Objective: The purpose of this study is twofold: 1) to investigate the provision of and state of participation in postpartum health education and 2) to examine whether the participants and the midwives who provide it are satisfied with the content of postpartum health education.
Method: The survey was conducted using a self-administered questionnaire of colleagues of instructors at medical universities and at training hospitals. The responses from 62 midwives and 333 women with childbirth experience were analyzed. The survey items were as follows: respondents’ age; whether postpartum health education was provided and whether the respondent attended, including the reasons why; and the respondents’ satisfaction or dissatisfaction with postpartum health education, including the reasons why. The results of the survey were analyzed using simple tabulation, and Fisher’s exact probability test was performed for satisfaction and dissatisfaction. This study was conducted with the approval of the Ethics Committee for Human Research at Utsunomiya University (July 8, 2022, H22-0053).
Results: Among the 333 women with childbirth experience, 55 individuals (16.5%) ranging in age from their 30s to their 70s had participated in postpartum health education. Of these, 47 (85.5%) were satisfied with the educational content; 7 12.7%) were dissatisfied; and 1 (1.8%) did not answer. Next, of the 62 midwives, 17 (27.4%) aged 40 or older had provided postpartum health education. Of the 17 midwives who had provided “postpartum health education,” 4 (23.5%) were satisfied with the educational content, and 11 (64.7%) were dissatisfied. Nine respondents gave reasons for dissatisfaction, with most of the responses concerning lack of follow-up and limited time.
Discussion: Midwives provide postpartum health education during the limited time of visits and stays in hospital in conjunction with birth. However, whereas more than 85% of participants were satisfied with the program, 64.7% of the midwives who provided postpartum health education were dissatisfied, indicating that midwives and participants differ in how they perceive the content of postpartum health education. Furthermore, the midwives’ responses highlighted the importance of continuous postpartum health education.
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