Evidence map›Paper›PMID 25608861›Full record

ArticleBMC health services research2015

Beyond the hospital door: a retrospective, cohort study of associations between birthing in the public or private sector and women's postpartum care.

Wendy Brodribb, Maria Zadoroznyj, Michelle Nesic, Sue Kruske, Yvette D Miller

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Wendy BrodribbDiscipline of General Practice, School of Medicine, The University of Queensland, Royal Brisbane and Women's Hospital, Level 8, Health Sciences Building, Herston, QLD, 4029, Australia. w.brodribb@uq.edu.au.
Maria ZadoroznyjInstitute for Social Science Research, School of Social Science, The University of Queensland, 4th floor, GPN3 (Building 39A), St Lucia, QLD, 4072, Australia. m.zadoroznyj@uq.edu.au.
Michelle NesicQueensland Centre for Mothers & Babies, School of Psychology, The University of Queensland, Hood St, St Lucia, QLD, 4072, Australia. m.nesic@uq.edu.au.
Sue KruskeSchool of Nursing and Midwifery, The University of Queensland, Level 2, Edith Cavell Building, UQ Herston Campus, Herston, QLD, 4029, Australia. s.kruske@uq.edu.au.
Yvette D MillerSchool of Public Health and Social Work, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, QLD, 4059, Australia. yvette.miller@qut.edu.au.
University of Queensland · AUQueensland University of Technology · AURoyal Brisbane and Women's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Australia, maternity care is available through universal coverage and a parallel, competitive private health insurance system. Differences between sectors in antenatal and intrapartum care and associated outcomes are well documented but few studies have investigated differences in postpartum care following hospital discharge and their impact on maternal satisfaction and confidence.

methodsWomen who birthed in Queensland, Australia from February to May 2010 were mailed a self-report survey 4 months postpartum. Regression analysis was used to determine associations between sector of birth and postpartum care, and whether postpartum care experiences explained sector differences in postpartum well-being (satisfaction, parenting confidence and feeling depressed).

resultsWomen who birthed in the public sector had higher odds of health professional contact in the first 10 days post-discharge and satisfaction with the amount of postpartum care. After adjusting for demographic and postpartum contact variables, sector of birth no longer had an impact on satisfaction (AOR 0.95, 99% CI 0.78-1.31), but any form of health professional contact did. Women who had a care provider's 24 hour contact details had higher odds of being satisfied (AOR 3.64, 95% CI 3.00-4.42) and confident (AOR 1.34, 95% CI 1.08- 1.65).

conclusionWomen who birthed in the public sector appeared more satisfied because they had higher odds of receiving contact from a health professional within 10 days post-discharge. All women should have an opportunity to speak to and/or see a doctor, midwife or nurse in the first 10 days at home, and the details of a person they can contact 24 hours a day.

Indexed as

AdultDepression, PostpartumFemaleHospitals, MaternityHumansMidwiferyParentingParturitionPatient DischargePersonal SatisfactionPostnatal CarePostpartum PeriodPregnancyPrivate SectorPublic SectorQueensland

Identifiers

PMID25608861
PMCPMC4310139
OpenAlexW1998454580

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.