Successful early postpartum support linked to management, informational, and relational continuity
1Department of Women׳s and Children׳s Health, Division of Reproductive Health, Karolinska Institutet, Retsius väg 13 A, SE:17177 Stockholm, Sweden.
Objective:
to explore ways in which parents experience support from health professionals in the early postpartum period and understand how parenting support is related to management, informational, and relational continuity.
Design:
a qualitative study consisting of focus group interviews followed by deductive content analysis.
Setting And Participants:
a large city in Sweden; 18 women and 16 men.
Findings:
study participants reported that parenting support occurs by providing consistent advice; indicating who to ask when care questions arise; enabling access to the care system when needs surface; providing sufficient information about self-management for mother or baby; involving parents in discharge planning; distributing information that empowers parents; enabling team/clinical care consistency; and appointing persons in the care system who can foster parents׳ feelings of trust--in short: by enabling management, informational, and relational continuity.
Key Conclusions:
care continuity experiences lead to perceived parenting support in the early postpartum period. Effective health care organisations within the postpartum care system must embody these types of continuity: management, informational, and relational. There is a need for researchers to design tools for measuring continuity and for policymakers to enable coherence and co-ordination among professionals.
Implications For Practice:
identify parents׳ needs so that health professionals can plan for parents׳ first few weeks at home and ensure that parents get access to appropriate care.
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