Table 6 Discharge planning and community-based care – comparison and level of agreement between NICE/WHO recommendations and Australian postnatal guidelines
Recommendations | Number of Australian guidelines mapped to each category | |||||
|---|---|---|---|---|---|---|
Agree | Partially agree | Modified | Disagree | Absent | Not in scope | |
Discharge planning | ||||||
53. Minimum of four postnatal contacts | 1 | 3 | 5 | 0 | 0 | 22 |
54. Care in health facility for 24Â h | 0 | 0 | 1 | 2 | 2 | 26 |
55. Physical assessments before discharge | 1 | 12 | 1 | 0 | 7 | 10 |
56. Assessing skills to care for self (woman) and infant (parents) before discharge | 2 | 11 | 6 | 0 | 6 | 6 |
57. Communicating transfer of care between providers and with parents | 9 | 2 | 2 | 0 | 3 | 15 |
58. What providers should communicate at transfer of care | 5 | 18 | 0 | 0 | 7 | 1 |
59. Discussing timing of discharge with women | 3 | 3 | 4 | 0 | 1 | 20 |
60. Considerations for deciding the time of discharge | 4 | 4 | 1 | 0 | 1 | 21 |
61. Information provision prior to discharge including care-seeking behaviours | 1 | 18 | 9 | 0 | 1 | 2 |
62. Contraception information and services | 6 | 0 | 0 | 0 | 6 | 19 |
Community-based care | ||||||
63. First contact after home birth | 1 | 2 | 1 | 0 | 3 | 24 |
64. Timing of community contacts | 1 | 9 | 6 | 0 | 1 | 14 |
65. Home visits in the first week | 1 | 10 | 2 | 0 | 2 | 16 |
66. Considerations for an additional early home visit | 0 | 0 | 0 | 0 | 7 | 24 |
67. Psychological/psychosocial interventions for preventing depression and anxiety | 13 | 1 | 1 | 0 | 0 | 16 |