Hi Cheryl
Sally makes the point re international evidence.
Two papers from Australia:
Thompson JF et al 2002 Prevalence and persistence of health problems after
childbirth:associations with parity and method of birth. Birth 29(2): 83-94
Brown S & Lumley J 1998 Maternal health after childbirth: Results of an
Australian population based survey. Br J Obstet Gynaecol 105: 156-61
However postnatal care is not the same in Australia.
All good wishes
Jo
At 19:24 16/02/03 -0000, you wrote:
>Internationally there is now quite a lot of information about postbirth
>'morbidity'. From the view of measuring morbidity, one of the problems is
>the lack of any real definition of what is part of normality when the body
>(physical and psychological) is recovering from the changes it experienced
>as part of pregnancy and the birth. In addition to this is the woman's
>individual experiences inextricably linked with becoming a mother, for the
>first or subsequent time. So what part of women's health postpartum are you
>most interested in and does it include their perception of care? If so,
>there is information about specific aspects of morbidity and aspects of care
>in the following: Audit Commisison 1997 First Class Delivery and associated
>papers by Garcia et al, about vaginal loss and involution by Alexander et al
>1999 Midwifery 15.72-81 and Singh and Newburn NCT 2000, and the RCM
>publication about Postnatal Care. In addition, there is a national GP
>database and episodes of contact with a GP can be identified from these.
>Alison MacFarlane may be able to give you more information about access to
>this. I am not sure whether audit is undertaken for any service that is
>within a community setting but lacks any measurable tool so maybe the only
>aspect of postpartum health that would be looked at in this way is task
>related - attending the 6 week postnatal clinic and screenig for postnatal
>depression. The rest is probably more linked to the health and development
>of the baby, but keep looking, in my view there can never be enough studies
>about postbirth health for women and how midwives can help.
>----- Original Message -----
>From: Cheryl Cooper <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Friday, February 14, 2003 10:45 AM
>Subject: Re: Maternal morbidity
>
>
>> Thanks Andrew
>> Hadn't realised you had done work in this area, will now go look up your
>> refs (when I get the chance!)
>>
>> Was aware of Glazener/McArthur and Bick's work.
>>
>> Does anyone audit morbidity, or is it left to HVs and GPs? It seems to me
>> as midwives it is important we know what problems women are encountering
>> post childbirth - may be the only way people think about how they
>practice?
>> Maybe I'm barking up the wrong tree or just barking
>> Cheryl
>>
>
>
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