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Article
Publication date: 1 August 2005

M. Simbar, Z. Alizadeh Dibazari, J. Abed Saeidi and H. Alavi Majd

Despite 77 per cent antenatal care coverage and 90 per cent skilled attendant at delivery, adjusted maternal mortality in Iran is 76 per 100,000 births. Low quality of maternal…

Abstract

Purpose

Despite 77 per cent antenatal care coverage and 90 per cent skilled attendant at delivery, adjusted maternal mortality in Iran is 76 per 100,000 births. Low quality of maternal health services is one cause of maternal morbidity and mortality. However, few and limited studies have been devoted to the quality of postpartum care in Iran. This study aims to assess quality of care in postpartum wards of Shaheed Beheshti Medical Science University hospitals to show weakness and gaps areas in the care procedure for future improvement intervention programs. It is a descriptive study to assess quality of care in postpartum wards of Shaheed Beheshti Medical Science University hospitals, in 2003.

Design/methodology/approach

Using quota sampling, 60 healthy women were recruited for the study. Data were collected using three forms including a questionnaire with demographic and obstetrics questions, a check‐list for the postpartum care and education quality assessment. Control of vital signs, uterus assessment, perineum assessment, leaving bed, urinary system assessment, digestive system assessment, breast examination, extremities assessment, psychological assessment, as well as education about perineum self‐care, breast‐feeding, infant care, education before discharge and educational method. Validity and reliability of the questionnaire and checklist were assessed prior to use. Data were analyzed using SPSS.

Findings

Results showed compatibility of provided postpartum care with the standards as follows: method of patient's education (52.68 per cent); control of vital signs (43.21 per cent); education about breast‐feeding (26.06 per cent); care in getting out of bed (25.83 per cent); psychological care (19.36 per cent); urinary system assessment (16.66 per cent); education about perineum care (13.12 per cent); uterus assessment (10.6 per cent); digestive system assessment (9.69 per cent); patient's education before discharge (7.99 per cent); education about infant's care (7.81 per cent); perineum assessment (6.72 per cent); breast examination (1.11 per cent); and assessment of extremities (0.81 per cent). The study demonstrated that weak postpartum care was provided in 82 per cent of cases but also that mothers were satisfied with provided care in all domains of care. Mothers were very satisfied with facilities and less satisfied with personnel interaction with their visitors in hospital. There was no significant correlation between quality of services and clients' satisfaction (Spearman test, p<0.05).

Originality/value

For the first time in Iran, this study has evaluated quality of care in postpartum wards of hospitals based on the defined standards. The study provided a defined standard for postpartum care, which is necessary for regular monitoring and evaluation and so evidence‐based intervention programs to improve the system of care. It was also postulated that mothers' satisfaction with care is not always a good indicator of services quality.

Details

International Journal of Health Care Quality Assurance, vol. 18 no. 5
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 18 April 2022

Ingrid Y. Lin and Anna Mattila

The purpose of this paper is to apply the concept of holistic wellness to a postpartum care resort experiencescape to enhance women’s health and well-being. Several relevant…

Abstract

Purpose

The purpose of this paper is to apply the concept of holistic wellness to a postpartum care resort experiencescape to enhance women’s health and well-being. Several relevant theories are highlighted to demonstrate how to design a soothing postpartum care experiencescape. This paper also discusses the notion of regenerative business practices to achieve a win-win-win (customer–resort–community) strategy composed of collaborative networks that serve people and the planet.

Design/methodology/approach

A multidisciplinary literature review discusses the lack of postpartum care in the USA and shows how resorts could help improve women’s health and well-being by offering postpartum care services. This is a theory synthesis paper that seeks to achieve conceptual integration across multiple frameworks.

Findings

This conceptual model displays the interconnected relationships of holistic wellbeing, postpartum care experiencescape design and regenerative practices.

Research limitations/implications

The essence of this conceptual paper is to address postpartum care in the USA and to develop a conceptual model for designing postpartum care experiencescapes in a resort setting.

Practical implications

The authors offer suggestions on how resorts and health-care services can co-design a postpartum care resort experiencescape to transform the mother’s postpartum period to the joy of parenthood.

Social implications

This paper discusses how postpartum care experiencescapes in the resort context would contribute to solving some prevalent societal issues while advancing the future of hospitality research and businesses.

Originality/value

No research within the hospitality literature has yet discussed how the hospitality industry can collaborate with the health-care sector to establish postpartum care services to be at the forefront in leading the age of regeneration.

Details

International Journal of Contemporary Hospitality Management, vol. 34 no. 8
Type: Research Article
ISSN: 0959-6119

Keywords

Article
Publication date: 26 June 2019

Hsiao-Ching Huang, Tsai-Fu Tsai, Ya-Ching Wang and Yi-Maun Subeq

The preservation and disappearance of indigenous people’s traditional knowledge system, under mainstream social culture immersion and fusion, have presented a dynamic and changing…

Abstract

Purpose

The preservation and disappearance of indigenous people’s traditional knowledge system, under mainstream social culture immersion and fusion, have presented a dynamic and changing acculturation interactive relationship impacting Truku women’s health concepts. Thus, the purpose of this paper is to explore how the traditional Gaya knowledge system and mainstream culture confinement care model affect the beliefs and behaviours of postpartum self-care amongst contemporary Truku women.

Design/methodology/approach

An ethnographic semi-structured method, based on cultural care factors and the Leininger Sunrise Model, was conducted to interview 17 Truku women with childbearning experience in eastern Taiwan. As data were collected, UDIST Vivo 11.0 software was applied for analysis.

Findings

Amongst the three knowledge system categories, namely, traditional, mainstream and reconstruction, the traditional knowledge system, including Gaya norms, provides the overall cultural value of a Truku family. While taboo is inherited through the experience of the elders, the mainstream knowledge system favours the Han. However, the reconstruction knowledge system highlights the “functional” response strategies based on Truku women’s comfort and conveniences.

Originality/value

Limited relevant studies have focused on the health and postpartum self-care knowledge of ethnic Truku women in Taiwan. The results are expected to provide clinical medical personnel with a reference and strengthen cultural sensitivity and the ability to implement the cultural congruency care of postpartum indigenous women in Taiwan.

Open Access
Article
Publication date: 4 March 2014

Shubham Mehta and Nidhi Mehta

Post partum depression (PPD) is an important complication of child-bearing. It requires urgent interventions as it can have long-term adverse consequences if ignored, for both…

1160

Abstract

Post partum depression (PPD) is an important complication of child-bearing. It requires urgent interventions as it can have long-term adverse consequences if ignored, for both mother and child. If PPD has to be prevented by a public health intervention, the recognition and timely identification of its risk factors is must. We in this review have tried to synthesize the results of Asian studies examining the risk factors of PPD. Some risk factors, which are unique to Asian culture, have also been identified and discussed. We emphasize on early identification of these risk factors as most of these are modifiable and this can have significant implications in prevention of emergence of post partum depression, a serious health issue of Asian women.

Details

Mental Illness, vol. 6 no. 1
Type: Research Article
ISSN: 2036-7465

Keywords

Article
Publication date: 1 May 2009

Masoumeh Simbar, Farideh Ghafari, Shahnaz Tork Zahrani and Hamid Alavi Majd

Quality improvement of reproductive health care has been announced as one of five global strategies to accelerate progress toward reproductive health goals. The World Health…

1157

Abstract

Purpose

Quality improvement of reproductive health care has been announced as one of five global strategies to accelerate progress toward reproductive health goals. The World Health Organization emphasises the evaluation of structure, procedure and outcome of health services to improve quality of care. This study aims to assess the quality of provided care in labour and delivery units in two selected Kordestan Medical Science University hospitals.

Design/methodology/approach

A descriptive study methodology was utilised to assess the quality of care provided to 96 women with normal pregnancies. Two checklists were used to observe procedures of care and structure together with a questionnaire utilised to assess satisfaction ratings of patients. Data were analysed by SPSS 11.5.

Findings

Midwifery care was provided in different stages of labour, with the following mean percentages of compatibility with desirable situation: first stage of labour (71.4 per cent), second stage of labour (63.03 per cent), third stage of labour (80.63 per cent) and first 2 hours after labour (70.50 per cent). The lowest scores were related to the domains of “emotional support”, “hand wash” and “assessment of vital signs”.

Originality/value

The paper develops instructions for care provision or promotion of partograph use for continuous monitoring and evaluation of quality of care by managers. Increasing midwifery personnel and providing facilities for accompanied people to improve quality of emotional care can lead to quality improvement, and finally the women's health and satisfaction.

Details

International Journal of Health Care Quality Assurance, vol. 22 no. 3
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 10 September 2018

Nantaga Sawasdipanich, Supa Puektes, Supaporn Wannasuntad, Ankana Sriyaporn, Chulepon Chawmathagit, Jirapa Sintunava and Gamjad Paungsawad

The purpose of this paper is to develop and evaluate the Standards of Healthcare Facility for Thai Female Inmates (SHF-TFI) through healthcare service improvement.

Abstract

Purpose

The purpose of this paper is to develop and evaluate the Standards of Healthcare Facility for Thai Female Inmates (SHF-TFI) through healthcare service improvement.

Design/methodology/approach

This research and quality improvement project was comprised of three phases. Surveying healthcare facilities and in-depth interviews with female inmates as well as prison nurses were employed in Phase I. Expert reviews and public hearing meetings were used for developing the SHF-TFI in Phase II. Satisfaction questionnaires, focus group interviews of the female inmates, and in-depth interviews with nurses and prison wardens were utilized to evaluate feasibility and effectiveness of SHF-TFI implementation in Phase III.

Findings

The SHF-TFI was elaborated in order to be more specific to the context of the correctional institutes and correspond with healthcare as to the needs of female inmates. It was divided into three main aspects: administrative standards, health service standards and outcome standards. After implementation, nurses reflected on the feasibility and benefits of the SHF-TFI on the organizations, inmates and nurses. The female inmates perceived remarkable improvement in the healthcare services including physical activity promotion and screening programs for non-communicable diseases, the physical environment and sufficiency of medical equipment. Moreover, the pregnant inmates and incarcerated mothers with children shared their views on better antenatal and child developmental care, as well as availability of baby supplies.

Originality/value

The findings support the feasibility and effectiveness of the SHF-TFI for quality care improvement and applicability of the Bangkok Rules in women’s correctional institutes.

Details

International Journal of Prisoner Health, vol. 14 no. 3
Type: Research Article
ISSN: 1744-9200

Keywords

Article
Publication date: 7 July 2020

Şirin Özkan, Chifa Chiang, Gökhan Aba and Yusuf Çelik

The purpose of this study was to determine the satisfaction of women who underwent normal delivery and cesarean section (or C-section) with maternal care in five state-run…

Abstract

Purpose

The purpose of this study was to determine the satisfaction of women who underwent normal delivery and cesarean section (or C-section) with maternal care in five state-run hospitals in Northwestern Turkey.

Design/methodology/approach

This was a cross-sectional study. The sample consisted of 580 women who underwent normal delivery (ND) and 392 who had a C-section (CS). Data were collected using two maternal satisfaction questionnaires, which participants completed right before they were discharged.

Findings

More than half of ND (61.7%) and CS (56.9%) participants were satisfied with maternal care. ND participants who had received antenatal training were more satisfied with maternal care than CS participants who had not received antenatal training. Higher income was a significant predictor for reduced satisfaction with maternal care among CS participants (p = 0.031).

Practical implications

Hospital administrators and decision-makers should meet women's expectations, provide them with comfort, encourage them for skin-to-skin contact and respect their right to privacy in order to increase their satisfaction with maternal care. Pregnant women should also be encouraged to receive antenatal training offered by hospitals before delivery.

Originality/value

The evidence-based results of the study will help hospital administrators to improve healthcare quality and focus on increasing women's satisfaction with maternal care.

Details

International Journal of Health Care Quality Assurance, vol. 33 no. 4/5
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 16 March 2012

Masoumeh Simbar, Fatemeh Nahidi, Mahrokh Dolatian and Alireza Akbarzadeh

Improving hospital service access and mothers' care are said to be the best approaches for decreasing maternal mortality. This study aims to evaluate prenatal care (PNC) and…

Abstract

Purpose

Improving hospital service access and mothers' care are said to be the best approaches for decreasing maternal mortality. This study aims to evaluate prenatal care (PNC) and suggest ways to improve hospital and health center maternity services.

Design/methodology/approach

This was a cross‐sectional descriptive study to evaluate prenatal care services in three domains: service structure; care process; and outcomes. Using non‐randomized quota sampling, 600 PNC clients were assessed in 12 pre‐natal clinics. Two checklists were used to assess facilities and care process and a questionnaire to assess client satisfaction. Validity and reliability were assessed and confirmed.

Findings

Six hundred subjects, averaging 29.3 (±9.4) weeks pregnancy, were included. Assessing different care processes demonstrated the following compliance to standards: counseling process 55.5 per cent (±21.2); history‐taking 48.71 per cent (±11.4); vital signs assessment 53.4 per cent (±10.6); general examination 30.2 per cent (±13.3); obstetrical examination 91.8 per cent (±27); blood tests 93.8 per cent (±21.9); urinary tests 86.9 per cent (±26.3); clients' education about peri‐natal‐risk 39.7 per cent (±27.1). Results showed that 0.54 per cent (±13.1) of clients were satisfied with care processes.

Research limitations/implications

Clients and providers were informed about the study's evaluation processes, which may have affected the results.

Practical implications

Study method and results can be used to improve PNC services.

Originality/value

This is the first time a study has focused on Iranian PNC structures, processes and outcomes.

Details

International Journal of Health Care Quality Assurance, vol. 25 no. 3
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 18 January 2023

Fangli Hu, Jun Wen, Danni Zheng and Wei Wang

This paper aims to introduce an under-researched concept, travel medicine, to the hospitality field and proposes future research directions. This paper also highlights the need to…

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Abstract

Purpose

This paper aims to introduce an under-researched concept, travel medicine, to the hospitality field and proposes future research directions. This paper also highlights the need to acknowledge the missing link between hospitality and medical science and encourages research on the health of hotel guests, especially those with mental disorders.

Design/methodology/approach

By synthesizing relevant literature, this study proposes a conceptual framework focused on identifying and filling knowledge gaps between hospitality and medical science. Pathways for empirical research on hotel guests’ travel health are suggested accordingly.

Findings

This paper reveals that the topic of travel medicine has been neglected in hospitality, especially in relation to vulnerable hotel guests. Additionally, this study suggests that researchers should move beyond the confines of social science and conduct interdisciplinary hospitality studies. In-depth analyses of hotel guests’ health and safety are also recommended.

Research limitations/implications

This conceptual piece serves as a “provocation” that is exploratory, thus laying a foundation for future interdisciplinary studies bridging hospitality and medical science. This paper offers practical significance for hospitality stakeholders (i.e. academics, practitioners, hotel guests and society) and also provides guidelines on how to create vulnerability-friendly hospitality environments.

Originality/value

To the best of the authors’ knowledge, this study takes an important step toward interdisciplinary research between hospitality and medical science through the lens of travel medicine. This paper offers insight to bridge these disciplines and extend hospitality research into medical science. This paper further identifies an under-investigated topic and feasible research avenues that can offer timely solutions for hospitality academics and practitioners.

Details

International Journal of Contemporary Hospitality Management, vol. 35 no. 9
Type: Research Article
ISSN: 0959-6119

Keywords

Book part
Publication date: 7 April 2022

Caroline Chautems

Since the 1990s, public health agencies as well as nutrition and child health experts have recognized breastfeeding as the most appropriate infant-feeding mode for optimal health…

Abstract

Since the 1990s, public health agencies as well as nutrition and child health experts have recognized breastfeeding as the most appropriate infant-feeding mode for optimal health and psycho-emotional development. Consequently, breastfeeding has become a standard of good mothering, internalized by mothers, who implement a demanding self-discipline to perform breastfeeding. This dedication reflects the delegation of biopolitics to individuals in modern neoliberal societies: authoritative experts inform new parents, who then bear the responsibility of their children's health risk management. They are expected to choose appropriate practices as part of a collective strategy of risk management and anticipation of the future by changing current behaviours, aiming at the emergence of a ‘healthy body and mind’ society. Among these practices, breastfeeding holds a central place due to medical consensus about its benefits. In my ethnography of postpartum consultations by independent midwives in Switzerland, I studied the breastfeeding practices and experiences of home birth parents as part of the ‘holistic care’ provided by these midwives. Shadowing midwives during their postpartum visits between 2014 and 2017, I witnessed parents committing to the body and emotional work required to carry out their ‘breastfeeding project’, designed in continuity with their out-of-hospital birth choice. During their follow-ups, midwives engage with parents in a shared construction of meanings around breastfeeding, anchoring parenting identities in the body. I explore in this chapter the issues raised by the production of lactating maternal bodies and how women engage in body and emotional work to achieve it.

Details

Reproductive Governance and Bodily Materiality
Type: Book
ISBN: 978-1-80071-438-0

Keywords

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