Document Detail


What were the outcomes of home follow-up visits after postpartum hospital discharge?
MedLine Citation:
PMID:  16496814     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To assess health outcomes of home follow-up visits after postpartum discharge and assess relationships between the number of home visits and selected outcomes among women who gave birth at two Queensland, Australia, regional hospitals. DESIGN: A cross sectional study. Services provided during the home visits were responsive to a woman's need rather than having a structured protocol of services. MAIN OUTCOME MEASURES: The four measured health outcomes were: 1) postpartum depression; 2) confidence to undertake maternal roles; 3) breastfeeding; and, 4) satisfaction with postpartum care. RESULTS: Of 210 women who were invited to participate in the study, 143 (68.1%) provided information. Women who received a higher number of home visits had significantly lower confidence to undertake maternal roles than those who received fewer home visits. There was a positive correlation between the number of home follow-up visits and postpartum depression among women who gave birth at one hospital (Hospital B), but not at the other (Hospital A). No relationship was found between the home postpartum visits and the other outcomes. CONCLUSION: These results could be explained in that home follow-up visits were offered to all women at Hospital A while Hospital B only provided home visits to women who had a health risk due to their social, physical and psychological characteristics. The lack of protocol home visits and the characteristics of women receiving the visits were probably the major factors which influenced these limited beneficial outcomes.
Authors:
Sansnee Jirojwong; Dolene Rossi; Sandra Walker; Barbara Ritchie
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation     Volume:  23     ISSN:  0813-0531     ISO Abbreviation:  Aust J Adv Nurs     Publication Date:    2005 Sep-Nov
Date Detail:
Created Date:  2006-02-24     Completed Date:  2006-04-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8409358     Medline TA:  Aust J Adv Nurs     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  22-30     Citation Subset:  N    
Affiliation:
School of Nursing and Health Studies, Central Queensland University, Rockhampton, Australia. s.jirojwong@cqu.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Breast Feeding / statistics & numerical data
Cross-Sectional Studies
Delivery, Obstetric / statistics & numerical data
Depression, Postpartum / epidemiology
Female
Follow-Up Studies
Home Care Services / statistics & numerical data*
Humans
Length of Stay / statistics & numerical data
Mothers / psychology,  statistics & numerical data
Outcome and Process Assessment (Health Care)
Parity
Patient Discharge / statistics & numerical data*
Patient Satisfaction / statistics & numerical data
Postnatal Care / statistics & numerical data*
Pregnancy
Queensland / epidemiology
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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