Voices of Postpartum Women: Exploring Canadian Women's Experiences of Inpatient Postpartum Care

J Obstet Gynaecol Can. 2018 Nov;40(11):1424-1436. doi: 10.1016/j.jogc.2018.03.010.

Abstract

Objective: To explore and understand postpartum inpatient experiences in a Canadian context.

Methods: Inpatients at BC Women's Hospital & Health Centre were invited to complete a questionnaire during their postpartum stay. Completed responses were obtained from 178 women, representing 44% of all postpartum inpatients during the survey period.

Results: Overall, women had positive experiences during their postpartum stay: 93% rated their experience as "excellent" or "very good"; 78% felt that nurses never seemed rushed or too busy to care for them; and 85% of women found the nurses to be very helpful with breastfeeding. Two-thirds of the women had concerns about going home that were related to infant feeding, feeling overwhelmed, and not knowing how to settle their baby. Other areas of improvement pertained to the hospital environment being less restful than desired. Certain groups needed additional support, such as primiparous women, women who had Caesarean deliveries, and women from certain ethnic groups.

Conclusion: This exploration of women's inpatient postpartum experiences in a Canadian hospital provides valuable information for improving service delivery, including assessing hospital routines, providing information/education, and improving discharge planning. Given that postpartum experiences are not uniform across demographic groups, an alternative or augmented approach to postpartum care may be warranted for some women.

Keywords: Postpartum period; hospitals; maternal health services; maternity; patient experience; postnatal care.

MeSH terms

  • Adult
  • British Columbia
  • Female
  • Hospitalization
  • Humans
  • Mothers* / psychology
  • Mothers* / statistics & numerical data
  • Patient Satisfaction / statistics & numerical data*
  • Postnatal Care* / psychology
  • Postnatal Care* / standards
  • Postnatal Care* / statistics & numerical data
  • Postpartum Period
  • Pregnancy
  • Surveys and Questionnaires
  • Young Adult