Eftervårdsbesök vid barnmorskemottagning post partum : Utveckling av Basprogrammet för vård under graviditet i Stockholms läns landsting

Background: Within the Stockholm County Council returned in 2013 around 68 percent of the women to the antenatal clinic for a check-up after childbirth. Earlier studies show that new mothers want greater support from maternal health care and do not always know where to seek care. Aim: The aim of this work was to investigate whether the use of a standard model describing midwifery care and procedures for the postpartum check-up could affect the number of women who return to Södermalms clinic. A further aim was to compare the midwife and the patient's perspective, about what were included and discussed at this postpartum check-up. Method: This study had a descriptive quantitative research approach. How and when the woman contacted, and what topic the midwife discussed with the woman during the postpartum visit, was well described in a flowchart. 112 women were enrolled in the study and the project could be evaluated on the basis of data from the Pregnancy Registry and a control group corresponding to the intervention group was appointed. Results: Registered data showed an increased number of women who returned to Södermalms clinic postpartum, in the control group, there was no increase in the percentage of women who came to postpartum visits. There was a difference between the midwife and the woman's perception of what was discussed at the postpartum visit, particularly around the information about the ruptures and the pelvic floor muscle, there was a discrepancy. The midwives participating in the study preferred after completion of the study a more structured working model, where the postpartum visits were clarified. Conclusion: There may be advantages to use a standard model describing the midwifery care and procedures for the postpartum visits. The midwives preferred to book in the woman's postpartum check-up during her last pregnancy visit and were more satisfied with the new approach.