背景:大多数新父母在医院的头几天与新生儿在一起。
目标:尽管负面的医院护理经历可能会产生短期和长期的负面后果(例如,产后抑郁症的风险),只有少数研究调查了分娩后产妇护理的经验。
目的:目的是收集更多关于产房产后早期经历的详细信息,以确认和补充以前的发现与额外的数据来源。
方法:对524个文本单元进行了内容分析,其中包括由母亲或陪同人员提供的德国产妇护理单元的评级。这些单位来自一个可公开访问的网站。
结果:分析确定了影响积极或消极体验的三个总体主题:医院和妇产科基础设施;助产,医疗,和护理;母乳喂养和建立母乳喂养关系。
结论:研究结果表明,医疗系统存在系统性挑战,包括人员短缺和人员过度劳累等持续存在的问题。此外,发现某些医院缺乏与早期父母精神保健和母乳喂养开始相关的关键初级支持结构.
结论:这些结果强调了医院内部结构改革的必要性,以建立能够早期发现和干预问题的全面预防网络。
BACKGROUND: Most new parents spend the first few days with their newborns in the hospital.
OBJECTIVE: Although negative hospital care experiences can have short- and long-term negative consequences (e.g., risk of postnatal depression), only a handful of studies have investigated experiences of maternity care after birth.
OBJECTIVE: The aim was to gather more detailed information on the experiences during the immediate postpartum period at the maternity ward, in order to confirm and complement previous findings with additional data sources.
METHODS: A content analysis was conducted on 524 textual units comprising ratings of maternity care units in Germany provided by mothers or accompanying individuals. These units were sourced from a publicly accessible website.
RESULTS: The analysis identified three overarching themes that influenced positive or negative experiences: Hospital and Maternity Ward Infrastructure; Midwifery, Medical, and Nursing Care; and Breastfeeding and Establishing a Breastfeeding Relationship.
CONCLUSIONS: The findings indicate systemic challenges within the medical system, including persistent issues such as staff shortages and overworked personnel. Additionally, critical primary support structures related to early parental mental health care and breastfeeding initiation were found to be lacking in certain hospitals.
CONCLUSIONS: These results underscore the necessity for structural reforms within hospitals to establish a comprehensive prevention network capable of early problem detection and intervention.