Health problems related to early discharge of Turkish women

Objective: to determine women's problems when discharged early from hospital after normal vaginal birth among a simple convenience sample of mothers in one part of Turkey. Design: a descriptive interview study. Setting: primary health-care unit in Erzurum, Turkey. Participants: 112 mothers who came to the primary health-care unit for vaccination of their 2-month old babies between May and June 2000. Data were collected by structured face-to-face interviews. A symptom checklist was used to determine health problems. Findings: length of hospital stay after delivery was a mean of 7.1 +/- 7.0 hrs, and 66.1% (n = 74) of mothers did not receive appropriate education about potential postpartum health problems. The findings indicated that the morbidity rate of mothers in the postpartum period was high. Among the most prevalent problems experienced by mothers were fatigue (86.6%; n = 97), insomnia (80.4%; n = 90), breast problems [engorged breast, tenderness and pain] 71.4%; n = 80) and constipation 61.7%; n = 69). Vaginal infection was reported by 16 mothers (14.3%; n = 16). The prevalence of the use of medical services resulting from postnatal health problems in the postpartum period was 42.0% (n = 47). About half of the mothers (51.8%; n = 58) were not visited by midwives during the first postpartum week after discharge from hospital because both the maternity hospital and mother had not reported any health problems to the midwife. Recommendations for practice: mothers can experience many problems in the postpartum period. It is not possible to predict which mother will experience risks, such as an infection or mastitis. Therefore, women discharged from hospital in the first 24 hrs after birth should be educated about the problems that may arise during the postpartum period. They should also be given professional care and help in their own home by midwives working in the primary-care unit. Mothers should be told to notify their midwives about delivery and discharge in order to receive early follow-up in their homes. We suggest promoting maternal health education that encourages women to seek appropriate and timely care. (c) 2005 Elsevier Ltd. All rights reserved.