July 2024
A Delphi study to identify postpartum support planning priorities in primary care
Rikki Priest,1,2 Caroline Bulsara,3 Diane Arnold-Reed,1 Lucy Gilkes4
1The University of Notre Dame Australia, School of Medicine, Fremantle, WA
2Women and Newborn Health Service, King Edward Memorial Hospital, Obstetrics and Gynaecology Department, Perth, WA
3The University of Notre Dame Australia, School of Nursing and Midwifery, Fremantle, WA
4The University of Western Australia, Global MD, Perth, WA
Background and objectives
The foundation of women’s health and wellbeing during their transition into motherhood hinges on the support they receive. This study aimed to establish consensus on what should be included in a postpartum support planning framework for general practice.
Methods
Twenty-five multidisciplinary experts participated in three online surveys in this Delphi study. The consensus threshold was more than 70% agreement and qualitative data were collected on each priority area.
Results
Nine key areas to be explored with expecting parents were: (1) exploration of concerns; (2) education and information; (3) emotional support; (4) navigating the role and expectations; (5) infant wellbeing; (6) infant feeding; (7) practical support plan; (8) mental health support plan; and (9) support services. Experts did not establish consensus on consult duration and timing.
Discussion
This study has gained expert consensus on a postpartum support planning framework for antenatal consultations in primary care. Further research is underway exploring implementation in clinical practice.