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The structure and organisation of home-based postnatal care in public hospitals in Victoria, Australia: A cross-sectional survey. | LitMetric

AI Article Synopsis

  • - The study investigates home-based postnatal care services in Victoria, Australia, revealing a lack of evidence and consistency in service provision that affects policy development.
  • - An online survey of public maternity providers showed an 87% response rate, with 96% of services offering home visits; the median number of visits was two for first-time mothers and one for those with previous children, often limited by women's preferences.
  • - The findings suggest that most women receive at least one home visit, highlighting the need to further research the ideal frequency and content of care to effectively address postpartum issues.

Article Abstract

Background: There is limited evidence regarding the provision of home-based postnatal care, resulting in a weak evidence-base for policy formulation and the further development of home-based postnatal care services.

Aim: To explore the structure and organisation of public hospital home-based postnatal care in Victoria, Australia.

Methods: An online survey including mostly closed-ended questions was sent to representatives of all public maternity providers in July 2011.

Findings: The response rate of 87% (67/77) included rural (70%; n=47), regional (15%; n=10) and metropolitan (15%; n=10) services. The majority (96%, 64/67) provided home-based postnatal care. The median number of visits for primiparous women was two and for multiparous women, one. The main reason for no visit was the woman declining. Two-thirds of services attempted to provide some continuity of carer for home-based postnatal care. Routine maternal and infant observations were broadly consistent across the services, and various systems were in place to protect the safety of staff members during home visits. Few services had a dedicated home-based postnatal care coordinator.

Discussion And Conclusion: This study demonstrates that the majority of women receive at least one home-based postnatal visit, and that service provision on the whole is similar across the state. Further work should explore the optimum number and timing of visits, what components of care are most valued by women, and what model best ensures the timely detection and prevention of postpartum complications, be they psychological or physiological.

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Source
http://dx.doi.org/10.1016/j.wombi.2015.10.002DOI Listing

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