Mothers' reflections on community postnatal care
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Healthwatch North Yorkshire wanted to understand the availability and quality of community postnatal care. They undertook a survey to which 167 mothers that had given birth in the last 18 months responded.
Over half felt they would have liked more support.
The majority of mothers said the first community midwife and health visitor visits took place at home. Mothers praised the quality of care if they had several follow up inperson visits. Most mothers had their 6–8-week GP check-up at the GP practice. For some, subsequent midwife checks were carried out in the community which was challenging for those who had a c-section, live in a rural area, or don’t drive. Mothers would prefer in-person health visitor appointments rather than online or phone calls.
Most mothers said they were informed about the transfer of care between the community midwives and health visitors. Having continuity of care and personalised care had a positive impact on their postnatal journey. Some mothers felt their medical information and personal circumstances were not always communicated between healthcare professionals which led to confusion.
Most mothers said healthcare professionals discussed signs and symptoms of physical health problems with them. The lack of physical examinations after birth, poor support for c-section recovery and lack of support for pelvic health were raised.
When mothers were able to get the appropriate mental health support the quality of care was praised. Most mothers were asked if they had any mental health concerns, but some said discussions felt like a tick box exercise.
Some mothers said the support from the community midwives and health visitors helped them to continue breastfeeding. Most mothers said their feeding decisions were respected. Some mothers said infant feeding support was too brief, lacked specialised support, and breastfeeding concerns were dismissed.
Most mothers said they were asked about their baby’s general wellbeing and development. Some mothers were unhappy due to the loss of baby clinics. Mothers would like more opportunities to come together for support, social interaction and to seek advice.
Most mothers received information on key topics and felt they could ask questions about the information. Mothers would like more information on recovery and baby care before they give birth. Some mothers received conflicting information on feeding, sleeping and baby development.
Valuable support was received from community groups and voluntary organisations. Mothers highlighted the importance of advice and support from family and friends.