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Title: Structured organisation of postpartum care : benefits for families and midwives
Authors : Grylka, Susanne
Iglesias, Carolina
Pehlke-Milde, Jessica
Conference details: From Birth to Health - Towards Sustainable Childbirth, Conference COST Action IS1405, Lissabon, 17.-18. September 2018
Publisher / Ed. Institution : ZHAW Zürcher Hochschule für Angewandte Wissenschaften
Issue Date: 18-Sep-2018
License (according to publishing contract) : Not specified
Type of review: Peer review (Abstract)
Language : English
Subjects : Postpartum; Midwifery care; Social disadvantaged family
Subject (DDC) : 618: Gynecology, obstetrics and midwifery
Abstract: Rational: The necessity of outpatient postpartum care has increased due to shorter hospital stays after childbirth. Arranging postpartum midwifery care however can be stressful for families, if systemic factors leave the responsibility to the parents and multiple telephone calls are needed to find a midwife. This is especially challenging for social disadvantaged families. Method: We evaluated the services of the midwifery network Familystart Zurich in Switzerland using a mixed method study design. Descriptive statistics, logistic regression modelling and qualitative content analysis were applied. Result/Conclusion: Familystart users were more often of foreign nationalities (68.4% vs. 41.3%, p<0.001), had no professional education (25.7% vs. 9.3%, p<0.001), gave birth more frequently by caesarean section (42.4% vs. 34.2%, p<0.001) and recorded more cumulative risk factors (three or more risk factors: 4.2% vs. 1.5%, p<0.001) compared to women organising their midwifery care themselves. It seemed that vulnerable families could be reached and their postpartum care could be arranged through the midwifery network. Women appreciated the support and estimated the help being disburdening and time-saving. Additionally, the collaboration of midwives in the network enabled to improve their work organisation and to make better use of limited resources. Thus both, families and midwives seem to benefit from the services of Familystart Zurich. Implication of findings: Families with their new-borns, which return at home shortly after birth, are in need of a low-threshold and guaranteed postpartum care. The services provided by a midwifery network can lead to a win-win situation for the families, especially social disadvantaged ones, and the midwives.
Departement: Health Professions
Organisational Unit: Institute of Midwifery (IHB)
Publication type: Conference Poster
DOI : 10.21256/zhaw-4010
Published as part of the ZHAW project : Evaluation Familystart Zürich
Appears in Collections:Publikationen Gesundheit

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