can J Nurs Res
Pays: United States
ID NLM: 8910581

Informations de publication

Date de publication:
Dec 2022
Historique:
pubmed: 28 10 2021
medline: 26 10 2022
entrez: 27 10 2021
Statut: ppublish

Résumé

The postnatal period remains unstandardized in terms of care and postnatal visits with a dearth of information on the experience from Canadian women. To explore (1) with whom and how often women receive postnatal follow-up visits and (2) the postnatal care experiences of Canadian mothers. Using a cross-sectional design, women who had given birth within the past 6 months were recruited to complete an online survey. Frequencies were computed for quantitative outcomes and thematic analysis was used for qualitative responses. A total of 561 mothers completed the survey. Women saw on average 1.9 different postnatal healthcare providers, primarily family doctors (72.4%). 3.2% had no postnatal visits and 37.6% had 4  or more within 6 weeks. 76.1% women were satisfied with their postnatal care. Women's satisfactory care in the postnatal period was associated with in-person and at home follow-ups, receiving support, and receiving timely, appropriate care for self and newborn. Unsatisfactory care was associated with challenges accessing care, experiencing gaps in follow-up visits, and having unsatisfactory assessment for their own recovery. There is considerable variation in the timing and frequency of postnatal visits. While many women are experiencing satisfactory care, women are still reporting dissatisfaction and are facing challenges.

Sections du résumé

BACKGROUND BACKGROUND
The postnatal period remains unstandardized in terms of care and postnatal visits with a dearth of information on the experience from Canadian women.
PURPOSE OBJECTIVE
To explore (1) with whom and how often women receive postnatal follow-up visits and (2) the postnatal care experiences of Canadian mothers.
METHODS METHODS
Using a cross-sectional design, women who had given birth within the past 6 months were recruited to complete an online survey. Frequencies were computed for quantitative outcomes and thematic analysis was used for qualitative responses.
RESULTS RESULTS
A total of 561 mothers completed the survey. Women saw on average 1.9 different postnatal healthcare providers, primarily family doctors (72.4%). 3.2% had no postnatal visits and 37.6% had 4  or more within 6 weeks. 76.1% women were satisfied with their postnatal care. Women's satisfactory care in the postnatal period was associated with in-person and at home follow-ups, receiving support, and receiving timely, appropriate care for self and newborn. Unsatisfactory care was associated with challenges accessing care, experiencing gaps in follow-up visits, and having unsatisfactory assessment for their own recovery.
CONCLUSION CONCLUSIONS
There is considerable variation in the timing and frequency of postnatal visits. While many women are experiencing satisfactory care, women are still reporting dissatisfaction and are facing challenges.

Identifiants

pubmed: 34704508
doi: 10.1177/08445621211052141
pmc: PMC9596944
doi:

Types de publication

Journal Article

Langues

eng

Pagination

497-507

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Auteurs

Justine Dol (J)

Faculty of Health, 3688Dalhousie University, Halifax, NS, Canada.

Brianna Hughes (B)

School of Nursing, Faculty of Health, 70338Dalhousie University, Halifax, NS, Canada.

Gail Tomblin Murphy (G)

432234Nova Scotia Health Authority, Halifax, NS, Canada.

Megan Aston (M)

School of Nursing, Faculty of Health, 70338Dalhousie University, Halifax, NS, Canada.

Douglas McMillan (D)

Division of Neonatal Perinatal Medicine, Department of Pediatrics, Faculty of Medicine, 70338Dalhousie University and IWK Health Centre, Halifax, NS, Canada.

Marsha Campbell-Yeo (M)

School of Nursing, Faculty of Health, 70338Dalhousie University, Halifax, NS, Canada.
Division of Neonatal Perinatal Medicine, Department of Pediatrics, Faculty of Medicine, 70338Dalhousie University and IWK Health Centre, Halifax, NS, Canada.

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Classifications MeSH