title: [What women want: a qualitative study about postnatal midwifery care at home].
abstract: In Switzerland, decreases in regular hospital treatment after birth are leading increasingly to mother and child being cared for at home by independent midwives. The research herein was carried out in order to understand the needs of mothers in their home once they leave the hospital and what this midwife provided care consists of. In 2008, eight women from central Switzerland were interviewed on two separate occasions after the birth of their child, and the interviews were analysed using content analysing techniques. Mothers explained that they wanted their baby and themselves to be well cared for. They needed rest and support for recuperation and wished to spend quality time with their new family. The midwifes assisted the mothers to fulfil their needs by counselling, by instructing and by giving information, but they rarely encouraged them to be together as a family. The relationship between midwife and mother turned out to be an important support. Mothers were satisfied if mutual trust was built and if the midwife perceived their needs, respected their autonomy and took the time to be with them. Midwives contribute to the basic well-being of families and support women with medical expertise and ongoing care. Furthermore families need support in general household issues so that new mothers can recover sufficiently.
authors.affiliation: Universitätsklinik für Frauenheilkunde, Inselspital Bern und Institut für Pflegewissenschaft, Universität Basel.
authors.forename: Patricia
authors.initials: P
authors.lastname: Blöchlinger
authors.affiliation: Institut für Hebammen, ZHAW Zürcher Hochschule für Angewandte Wissenschaften, Winterthur und Institut für Pflegewissenschaft, Universität Basel und Schweizerisches Tropen- und Public Health- Institut & Universität Basel.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Kurth
authors.affiliation: Imperial College London.
authors.forename: Martin
authors.initials: M
authors.lastname: Kammerer
authors.affiliation: Institut für Pflegewissenschaft, Universität Basel und Abteilung Praxisentwicklung Pflege, Universitätsspital Basel.
authors.forename: Irena Anna
authors.initials: IA
authors.lastname: Frei
mesh_terms: D000328:Adult; D005260:Female; D006699:Home Care Services; D006801:Humans; D007406:Interview, Psychological; D007902:Length of Stay; D008880:Midwifery; D009723:Nurse-Patient Relations; D010351:Patient Discharge; D017060:Patient Satisfaction; D011181:Postnatal Care / Q000379:methods* / Q000523:psychology; D036301:Qualitative Research; D013557:Switzerland
keywords: Bedürfnisse; Qualitative Studie; Wochenbettbetreuung; Wöchnerin; health services needs and demands; home care services; postnatal care; qualitative research; spitalexterne Betreuung; women in childbed