Assessing the experiences of home-based postnatal care among mothers with a migration background and their partners in Belgium.
Apers Lise, 2023
Every year, approximately 300.000 women die worldwide due to complications of pregnancy and childbirth. For newborns this number is even higher, with 2.3 million children worldwide dying yearly. Most of these deaths occur within the first six weeks after childbirth, and most of them are preventable or treatable. Despite this fact, the postnatal period, which is defined as the first six weeks after childbirth, is the most neglected phase when it comes to provision of maternal and newborn care. The care that mothers and newborns receive during these first weeks is called postnatal care, and can be administered in the hospital as well as at home. Since there is a global trend of discharging mothers sooner out of the hospital after childbirth, the importance of receiving postnatal care at home increases. This care includes all care provided to mothers, their partners, newborns and families at home, during the first six weeks after childbirth. Home-based postnatal care is therefore broader than purely medical care and also comprises non-medical support such as paying attention to the mental well-being of the mother, assisting with breastfeeding, making sure the child grows up in a safe and healthy environment and providing family counseling, amongst others. Moreover, it is proven that women with a migration background have higher risks of poor pregnancy and childbirth related outcomes which means it is extremely important to focus on this sub-population and ensure that they have access to adequate postnatal care. In addition to this, individuals with a migration background are often underrepresented in scientific research, which adds to the urgency of focusing on this population and giving them a voice. That is why we wanted to study how mothers and partners with a migration background experienced the postnatal care they received at their homes, in Belgium. We have done this through talking to mothers and fathers with a migration background about their positive and negative experiences during the first weeks after childbirth. They often compared both the professional and non-professional support that they received in Belgium to what care they would have received in their countries of origin, and they shared what they would like to see different in the future. By talking to the parents, it was possible to identify the challenges that parents are facing during the first weeks after childbirth and the aspects of care that are valuable according to them. These insights can help to determine the specific need of individuals with a migration background and inform caregivers accordingly. This can lead to the provision of tailored care by professional caregivers. Furthermore, guidelines can be adequately adapted and it is possible to provide recommendations for current PNC programs in Belgium. By ensuring individuals receive care that is tailored to fit their needs, a positive postnatal experience can be ensured. This can lead to lower feelings of stress and loneliness and an improved psychological well-being of the parents. Subsequently, this impacts the living environment of both the parents and the newborns. In addition to this, receiving care that is tailored to fit their specific needs can also lead to individuals being more satisfied with the received care and therefore, more uptake of home-based postnatal care. Overall, this study can help to reduce the numbers of mothers and newborns that are dying during the first weeks after childbirth.
Promotor | Anna Galle |
Opleiding | Global Health |
Kernwoorden | Belgium Experiences Home-based postnatal care Individuals with migration background |