Foreign-born women rated medical and emotional aspects of postnatal care higher than women born in Sweden: A quantitative comparative study
Introduction Although high-quality postnatal care provides information and recognizes women’s personal and cultural contexts, foreign-born women are more exposed to poor health and adverse birth outcomes. The aim of this study was to compare the length and model of postnatal care, along with the con...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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European Publishing
2023-11-01
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| Series: | European Journal of Midwifery |
| Subjects: | |
| Online Access: | https://www.europeanjournalofmidwifery.eu/Foreign-born-women-rated-medical-and-emotional-naspects-of-postnatal-care-higher,172573,0,2.html |
| _version_ | 1797352326414991360 |
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| author | Ingegerd Hildingsson Helene Parment Ulrika Öhrn Margareta Johansson |
| author_facet | Ingegerd Hildingsson Helene Parment Ulrika Öhrn Margareta Johansson |
| author_sort | Ingegerd Hildingsson |
| collection | DOAJ |
| description | Introduction
Although high-quality postnatal care provides information and recognizes
women’s personal and cultural contexts, foreign-born women are more exposed to poor
health and adverse birth outcomes. The aim of this study was to compare the length and
model of postnatal care, along with the content of care, between foreign-born and nativeborn
women living in Sweden. Another aim was to explore factors associated with being
very satisfied with various aspects of postnatal care.
Methods
This was a descriptive cross-sectional study of 483 postnatal women in two
Swedish hospitals in 2017. Women completed a questionnaire comprising background
data, pregnancy and birth related variables and the Early Postnatal Questionnaire. Data
were analyzed using descriptive statistics, analysis of variance and multivariate logistic
regression analyses.
Results
Foreign-born women were more likely to have a shorter ( 48
h) length of postnatal stay than women born in Sweden. No differences in birth outcomes
emerged between the two groups. Foreign-born women rated the medical (OR=1.77;
95% CI: 1.04–3.03) and emotional (OR=2.0; 95% CI: 1.17–3.40) aspects of postnatal
care as being more important than Swedish-born women did. The most important aspect
of overall satisfaction was the content of care, and the subscale Caring Relationship
(AOR=8.15; 95% CI: 4.87–14.62) outscored all other aspects.
Conclusions
Important factors of satisfactory experiences with postnatal care in a
Swedish context were receiving information, professional care, and a hospital environment
that facilitates recovery after labor and birth. Culturally sensitive and individualized
postnatal care with continuity should therefore be prioritized. |
| first_indexed | 2024-03-08T13:14:49Z |
| format | Article |
| id | doaj.art-e8f6dbeea980442f904b9a1b6b7617fe |
| institution | Directory Open Access Journal |
| issn | 2585-2906 |
| language | English |
| last_indexed | 2024-03-08T13:14:49Z |
| publishDate | 2023-11-01 |
| publisher | European Publishing |
| record_format | Article |
| series | European Journal of Midwifery |
| spelling | doaj.art-e8f6dbeea980442f904b9a1b6b7617fe2024-01-18T10:28:13ZengEuropean PublishingEuropean Journal of Midwifery2585-29062023-11-017November1910.18332/ejm/172573172573Foreign-born women rated medical and emotional aspects of postnatal care higher than women born in Sweden: A quantitative comparative studyIngegerd Hildingsson0https://orcid.org/0000-0001-6985-6729Helene Parment1Ulrika Öhrn2Margareta Johansson3Department of Women's and Children's Health, Faculty of Medicine, Uppsala University, Uppsala, SwedenSundsvall Regional Hospital, Sundsvall, SwedenSundsvall Regional Hospital, Sundsvall, SwedenDepartment of Women's and Children's Health, Faculty of Medicine, Uppsala University, Uppsala, SwedenIntroduction Although high-quality postnatal care provides information and recognizes women’s personal and cultural contexts, foreign-born women are more exposed to poor health and adverse birth outcomes. The aim of this study was to compare the length and model of postnatal care, along with the content of care, between foreign-born and nativeborn women living in Sweden. Another aim was to explore factors associated with being very satisfied with various aspects of postnatal care. Methods This was a descriptive cross-sectional study of 483 postnatal women in two Swedish hospitals in 2017. Women completed a questionnaire comprising background data, pregnancy and birth related variables and the Early Postnatal Questionnaire. Data were analyzed using descriptive statistics, analysis of variance and multivariate logistic regression analyses. Results Foreign-born women were more likely to have a shorter ( 48 h) length of postnatal stay than women born in Sweden. No differences in birth outcomes emerged between the two groups. Foreign-born women rated the medical (OR=1.77; 95% CI: 1.04–3.03) and emotional (OR=2.0; 95% CI: 1.17–3.40) aspects of postnatal care as being more important than Swedish-born women did. The most important aspect of overall satisfaction was the content of care, and the subscale Caring Relationship (AOR=8.15; 95% CI: 4.87–14.62) outscored all other aspects. Conclusions Important factors of satisfactory experiences with postnatal care in a Swedish context were receiving information, professional care, and a hospital environment that facilitates recovery after labor and birth. Culturally sensitive and individualized postnatal care with continuity should therefore be prioritized.https://www.europeanjournalofmidwifery.eu/Foreign-born-women-rated-medical-and-emotional-naspects-of-postnatal-care-higher,172573,0,2.htmlimmigrantspostnatal carequestionnairenative bornwomen |
| spellingShingle | Ingegerd Hildingsson Helene Parment Ulrika Öhrn Margareta Johansson Foreign-born women rated medical and emotional aspects of postnatal care higher than women born in Sweden: A quantitative comparative study European Journal of Midwifery immigrants postnatal care questionnaire native born women |
| title | Foreign-born women rated medical and emotional
aspects of postnatal care higher than women born in
Sweden: A quantitative comparative study |
| title_full | Foreign-born women rated medical and emotional
aspects of postnatal care higher than women born in
Sweden: A quantitative comparative study |
| title_fullStr | Foreign-born women rated medical and emotional
aspects of postnatal care higher than women born in
Sweden: A quantitative comparative study |
| title_full_unstemmed | Foreign-born women rated medical and emotional
aspects of postnatal care higher than women born in
Sweden: A quantitative comparative study |
| title_short | Foreign-born women rated medical and emotional
aspects of postnatal care higher than women born in
Sweden: A quantitative comparative study |
| title_sort | foreign born women rated medical and emotional aspects of postnatal care higher than women born in sweden a quantitative comparative study |
| topic | immigrants postnatal care questionnaire native born women |
| url | https://www.europeanjournalofmidwifery.eu/Foreign-born-women-rated-medical-and-emotional-naspects-of-postnatal-care-higher,172573,0,2.html |
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