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Support during the postnatal period: Evaluating new mothers' and midwives' experiences of a new, coordinated postnatal care model in a midwifery clinic in Sweden.
Academic Primary Care Centre, Stockholm. Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm.
Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm.
Institute of Health and Care Sciences, University of Gothenburg, Gothenburg.
Department of Women's and Children's Health, Karolinska Institutet, Stockholm.
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2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 37, no 1, p. 260-270Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Continuity of care as provided by midwives promoting the health and well-being of new mothers during the postnatal period is critical; thus, access to midwifery services needs to be facilitated. The aim of this study was to describe new mothers' and midwives' experiences and perceptions of a new coordinated postnatal care intervention in a midwifery clinic.

DESIGN: New mothers responded to open-ended questions in a survey, and midwives were interviewed individually about the intervention. A deductive content analysis research related to continuity of care concepts was used.

SETTING AND PARTICIPANTS: The study was carried out at a midwifery clinic in a larger city in Sweden, for an eight-month period in 2019 and 2020. Two hundred and sixteen answers from new mothers and nine interviews with midwives were analysed.

INTERVENTION: All registered pregnant women at the midwifery clinic received enhanced postnatal support based on a new coordinated postnatal care model. The focus was on continuity of care, from pregnancy to the postnatal period and included planning for the first weeks after childbirth at the end of pregnancy, early postnatal contact and several visits to the midwifery clinic.

FINDINGS: New mothers describing the coordinated postnatal care model highlighted continuity and accessibility as empowering factors that made them feel assured and confident. Midwives emphasised the pregnancy to postnatal continuity as crucial to providing care based on individual needs.

KEY CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Using a structured and coordinated care model as a midwife that includes planning for the postnatal period together with the pregnant woman at the end of pregnancy may be a good and relatively easy way to create continuity and thus ensure satisfaction and confidence in expectant and new mothers.

Place, publisher, year, edition, pages
Wiley , 2023. Vol. 37, no 1, p. 260-270
Keywords [en]
continuity of care, midwife-led care, midwifery, parenting support, postnatal care, transition to motherhood
National Category
Medical and Health Sciences Nursing
Identifiers
URN: urn:nbn:se:liu:diva-192276DOI: 10.1111/scs.13103ISI: 000820247700001PubMedID: 35781315Scopus ID: 2-s2.0-85133373601OAI: oai:DiVA.org:liu-192276DiVA, id: diva2:1742690
Available from: 2023-03-10 Created: 2023-03-10 Last updated: 2025-04-03

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Eikemo, RagnhildBarimani, Mia
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CiteExportLink to record
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Citation style
  • apa
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  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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  • text
  • asciidoc
  • rtf