Foreign-born women rated medical and emotional aspects of postnatal care higher than women born in Sweden: A quantitative comparative study

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MARC

Hildingsson, Ingegerd,1955-Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Department of Nursing, Mid Sweden University, Sundsvall, Sweden;Department of Nursing, Umeå University, Umeå, Sweden (author)

Foreign-born women rated medical and emotional aspects of postnatal care higher than women born in Sweden : A quantitative comparative study

Article/chapterEnglish2023

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European Publishing,2023
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LIBRIS-ID:oai:DiVA.org:uu-520379
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-520379URI
https://doi.org/10.18332/ejm/172573DOI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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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 native-born 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 (<24 h) or longer (>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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
immigrants
postnatal care
questionnaire
native born
women

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Parment, HeleneSundsvall Reg Hosp, Sundsvall, Sweden. (author)
Ohrn, UlrikaSundsvall Reg Hosp, Sundsvall, Sweden. (author)
Johansson, MargaretaUppsala universitet,Obstetrisk och reproduktiv hälsoforskning(Swepub:uu)marjo742 (author)
Uppsala universitetObstetrisk och reproduktiv hälsoforskning (creator_code:org_t)

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In:European Journal of Midwifery: European Publishing72585-2906

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