Beyond the hospital door: a retrospective, cohort study of associations between birthing in the public or private sector and women’s postpartum careReport as inadecuate




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BMC Health Services Research

, 15:14

Quality, performance, safety and outcomes

Abstract

BackgroundIn Australia, maternity care is available through universal coverage and a parallel, competitive private health insurance system. Differences between sectors in antenatal and intrapartum care and associated outcomes are well documented but few studies have investigated differences in postpartum care following hospital discharge and their impact on maternal satisfaction and confidence.

MethodsWomen who birthed in Queensland, Australia from February to May 2010 were mailed a self-report survey 4 months postpartum. Regression analysis was used to determine associations between sector of birth and postpartum care, and whether postpartum care experiences explained sector differences in postpartum well-being satisfaction, parenting confidence and feeling depressed.

ResultsWomen who birthed in the public sector had higher odds of health professional contact in the first 10 days post-discharge and satisfaction with the amount of postpartum care. After adjusting for demographic and postpartum contact variables, sector of birth no longer had an impact on satisfaction AOR 0.95, 99% CI 0.78-1.31, but any form of health professional contact did. Women who had a care provider’s 24 hour contact details had higher odds of being satisfied AOR 3.64, 95% CI 3.00-4.42 and confident AOR 1.34, 95% CI 1.08- 1.65.

ConclusionWomen who birthed in the public sector appeared more satisfied because they had higher odds of receiving contact from a health professional within 10 days post-discharge. All women should have an opportunity to speak to and-or see a doctor, midwife or nurse in the first 10 days at home, and the details of a person they can contact 24 hours a day.

KeywordsPostnatal Community Maternal satisfaction Health insurance Parenting confidence Postnatal depression AbbreviationsAORAdjusted Odds Ratio

CFHNsChild and Family Health Nursing Services

GPGeneral practitioner

UPNCSUniversal Postnatal Contact Service

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Author: Wendy Brodribb - Maria Zadoroznyj - Michelle Nesic - Sue Kruske - Yvette D Miller

Source: https://link.springer.com/







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