Startsida
Hjälp
Sök i LIBRIS databas

     

 

Sökning: onr:nzthz2jvljtwr1tx > Postnatal care - ou...

Postnatal care - outcomes of various care options in Sweden [Elektronisk resurs]

Ellberg, Lotta, 1959- (författare)
Högberg, Ulf (preses)
Lindh, Viveca (preses)
Waldenström, Ulla (opponent)
Umeå universitet Medicinska fakulteten (utgivare)
Publicerad: Umeå : Klinisk vetenskap, 2008
Engelska 62
Serie: Umeå University medical dissertations, 0346-6612 0346-6612
Ingår i:
Läs hela texten
Läs hela texten
  • E-bokAvhandling(Diss. (sammanfattning) Umeå : Umeå universitet, 2008)
Sammanfattning Ämnesord
Stäng  
  • Background: In high-income countries, hospital length of stay after a normal birth has gradually decreased correspondingly to length of stay in care of other patients. A short stay provides a greater opportunity for autonomy and an increased sense of participation, but it may involve great challenges satisfying parental guidance as well as on the possibility of preventing, discovering, and treating neonatal medical conditions. Aim: This study evaluates postnatal care based on cost calculations, risk assessments, and parents’ satisfaction with care. Methods: Questionnaires were sent to 1 122 new mothers and her partner during 1998-1999. For the summary of utilization of health care services during the first 28 days postdelivery, the participants were linked with registry data from the hospital administration system for mothers and newborns (n= 773). The answers were also used to describe new parents’ experiences with postnatal care (n = 1 479). The costs for five postnatal care models were estimated, including three care options: Maternity Ward, Family Suite, and Early Discharge. Data about neonatal readmissions and death within 28 days was retrieved from the Swedish Medical Birth Register, the Swedish Hospital Discharge Registry, and the Swedish Cause-of-Death Register between 1999 and 2002 (n = 197 898). This data was related to data about postnatal follow-up practices from all 48 Swedish delivery wards. Results: The readmission rate for the mothers was similar among the various care options, and there was no difference in utilization of health care or breastfeeding outcome due to type of maternity care. As a proxy for morbidity, the readmission rate for the newborns was influenced by postdelivery follow-up routines as routine neonatal examination timing. Depending on the proportion of mothers receiving care at the Maternity Ward, the costs differed significantly between the various care models, while parents’ preferences complied with the cost-minimizing option Family Suite. Most mothers and fathers (70%) were satisfied with the overall impression of the postnatal care, but 72% were dissatisfied with at least one particular topic. A main finding was that the parents experienced a close emotional attachment, an affinity that was not always supported by the staff. The father was not treated as a principal character even though the parents wanted the father’s to be involved and recognized. Conclusions: Since the postnatal care options are not always the most cost minimizing and postnatal routines influence neonatal morbidity and parental satisfaction, the postnatal services need to be improved. Without increasing risks or costs, every postnatal care option ought to meet the families’ need for support, security, autonomy, and attachment with each other. 

Ämnesord

Medical and Health Sciences  (hsv)
Clinical Medicine  (hsv)
Obstetrics, Gynecology and Reproductive Medicine  (hsv)
Medicin och hälsovetenskap  (hsv)
Klinisk medicin  (hsv)
Reproduktionsmedicin och gynekologi  (hsv)
MEDICINE  (svep)
Surgery  (svep)
Obstetrics and women's diseases  (svep)
Obstetrics and gynaecology  (svep)
MEDICIN  (svep)
Kirurgi  (svep)
Obstetrik och kvinnosjukdomar  (svep)
Obstetrik och gynekologi  (svep)

Genre

government publication  (marcgt)

Indexterm och SAB-rubrik

Health economics
infant newborn
length of stay
maternal health services
midwife
patient satisfaction
patient readmission
postnatal care
postpartum
Inställningar Hjälp

Titeln finns på 1 bibliotek. 

Övriga bibliotek (1)

Ange som favorit
Om LIBRIS
Sekretess
Blogg
Hjälp
Fel i posten?
Kontakt
Teknik och format
Sök utifrån
Sökrutor
Plug-ins
Bookmarklet
Anpassa
Textstorlek
Kontrast
Vyer
LIBRIS söktjänster
SwePub
Sondera
Uppsök

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

Copyright © LIBRIS - Nationella bibliotekssystem

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy