1. DEVELOPMENT OF AN INSTRUMENT TO ASSESS THE WOMAN’S POSTNATAL NEEDS
Anne Marie Weissheimer
Escola de Enfermagem - Univ. Federal do Rio Grande do Sul
PROBLEM
Low quality of care delivered to women during the postnatal period in relation to contraception, sexual resumption, sexually transmitted infections, perineal care, breastfeeding, social support, baby care, and others.
Home visits vs. Basic Health Units.
POPULATION
Women at the postpartum period (7-10 days; days; 6 months; 1 year).
INTERVENTION
The development and validation of a scale to measure and assess the postnatal needs of women during their first year after childbirth (7-10 days; days; 6 months; 1 year).
The domains of the scale will be generated through focus groups with postpartum women, health professionals and with the use of literature review.
COMPARISION
Women whose needs are not measured or assessed by the scale (that is, standardized postnatal care actually delivered to women after childbirth).
OUTCOME
Assessment of the women’s needs during the postpartum period that could lead to an integral postnatal care.
INTRODUCTION
Human pregnancy, childbirth and postpartum are physiological events on a woman’s life cycle, but some factors have influence on the human postnatal period, including physical, psychological and socioeconomic matters1.
Antenatal and childbirth care are well covered.
In Brazil, the responsibility of postnatal care lies mainly on the woman’s shoulders at a moment of adjustment to motherhood and much more.
Home Visits versus Basic Health Units.
Perceived Risk versus Measured Risk.
Depression  EPDS2.
Quality of Life  Mother Generated Index3; Childbirth Perception Scale4.
Research question: What are the women’s needs during the postpartum period that could lead to an integral postnatal care?
OBJECTIVES
Primary
- To develop an instrument that assesses the postnatal needs of women during their first year after childbirth (at 7-10 days; days; 6 months; 1 year).
Secondary
- To measure and validate the psychometric properties of the developed instrument.
- To translate and adapt the instrument so it can be used both in Brazil and in the United Kingdom.
METHODS
A methodological study following the steps proposed by Streiner and Norman5.
Domains will be generated through focus groups and literature review.
Psychometric properties tested: content validity, reliability (internal consistency and stability) . Statistical analysis.
Ethical aspects.
REFERENCES
1- Aston M, Price S, Etowa J, et al The power of relationships: exploring how public health nurses support mothers and families during postpartum home visits. Journal of Family Nursing 21(1): 11– 34.
2 - Cox JL., Holden JM. Sagovsky R Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150: 782–6.
3 - Symon A, MacDonald A, Ruta, D Postnatal quality of life assessment: introducing the Mother-Generated Index. BIRTH 29(1):
4 - Truijens SEM, Wijnen HA, Pommer AM, Oei, SG, Pop VJM Development of the Childbirth Perception Scale (CPS): perception of delivery and the first postpartum week. Arch Womens Ment Health 17:411–421.
5 - Streiner DL, Norman GR Health measurements scales: a practical guide to their development and use. 4 ed. New York: Oxford University Press.