Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-20208
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dc.contributor.authorGrylka, Susanne-
dc.contributor.authorIglesias, Carolina-
dc.contributor.authorErdin Springer, Rebekka-
dc.contributor.authorPehlke-Milde, Jessica-
dc.date.accessioned2020-07-03T19:43:01Z-
dc.date.available2020-07-03T19:43:01Z-
dc.date.issued2020-06-22-
dc.identifier.issn1472-6963de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/20208-
dc.description.abstractBackground: The necessity of outpatient postpartum care has increased due to shorter hospital stays. In a healthcare system, where postpartum care after hospital discharge must be arranged by families themselves, this can be challenging for those experiencing psychosocial disadvantages. Therefore, we compared characteristics of users of a midwifery network which referred women to outpatient postpartum care providers with those of women organising care themselves. Additionally, we investigated benefits of the network for women and health professionals. Methods: Evaluation of the services of a midwifery network in Switzerland. We combined quantitative secondary analysis of routine data of independent midwives with qualitative telephone interviews with users and a focus group with midwives and nurses. Descriptive statistics and logistic regression modelling were done using Stata 13. Content analysis was applied for qualitative data. Results: Users of the network were more likely to be: primiparas (OR 1.52, 95% CI [1.31–1.75, p < 0.001]); of foreign nationality (OR 2.36, 95% CI [2.04–2.73], p < 0.001); without professional education (OR 1.89, 95% CI [1.56–2.29] p < 0.001); unemployed (OR 1.28, 95% CI [1.09–1.51], p = 0.002) and have given birth by caesarean section (OR 1.38, 95% CI [1.20–1.59], p < 0.001) compared to women organising care themselves. Furthermore, users had cumulative risk factors for vulnerable transition into parenthood more often (≥ three risk factors: 4.2% vs. 1.5%, p < 0.001). Women appreciate the services provided. The collaboration within the network facilitated work scheduling and the better use of resources for health professionals. Conclusions: The network enabled midwives and nurses to reach families who might have struggled to organize postpartum care themselves. It also facilitated the work organisation of health professionals. Networks therefore provide benefits for families and health professionals.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofBMC Health Services Researchde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectMidwiferyde_CH
dc.subjectNetworkde_CH
dc.subjectPostpartum carede_CH
dc.subjectPsychosocially disadvantaged familiesde_CH
dc.subject.ddc618: Geburtsmedizin und Hebammenarbeitde_CH
dc.titleEvaluation of a midwifery network to guarantee outpatient postpartum care : a mixed methods studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Hebammenwissenschaft und reproduktive Gesundheit (IHG)de_CH
dc.identifier.doi10.1186/s12913-020-05359-3de_CH
dc.identifier.doi10.21256/zhaw-20208-
dc.identifier.pmid32571320de_CH
zhaw.funding.euNode_CH
zhaw.issue565de_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume20de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedFamilie und Aufwachsende_CH
zhaw.funding.zhawEvaluation Familystart Zürichde_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Grylka, S., Iglesias, C., Erdin Springer, R., & Pehlke-Milde, J. (2020). Evaluation of a midwifery network to guarantee outpatient postpartum care : a mixed methods study. BMC Health Services Research, 20(565). https://doi.org/10.1186/s12913-020-05359-3
Grylka, S. et al. (2020) ‘Evaluation of a midwifery network to guarantee outpatient postpartum care : a mixed methods study’, BMC Health Services Research, 20(565). Available at: https://doi.org/10.1186/s12913-020-05359-3.
S. Grylka, C. Iglesias, R. Erdin Springer, and J. Pehlke-Milde, “Evaluation of a midwifery network to guarantee outpatient postpartum care : a mixed methods study,” BMC Health Services Research, vol. 20, no. 565, Jun. 2020, doi: 10.1186/s12913-020-05359-3.
GRYLKA, Susanne, Carolina IGLESIAS, Rebekka ERDIN SPRINGER und Jessica PEHLKE-MILDE, 2020. Evaluation of a midwifery network to guarantee outpatient postpartum care : a mixed methods study. BMC Health Services Research. 22 Juni 2020. Bd. 20, Nr. 565. DOI 10.1186/s12913-020-05359-3
Grylka, Susanne, Carolina Iglesias, Rebekka Erdin Springer, and Jessica Pehlke-Milde. 2020. “Evaluation of a Midwifery Network to Guarantee Outpatient Postpartum Care : A Mixed Methods Study.” BMC Health Services Research 20 (565). https://doi.org/10.1186/s12913-020-05359-3.
Grylka, Susanne, et al. “Evaluation of a Midwifery Network to Guarantee Outpatient Postpartum Care : A Mixed Methods Study.” BMC Health Services Research, vol. 20, no. 565, June 2020, https://doi.org/10.1186/s12913-020-05359-3.


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