Table 5.
Perception of postnatal care received for women with and without disability
| Physical condition or illness | Sensory disability | Mental health disability | Learning disability | Multiple disability | No disability | ||
| Postnatal care in hospital | |||||||
| Always able to get attention in reasonable time | n (%) | 373 (46.5***) | 84 (53.2) | 287 (46.4***) | 62 (51.7) | 55 (50.5) | 9421 (54.6) |
| aOR (95% CI) | 0.71 (0.61 to 0.83) | 0.85 (0.60 to 1.20) | 0.69 (0.58 to 0.82) | 0.85 (0.58 to 1.26) | 0.73 (0.49 to 1.10) | ||
| Always treated with kindness and understanding | n (%) | 530 (62.1***) | 105 (64.8) | 402 (61.9***) | 74 (61.7*) | 74 (64.3) | 13 114 (71.1) |
| aOR (95% CI) | 0.65 (0.59 to 0.76) | 0.70 (0.49 to 0.99) | 0.62 (0.52 to 0.73) | 0.64 (0.43 to 0.96) | 0.63 (0.42 to 0.97) | ||
| Partner or companion stayed as long as woman wanted | n (%) | 451 (53.6***) | 87 (53.7) | 334 (52.1***) | 70 (59.3) | 62 (54.9) | 11 367 (62.8) |
| aOR (95% CI) | 0.70 (0.60 to 0.82) | 0.73 (0.52 to 1.04) | 0.63 (0.53 to 0.75) | 1.12 (0.75 to 1.66) | 0.84 (0.55 to 1.27) | ||
| HCPs gave active support and encouragement about feeding the baby | n (%) | 438 (54.0***) | 93 (58.1) | 327 (52.4***) | 76 (64.4) | 61 (56.0) | 10 732 (63.5) |
| aOR (95% CI) | 0.66 (0.57 to 0.78) | 0.82 (0.58 to 1.15) | 0.64 (0.54 to 0.76) | 1.25 (0.84 to 1.87) | 0.77 (0.69 to 0.87) | ||
| Postnatal care at home | |||||||
| If MW contacted, always given help needed | n (%) | 428 (73.0**) | 87 (71.9) | 360 (73.3*) | 62 (65.3**) | 70 (74.5) | 8934 (78.4) |
| aOR (95% CI) | 0.72 (0.58 to 0.88) | 0.80 (0.51 to 1.25) | 0.72 (0.58 to 0.91) | 0.55 (0.35 to 0.88) | 0.84 (0.50 to 1.40) | ||
| Would have liked to see an MW more often | n (%) | 194 (23.1*) | 56 (33.5***) | 131 (20.4) | 36 (29.8**) | 28 (24.6) | 3678 (19.9) |
| aOR (95% CI) | 1.35 (1.12 to 1.61) | 1.94 (1.34 to 2.80) | 1.22 (0.98 to 1.51) | 1.89 (1.25 to 2.87) | 1.61 (0.99 to 2.63) | ||
| MWs always listened | n (%) | 595 (70.7***) | 110 (66.7**) | 428 (66.2***) | 92 (76.0) | 78 (69.0*) | 14 404 (77.8) |
| aOR (95% CI) | 0.74 (0.63 to 0.87) | 0.54 (0.38 to 0.76) | 0.56 (0.46 to 0.66) | 0.92 (0.59 to 1.43) | 0.56 | ||
| Definitely had confidence and trust in MW | n (%) | 538 (64.5***) | 106 (64.6*) | 413 (64.2***) | 79 (65.8) | 74 (66.1) | 13 423 (72.8) |
| aOR (95% CI) | 0.71 (0.61 to 0.83) | 0.65 (0.46 to 0.92) | 0.64 (0.54 to 0.76) | 0.69 (0.46 to 1.03) | 0.62 | ||
| In the 6 weeks since the birth, definitely received help and advice about | |||||||
| Feeding the baby | n (%) | 444 (58.6***) | 89 (60.1) | 327 (56.9***) | 70 (59.8) | 61 (56.0) | 10 000 (65.2) |
| aOR (95% CI) | 0.73 (0.62 to 0.85) | 0.83 (0.57 to 1.19) | 0.73 (0.61 to 0.88) | 0.94 (0.63 to 1.40) | 0.70 | ||
| Baby’s health and progress | n (%) | 561 (67.9*) | 100 (65.8) | 420 (67.3*) | 90 (75.6) | 78 (69.0) | 11 943 (71.1) |
| aOR (95% CI) | 0.81 (0.69 to 0.95) | 0.69 (0.46 to 0.96) | 0.78 (0.65 to 0.94) | 1.19 (0.76 to 1.88) | 0.73 | ||
Number and proportion of women with and without various types of disability, ORs and 95%CIs weighted for variation in response rates by trust and adjusted for age, parity and ethnicity compared with women without disability.
Sensory disability: visually impaired, deaf and hearing impaired.
*p<0.05, **p<0.01, ***p<0.001.
aOR, adjusted OR; HCP, healthcare professional; MW, midwife.