Caring for mothers and newborns after uncomplicated delivery : towards integrated postnatal care [printed text] / Nadia Benahmed, Author ; Carl Devos  , Author ; Lorena San Miguel , Author ; Imgard Vinck , Author ; Liesbeth Vankelst, Author ; Marguerite Verschueren, Author ; Caroline Obyn, Author ; Dominique Paulus , Author ; Wendy Christiaens , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2014 . - 115 p. : ill., ; A4. - ( KCE Reports. Health Services Research (HSR); 232) . ISSN : D/2014/10.273/82 : € 0,00 Study HSR 2013-15 Languages : Dutch ( nla)
| Descriptors: |
Indexation
2013-15 ; Infant, Newborn ; Length of Stay ; Maternal Health Services ; Postnatal care ; Postpartum Period ; Pregnancy ; R232 ; statistics and numerical data [Subheading]
Classification
WQ 500 General works. Postnatal care
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| Contents note: |
SCIENTIFIC REPORT .8 -- 1 INTRODUCTION 8 -- 1.1 POSTNATAL CARE MATTERS FOR MANY 8 -- 1.2 THE TREND TOWARDS SHORTER HOSPITAL STAY AFTER CHILDBIRTH IN ITS SOCIETAL -- CONTEXT .9 -- 1.2.1 Shorter length of stay after childbirth 9 -- 1.2.2 The formalisation of support resources during the transition to parenthood 9 -- 1.2.3 Relevance of studying postnatal care 11 -- 1.3 SCOPE OF THE STUDY.11 -- 1.4 DEFINITIONS 11 -- 1.4.1 Healthy mothers and term infants 11 -- 1.4.2 Postnatal period 11 -- 1.4.3 Postnatal home care (Kraamzorg / Soins postnataux) .12 -- 1.4.4 Maternity home care assistance (Kraamhulp / Soutien maternel à domicile) 12 -- 1.4.5 Early discharge .12 -- 2 ORGANISATION, UPTAKE AND FINANCING OF POSTNATAL CARE IN BELGIUM 12 -- 2.1 ORGANISATION OF POSTNATAL CARE AND MATERNITY HOME CARE ASSISTANCE IN BELGIUM 12 -- 2.1.1 Postnatal care. 12 -- 2.1.2 Maternity home care assistance 16 -- 2.1.3 Agencies for prevention and support to young children and their parents .17 -- 2.1.4 Coordination initiatives at early discharge from the maternity clinic 20 -- 2.2 PATTERNS OF CARE USE DURING THE POSTNATAL PERIOD .22 -- 2.2.1 Data selection 22 -- 2.2.2 Total number of deliveries 23 -- 2.2.3 Place of childbirth .23 -- 2.2.4 Type of delivery .23 -- 2.2.5 Characteristics of inpatient postnatal care use .24 -- 2.2.6 Characteristics of outpatient postnatal care use 30 -- 3 PRESENT REGISTRATION OF PERINATAL DATA .35 -- 3.1 REGISTRATION OF PERINATAL DATA 35 -- 3.2 REGISTRATION OF NEONATAL (RE)ADMISSIONS .35 -- 4 POSTNATAL CARE IN BELGIUM THROUGH THE EYES OF HEALTH CARE PROFESSIONALS AND MOTHERS: A FOCUS GROUP STUDY .36 -- 4.1 INTRODUCTION .36 -- 4.2 METHODS 36 -- 4.2.1 Design 36 -- 4.2.2 Data collection 36 -- 4.2.3 Ethical approval .39 -- 4.2.4 Data-analysis .39 -- 4.3 FINDINGS FROM THE FOCUS GROUPS WITH PROFESSIONAL CARE PROVIDERS 40 -- 4.3.1 Mothers are not well prepared for and stand alone in the postnatal period 40 -- 4.3.2 Postnatal care starts during pregnancy 40 -- 4.3.3 Problems related to the length of hospital stay .41 -- 4.3.4 Answers to shorter hospital stays after childbirth 43 -- 4.3.5 Requirements to provide integrated postnatal care in outpatient settings 47 -- 4.3.6 Support for parents .48 -- 4.3.7 Vulnerable families 51 -- 4.4 FINDINGS FROM THE FOCUS GROUPS WITH MOTHERS .52 -- 4.4.1 Postnatal hospital stay 52 -- 4.4.2 Length of postnatal hospital stay .54 -- 4.4.3 Discharge from hospital 54 -- 4.4.4 The first weeks at home with a new baby 55 -- 4.5 GENERAL CONCLUSION .58 -- 4.5.1 Limitations 58 -- 4.5.2 The views of health care professionals and mothers compared 58 -- 5 ORGANISATION OF POSTNATAL CARE IN THE UK, THE NETHERLANDS AND SWEDEN .64 -- 5.1 METHODS 64 -- 5.1.1 Selection of countries .64 -- 5.1.2 Data sources 64 -- 5.2 ORGANISATION OF CHILDBIRTH AND POSTNATAL CARE IN THE UK, THE NETHERLANDS AND SWEDEN: RESULTS 64 -- 5.2.1 Main birth attendants and place of birth 64 -- 5.2.2 Length of hospital stay and definition of early discharge .65 -- 5.3 ANSWERS TO SHORT POSTNATAL HOSPITAL STAYS 65 -- 5.3.1 Preparation for early discharge during pregnancy 66 -- 5.3.2 Clear early discharge criteria for mothers and newborns 67 -- 5.3.3 High quality follow-up in the early postnatal period 68 -- 5.4 BUILDING BLOCKS FOR POSTNATAL CARE 73 -- 6 CONSEQUENCES OF SHORT POSTNATAL HOSPITAL STAYS (WITH FOLLOW-UP AT HOME) FOR THE QUALITY OF CARE 75 -- 6.1 INTRODUCTION .75 -- 6.2 METHODS 75 -- 6.2.1 Search in the indexed literature 75 -- 6.2.2 Search in the grey literature 77 -- 6.2.3 Selection process .77 -- 6.3 LITERATURE OVERVIEW .77 -- 6.3.1 Length of stay and quality of care for the mother 77 -- 6.3.2 Length of stay and quality of care for the newborn .79 -- 6.3.3 Vulnerable groups 80 -- 6.3.4 Building care models for early discharge .81 -- 6.3.5 Determinants of early discharge 82 -- 6.3.6 Discharge criteria .83 -- 6.4 CONCLUSION 84 -- 7 FINANCING OF POSTNATAL CARE .85 -- 7.1 FINANCING AND REIMBURSEMENT OF MATERNITY STAY .85 -- 7.1.1 B2 budget distribution over hospitals .85 -- 7.1.2 Room and health care professionals' fees and supplements 87 -- 7.1.3 Co-payments 87 -- 7.2 FINANCING AND REIMBURSEMENT OF POSTNATAL MIDWIFERY CARE 87 -- 7.2.1 Financing 87 -- 7.2.2 Reimbursement .88 -- 7.3 FINANCING AND REIMBURSEMENT OF MATERNITY HOME CARE ASSISTANCE.88 -- 7.3.1 Financing 88 -- 7.3.2 Reimbursement .88 -- 7.4 COST CONSEQUENCES OF SHORT POSTNATAL HOSPITAL STAYS WITH FOLLOW-UP AT HOME 89 -- 7.4.1 Background .89 -- 7.4.2 Methods.89 -- 7.4.3 Results 97 -- 7.4.4 Limitations 105 -- 7.4.5 Discussion and conclusions 105 -- 8 BUILDING BLOCKS FOR INTEGRATED AND SEAMLESS POSTNATAL CARE IN BELGIUM 107 -- REFERENCE LIST 108 |
| Link for e-copy: |
http://kce.fgov.be/sites/default/files/page_documents/KCE_232_Postnatal_care_Rep [...] |
| Format of e-copy: |
PDF (1,35 Mb) |
| Record link: |
https://kce.docressources.info/index.php?lvl=notice_display&id=3459 |
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