Eva-Kristina Persson

A comparative study of breast feeding after traditional postnatal hospital care and early discharge

OBJECTIVE To provide quality assurance for the care plan and working structure within the early discharge unit at the Womens Clinic, Central Hospital, Helsingborg, Sweden. DESIGN Survey, using postal questionnaire. SETTING The Womens Clinic, Central Hospital, Helsingborg, Sweden. PARTICIPANTS 304 women with babies of six months of age, delivered at the Central Hospital, Helsingborg, between September and December 1993 and who, together with their baby, met the criteria for early discharge. Early discharge is generally defined in Sweden as discharge before 72 hours postpartum. MEASUREMENTS AND FINDINGS Of the participants 41% chose early discharge (ED) and 59% chose traditional hospital care (THC). Four groups were studied for breast feeding frequency - THC primiparae, ED primiparae, THC multiparae and ED multiparae. Further division was made for breast feeding at 2, 4 and 6 months of age. The four main groups were examined for demographic differences. A difference was found in education level; early discharge mothers had a lower level of education than THC mothers. No significant difference was found for the frequency or duration of breast feeding between the early discharge and the traditional hospital care groups, despite the higher education level in the traditional hospital care group. IMPLICATIONS FOR PRACTICE A possible explanation for this finding is that a care plan aimed at supporting the individuals responsibility and participation, providing relevant knowledge and a subliminal communication of trust in the competence of parent and child, is of particular significance for women with less education. The presence and participation of the babys father at an early stage may also be a factor.

Postnatal sense of security, anxiety and risk for postnatal depression

Postnatal Sense of Security, Anxiety and Risk for Postnatal Depression Approximately 10%-15% of mothers and 10% of fathers suffer from depressive symptoms during pregnancy and the postpartum period. Both maternal and paternal postnatal depression impact adversely on the family and the child’s behavioural development.