Outcomes of a Telephonic Postnatal Intervention for Mothers and Babies in Mopani District, Limpopo, South Africa
BackgroundThe postnatal period is a critical period for the health of both mother and infant. Studies show that postnatal care reduces neonatal mortality and other adverse mother and child health outcomes. While the World Health Organization recommends four postnatal care contacts, South African gui...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Global Women's Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2022.876263/full |
| _version_ | 1828343830170042368 |
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| author | Chipo Mutyambizi Jackie Dunlop Jackie Dunlop Rendani Ndou Helen Struthers Helen Struthers James McIntyre James McIntyre Kate Rees Kate Rees |
| author_facet | Chipo Mutyambizi Jackie Dunlop Jackie Dunlop Rendani Ndou Helen Struthers Helen Struthers James McIntyre James McIntyre Kate Rees Kate Rees |
| author_sort | Chipo Mutyambizi |
| collection | DOAJ |
| description | BackgroundThe postnatal period is a critical period for the health of both mother and infant. Studies show that postnatal care reduces neonatal mortality and other adverse mother and child health outcomes. While the World Health Organization recommends four postnatal care contacts, South African guidelines only specify three, excluding a 7-14-day post-birth contact. This study aimed to assess whether a telephonic contact at 7-14 days following delivery had any effect on use of additional postnatal services.MethodsA randomized controlled trial design was used to address the study objectives. Two groups of new mothers were randomly allocated to either receive the 7-14-day telephonic contact or not from a research nurse. Data for this study was collected at Maphutha L Malatjie Hospital (MLMH). Descriptive analysis was performed first, then a multivariable logistic regression analysis was conducted to assess the factors associated with access to other health care services.ResultsA total of 882 mothers were recruited, 854 (97%) were classified as high risk, 28 (3%) were classified as low risk. 417 (49%) of the high risk received the 7-14-day call (intervention group) whilst the remainder of 437 (51%) from the high risk plus all mothers classified as low risk (28) did not receive the call (control group). 686 (78%) of all mothers received the 3 month follow up call. The call showed that 17 mothers from the control group and 10 mothers from the intervention group accessed other healthcare services. We find that hypertension (3.28; 1.06 −10.10), mental health risk (2.82; 1.25 −6.38), PV bleeding during pregnancy (18.33; 1.79–187.61), problem during labor (4.40; 1.280–15.13) were positively associated with access to other health services, with statistically significant associations (p-value < 0.05). We found statistically insignificant associations between receiving the 7-14-day call and accessing other health care services.ConclusionThe 7-14-day call had no statistically significant impact on access to other health services, however, high levels of satisfaction with the call may point to an unmet need for care at this time. It is important to investigate other innovative solutions to postnatal care improvement in South Africa. |
| first_indexed | 2024-04-13T23:48:36Z |
| format | Article |
| id | doaj.art-fdbedece78b643ab95754e88ca98ee92 |
| institution | Directory Open Access Journal |
| issn | 2673-5059 |
| language | English |
| last_indexed | 2024-04-13T23:48:36Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Global Women's Health |
| spelling | doaj.art-fdbedece78b643ab95754e88ca98ee922022-12-22T02:24:14ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592022-05-01310.3389/fgwh.2022.876263876263Outcomes of a Telephonic Postnatal Intervention for Mothers and Babies in Mopani District, Limpopo, South AfricaChipo Mutyambizi0Jackie Dunlop1Jackie Dunlop2Rendani Ndou3Helen Struthers4Helen Struthers5James McIntyre6James McIntyre7Kate Rees8Kate Rees9Anova Health Institute, Johannesburg, South AfricaAnova Health Institute, Johannesburg, South AfricaDivision of Community Paediatrics, School of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaAnova Health Institute, Johannesburg, South AfricaAnova Health Institute, Johannesburg, South AfricaDivision of Infectious Diseases and HIV Medicine, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaAnova Health Institute, Johannesburg, South AfricaSchool of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaAnova Health Institute, Johannesburg, South AfricaDepartment of Community Health, School of Public Health, University of the Witwatersrand, Johannesburg, South AfricaBackgroundThe postnatal period is a critical period for the health of both mother and infant. Studies show that postnatal care reduces neonatal mortality and other adverse mother and child health outcomes. While the World Health Organization recommends four postnatal care contacts, South African guidelines only specify three, excluding a 7-14-day post-birth contact. This study aimed to assess whether a telephonic contact at 7-14 days following delivery had any effect on use of additional postnatal services.MethodsA randomized controlled trial design was used to address the study objectives. Two groups of new mothers were randomly allocated to either receive the 7-14-day telephonic contact or not from a research nurse. Data for this study was collected at Maphutha L Malatjie Hospital (MLMH). Descriptive analysis was performed first, then a multivariable logistic regression analysis was conducted to assess the factors associated with access to other health care services.ResultsA total of 882 mothers were recruited, 854 (97%) were classified as high risk, 28 (3%) were classified as low risk. 417 (49%) of the high risk received the 7-14-day call (intervention group) whilst the remainder of 437 (51%) from the high risk plus all mothers classified as low risk (28) did not receive the call (control group). 686 (78%) of all mothers received the 3 month follow up call. The call showed that 17 mothers from the control group and 10 mothers from the intervention group accessed other healthcare services. We find that hypertension (3.28; 1.06 −10.10), mental health risk (2.82; 1.25 −6.38), PV bleeding during pregnancy (18.33; 1.79–187.61), problem during labor (4.40; 1.280–15.13) were positively associated with access to other health services, with statistically significant associations (p-value < 0.05). We found statistically insignificant associations between receiving the 7-14-day call and accessing other health care services.ConclusionThe 7-14-day call had no statistically significant impact on access to other health services, however, high levels of satisfaction with the call may point to an unmet need for care at this time. It is important to investigate other innovative solutions to postnatal care improvement in South Africa.https://www.frontiersin.org/articles/10.3389/fgwh.2022.876263/fullpostnatal caremother and child healthSouth Africahealthcare accessrandomized controlled trial (RCT) |
| spellingShingle | Chipo Mutyambizi Jackie Dunlop Jackie Dunlop Rendani Ndou Helen Struthers Helen Struthers James McIntyre James McIntyre Kate Rees Kate Rees Outcomes of a Telephonic Postnatal Intervention for Mothers and Babies in Mopani District, Limpopo, South Africa Frontiers in Global Women's Health postnatal care mother and child health South Africa healthcare access randomized controlled trial (RCT) |
| title | Outcomes of a Telephonic Postnatal Intervention for Mothers and Babies in Mopani District, Limpopo, South Africa |
| title_full | Outcomes of a Telephonic Postnatal Intervention for Mothers and Babies in Mopani District, Limpopo, South Africa |
| title_fullStr | Outcomes of a Telephonic Postnatal Intervention for Mothers and Babies in Mopani District, Limpopo, South Africa |
| title_full_unstemmed | Outcomes of a Telephonic Postnatal Intervention for Mothers and Babies in Mopani District, Limpopo, South Africa |
| title_short | Outcomes of a Telephonic Postnatal Intervention for Mothers and Babies in Mopani District, Limpopo, South Africa |
| title_sort | outcomes of a telephonic postnatal intervention for mothers and babies in mopani district limpopo south africa |
| topic | postnatal care mother and child health South Africa healthcare access randomized controlled trial (RCT) |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2022.876263/full |
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