Table 7 Postnatal care received and perceptions of care for women with different types of disability
Disability | No disability | |||||
|---|---|---|---|---|---|---|
Physical condition & Illness | Sensory | Mental disability | Learning disability | More than one disability | ||
Postnatal care received | (n = 730) | (n = 197) | (n = 336) | (n = 120) | (n = 99) | (n = 22,673) |
n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | |
Length of postnatal hospital stay < 3 days | 316 (44.7) ** | 59 (31.2) | 110 (34.2) | 34 (30.6) | 45 (46.9) ** | 6230 (28.6) |
aOR (95% CI) | 1.92 (1.64-2.25) | 1.13 (0.81 -1.58) | 1.43 (1.12-1.82) | 1.14 (0.75-1.74) | 2.18 (1.42-3.35) | 1 |
Baby put to breast at least once | 576 (79.8)* | 153 (78.9) | 245 (73.6)** | 86 (74.1)* | 71 (72.5)* | 18987 (84.4) |
aOR (95% CI) | 1.47 (1.18-1.83) | 1.28 (0.87 -1.86) | 1.48 (1.13-1.95) | 1.29 (0.81 -2.03) | 1.51 (0.86 -2.65) | 1 |
Full or partial breast milk feeds in first few days | 529 (73.5 )** | 133 (69.2)* | 223 (67.3)** | 75 (65.2)** | 58 (60.4)** | 22001 (79.4) |
aOR (95% CI) | 0.94(0.64-1.39) | 0.98 (0.72-135) | 0.98 (0.63-1.53) | 0.71 (0.43-1.15) | 1.48 (1.22-1.79) | 1 |
Total number of postnatal midwife contacts > = 5 | 166 (24.0) | 61 (33.0) * | 98 (31.0)* | 35 (31.3) | 23 (25.8) | 5260 (24.0) |
aOR (95% CI) | 1 (0.83-1.20) | 1.48 (1.08-2.05) | 1.49 (1.16-1.91) | 1.6 (1.03-2.47) | 1.16 (0.70-1.94) | 1 |
Received postnatal check | 638 (88.5) | 173 (89.2) | 283 (85.5) | 99 (83.9) | 86 (87.8) | 19927 (89.0) |
aOR (95% CI) | 1.07 (0.84-1.36) | 0.89 (0.55-1.44) | 1.32 (0.96-1.80) | 1.27 (0.74-2.16) | 0.94 (0.49-1.80) | 1 |
Given advice about contraception | 640 (89.6) | 176 (92.2) | 296 (89.4) | 110 (95.7) | 84 (88.4) | 20569 (92.2) |
aOR (95% CI) | 1.35 (0.73-2.50) | 1.0 (0.64-1.55) | 3.01 (1.16-7.81) | 0.8 (0.39-1.64) | 1.39 (1.07-1.79) | 1 |
Perceptions of postnatal care | ||||||
Always treated with kindness and understanding in hospital | 422 (60.0) | 116 (62.4) | 192 (59.3) | 64 (57.7) | 51 (53.7) | 13869 (63.6) |
aOR (95% CI) | 0.85 (0.72-1.00) | 1 (0.73-1.38) | 0.79 (0.63-1.00) | 0.89 (0.59-1.34) | 0.7 (0.46-1.08) | 1 |
Always given information/explanations needed in hospital | 345 (49.0) | 105 (56.1) | 159 (48.6) | 54 (48.2) | 43 (45.7) | 11555 (52.9) |
aOR (95% CI) | 0.85 (0.72-0.99) | 1.18 (0.87-1.60) | 0.78 (0.62-0.98) | 0.95 (0.63-1.42) | 0.85 (0.55-1.31) | 1 |
Felt length of stay about right | 494 (71.3) | 128 (69.6) | 219 (68.4) | 63 (57.8)* | 58 (63.0) | 15497 (72.6) |
aOR (95% CI) | 0.93 (0.78-1.10) | 0.85 (0.61-1.19) | 0.82 (0.64-1.05) | 0.51 (0.34-0.77) | 0.68 (0.43-1.06) | 1 |
At home if contacted midwife/health visitor, help always given | 356 (71.3) | 98 (71.5) | 167 (70.5) | 61 (69.3) | 48 (63.2) | 11466 (75.6) |
aOR (95% CI) | 0.88 (0.56-1.38) | 0.55 (0.26-1.14) | 0.93 (0.48-1.80) | 3.74(0.51-27.2) | 0.41 (0.19-0.88) | 1 |
Would have liked to see a midwife more | 180 (25.7)* | 49 (26.1)* | 66 (20.2) | 33 (28.7)* | 28 (31.1)* | 4624 (20.9) |
aOR (95% CI) | 0.78 (0.65-0.94) | 0.67 (0.48-0.93) | 0.96 (0.72-1.28) | 0.72 (0.47-1.11) | 0.63 (0.39-1.04) | 1 |
Definitely given enough information about recovery after birth | 292 (41.1) | 92 (49.5) | 118 (36.9) | 51 (44.3) | 40 (41.2) | 9154 (41.9) |
aOR (95% CI) | 0.83 (0.69-1.02) | 1.21 (0.80-1.85) | 0.6 (0.46-0.77) | 1.04 (0.63-1.70) | 0.54 (0.33-0.88) | 1 |
Definitely given enough information about emotional changes | 280 (41.1) | 92 (49.7) | 132 (41.4) | 49 (44.1) | 38 (42.2) | 8876 (42.2) |
aOR (95% CI) | 0.85 (0.70-1.02) | 0.96 (0.66-1.38) | 0.95 (0.72-1.25) | 0.86 (0.53-1.37) | 0.52 (0.32-0.83) | 1 |
Always had active support and encouragement with feeding | 301 (42.6) | 98 (52.7) | 133 (42.0) | 46 (40.7) | 42 (44.2) | 9529 (43.8) |
aOR (95% CI) | 0.80 (0.65-0.98) | 1.58 (0.92-2.71) | 0.81 (0.60-1.10) | 1.08 (0.63-1.85) | 0.63 (0.37-1.06) | 1 |
Always had consistent advice about infant feeding | 246 (35.4) | 86 (46.7)* | 105 (33.0) | 41 (36.9) | 33 (35.1) | 7777 (36.1) |
aOR (95% CI) | 0.78 (0.61-0.98) | 0.59 (0.39-0.88) | 0.69 (0.50-0.93) | 0.82 (0.47-1.42) | 0.56 (0.32-0.98) | 1 |
Postnatal care overall rating ‘Good’ | 611 (85.0)* | 177 (91.2) | 284 (85.8) | 106 (88.3) | 76 (77.6)* | 19858 (88.5) |
aOR (95% CI) | 0.75 (0.60-0.93) | 1.27 (0.74-2.15) | 0.78 (0.57-1.07) | 1.18 (0.64-2.16) | 0.54 (0.33-0.90) | 1 |