'I really needed help': what mothers say about their post-birth care in Queensland, Australia

Zadoroznyj, Maria, Brodribbb, Wendy E., Young, Kate, Kruske, Sue and Miller, Yvette D. (2015) 'I really needed help': what mothers say about their post-birth care in Queensland, Australia. Women and Birth, 28 3: 246-251. doi:10.1016/j.wombi.2015.03.004

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Author Zadoroznyj, Maria
Brodribbb, Wendy E.
Young, Kate
Kruske, Sue
Miller, Yvette D.
Title 'I really needed help': what mothers say about their post-birth care in Queensland, Australia
Journal name Women and Birth   Check publisher's open access policy
ISSN 1871-5192
Publication date 2015-04-08
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.wombi.2015.03.004
Volume 28
Issue 3
Start page 246
End page 251
Total pages 6
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Collection year 2016
Language eng
Formatted abstract
Background Australian mothers consistently rate postnatal care as the poorest aspect of their maternity care, and researchers and policymakers have widely acknowledged the need for improvement in how postnatal care is provided.

Aim To identify and analyse mothers’ comments about postnatal care in their free text responses to an open ended question in the Having a Baby in Queensland Survey, 2010, and reflect on their implications for midwifery practice and maternity service policies.

Methods The survey assessed mothers’ experiences of maternity care four months after birth. We analysed free-text data from an open-ended question inviting respondents to write ‘anything else you would like to tell us’. Of the final survey sample (N = 7193), 60% (N = 4310) provided comments, 26% (N = 1100) of which pertained to postnatal care. Analysis included the coding and enumeration of issues to identify the most common problems commented on by mothers. Comments were categorised according to whether they related to in-hospital or post-discharge care, and whether they were reported by women birthing in public or private birthing facilities.

Results The analysis revealed important differences in maternal experiences according to birthing sector: mothers birthing in public facilities were more likely to raise concerns about the quality and/or duration of their in-hospital stay than those in private facilities. Conversely, mothers who gave birth in private facilities were more likely to raise concerns about inadequate post-discharge care. Regardless of birthing sector, however, a substantial proportion of all mothers spontaneously raised concerns about their experiences of inadequate and/or inconsistent breastfeeding support.

Conclusion Women who birth in private facilities were more likely to spontaneously report concerns about their level of post-discharge care than women from public facilities in Queensland, and publically provided community based care is not sufficient to meet women's needs. Inadequate or inconsistent professional breastfeeding support remains a major issue for early parenting women regardless of birthing sector.
Keyword Postnatal care
Free-text comments
Women's experience
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 8 April 2015

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Created: Wed, 15 Apr 2015, 09:40:45 EST by Vicki Percival on behalf of Institute for Social Science Research