What Postpartum Care Appears Like Worldwide, and just how the U.S. Compares

 

Giving Birth in The Netherlands & Postpartum Care Jovie’s Home

Video taken from the channel: Jovie’s Home


 

Traditions Explained: What is the “sitting month” and what should you avoid after giving birth?

Video taken from the channel: Người Việt Daily News


 

TMI POSTPARTUM Q&A | What REALLY happens in the delivery room/postpartum

Video taken from the channel: Lexie Thiery


 

7 Weird Germany vs. USA Differences i never noticed before | American in Germany

Video taken from the channel: Wanted Adventure


 

What REALLY Happens “Down There” After Birth �� ���� | Postpartum MUST HAVES!

Video taken from the channel: IAMKARENO


 

Deaths From Pregnancy and Childbirth: Why Are More U.S. Mothers Dying and What Can Be Done?

Video taken from the channel: Harvard University


 

Postpartum care: recovering from birth

Video taken from the channel: Bundoo


What Postpartum Care Looks Like Around the World, and Why the U.S. Is Missing the Mark Medically reviewed by Meredith Wallis, M.S., CNM, ANP — Written by Mandy Major on March 26, 2020. 301 Moved Permanently. nginx/1.16.1. The postpartum recovery period in the United States can feel like a trial by fire.

Postpartum traditions across the world can vary drastically depending on where on the globe you land. Some traditions may seem archaic and repressive while others make me want to dust off the old passport. The point of la cuarentena is for the mother to. To many U.S. mothers, the notion of quarantine might seem barbaric, but new moms like Kim think it sounds kind of cool: “I wish we had something like it when I was recovering from my C-section.

Not only was I expected to take care of a colicky newborn after having major surgery but I was also expected to entertain guests who came to visit. Tell us about the status of postpartum care and how the US compares to international standards. mothers have have a full year of leave. I mean, Canada, there’s a full year in like all the Nordic countries, and the U S is one of three countries in the world that doesn’t have – and the only industrialized high income country that doesn. While there were a few notable differences in labor and delivery, for me, the most glaring discrepancies are in what happened afterward: the quality and accessibility of postpartum care. Britain’s National Healthcare System provides everyone living in the country with the same level of support, even moms on student visas like I was.

Summary of Postpartum Care Recommendations 1. Maternal Postpartum Follow-Up Visits Provide an appointment for the postpartum follow-up visit before discharging the woman from the hospital after delivery. Provide at least two follow-up visits: 1-2 weeks and 3-6 weeks. “Each day feels like a battle to learn how to love my body postpartum,” Holliday wrote in her post. “It’s been six months, and my stomach is lower, my breasts are a different shape, new stretch. Examine both the mother and the newborn physically to note any signs of postpartum complications or defects. Remind the mother about the health maintenance visit of the newborn once she reaches 2 to 4 weeks old, and her return checkup 4 to 6 weeks after birth.

Practice Quiz: Postpartum Care. Women in the U.S. have long lagged behind their counterparts in other high-income countries in access to health care and health status. This brief compares U.S. women’s health status, affordability of plans, and ability to access and utilize care with women in 10 other high-income countries, using international data.

List of related literature:

In the USA and Canada postpartum care is less extensive (Cheng et al 2006).

“Pregnancy and Childbirth E-Book: A holistic approach to massage and bodywork” by Suzanne Yates
from Pregnancy and Childbirth E-Book: A holistic approach to massage and bodywork
by Suzanne Yates
Elsevier Health Sciences, 2010

Different countries have individual legislation and expectations regarding the timeframe for formal postnatal care, as well as differences in frequency of home visits, so it is difficult to make comparisons about what constitutes the optimal amount of postnatal care.

“Midwifery: Preparation for Practice” by Sally Pairman, Sally K. Tracy, Carol Thorogood, Jan Pincombe
from Midwifery: Preparation for Practice
by Sally Pairman, Sally K. Tracy, et. al.
Elsevier Health Sciences, 2011

Despite all the money spent on health care in the USA. rates of maternal and perinatal morbidity are the worst in the developed world and rates of surgical intervention such as caesarian section are second to none.

“Midwifery and the Medicalization of Childbirth: Comparative Perspectives” by Edwin R. Van Teijlingen, George W. Lowis, Peter McCaffery, Maureen Porter
from Midwifery and the Medicalization of Childbirth: Comparative Perspectives
by Edwin R. Van Teijlingen, George W. Lowis, et. al.
Nova Science Publishers, Incorporated, 2004

In contrast, postpartum health care is limited, and few national statistics exist on healthcare use and health problems encountered by mothers during the first postpartum year (Cheng et al., 2006).

“Breastfeeding and Human Lactation” by Karen Wambach, Becky Spencer
from Breastfeeding and Human Lactation
by Karen Wambach, Becky Spencer
Jones & Bartlett Learning, 2019

Within the United States, neonatal care is fairly homogeneous, so it is likely that price differences will outweigh geographic practice style differences.

“Preterm Birth: Causes, Consequences, and Prevention” by Institute of Medicine, Board on Health Sciences Policy, Committee on Understanding Premature Birth and Assuring Healthy Outcomes, Adrienne Stith Butler, Richard E. Behrman
from Preterm Birth: Causes, Consequences, and Prevention
by Institute of Medicine, Board on Health Sciences Policy, et. al.
National Academies Press, 2007

Some countries have highly developed systems of home-based postnatal care, such as New Zealand where all women have care for up to 4–6 weeks after birth (Dixon, 2010), whereas others have none.

“Joints and Connective Tissues: General Practice: The Integrative Approach Series” by Kerryn Phelps, Craig Hassed
from Joints and Connective Tissues: General Practice: The Integrative Approach Series
by Kerryn Phelps, Craig Hassed
Elsevier Health Sciences APAC, 2012

With a view to provide MCH and family welfare services in rural and semiurban areas, as well as to improve the health of mothers and children, the postpartum programme has been extended to 1,012 sub-district hospitals.

“Demography and Population Problems” by Rajendra K. Sharma
from Demography and Population Problems
by Rajendra K. Sharma
Atlantic Publishers & Distributors, 2004

This contrasts strongly with countries where obstetricians are reimbursed for care of healthy women, a structural condition that immediately creates competition between specialists and midwives.

“Birth Models That Work” by Robbie E. Davis-Floyd, Lesley Barclay, Jan Tritten, Betty-Anne Daviss
from Birth Models That Work
by Robbie E. Davis-Floyd, Lesley Barclay, et. al.
University of California Press, 2009

The results showed that women who received MGP care had significantly more antenatal care, had more ultrasound scans, were more likely to be admitted to hospital antenatally and had more postnatal care.

“Midwifery Continuity of Care: A Practical Guide” by Caroline Homer, Pat Brodie, Jane Sandall, Nicky Leap
from Midwifery Continuity of Care: A Practical Guide
by Caroline Homer, Pat Brodie, et. al.
Elsevier Health Sciences APAC, 2019

and experiences of postpartum care in Queensland, Australia.

“Maternal Child Nursing Care E-Book” by Shannon E. Perry, Marilyn J. Hockenberry, Kathryn Rhodes Alden, Deitra Leonard Lowdermilk, Mary Catherine Cashion, David Wilson
from Maternal Child Nursing Care E-Book
by Shannon E. Perry, Marilyn J. Hockenberry, et. al.
Elsevier Health Sciences, 2017

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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42 comments

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  • I am a germanistics student in the Netherlands, so I have plenty of German and Dutch books. The backs of the Dutch books have the text top to bottom, the German books have the text bottom to top. However!! Those yellow/orange Reclam books are not like the other German books I own!! Those Reclam books have the text top-bottom, like the Dutch books I own.

    But the same goes with DVD covers, right? I think I have seen some differences with DVD covers as well

  • Nice video but still can’t get around the fact that a lot of people use these “names” while referring to their vaginas.. it’s the name for that particular part of the body. We don’t have different names for eyes, lips, hands, fingers. Why vagina??? ��

  • I don’t think Germans say boo-boo, at least I‘ve never heard it, but over here in Luxembourg we do call injuries „Bobo“, when we talk to kids.

  • THIS WAS SUCH A COOL VIDEO! I’ve never been pregnant/had kids but my sister has and I was so thankful that we’re close enough for her to be brutally honest about her experiences postpartum. Even so, some of your experiences were different and it was fascinating to hear about them. Thank you for sharing!!!! ��

  • I had an epidural with our first baby and plan to have another epidural with baby number 2 if it’s possible (currently 14 weeks!) There is definitely not enough of these raw and real videos about postpartum. Luckily I had it pretty easy with our first. I only pushed for maybe 5 minutes. I did rip but my doctor said that it wasn’t too bad and I didn’t have to have that many stitches but good Lord did it hurt! All the love and prayers to your sweet family!!! I haven’t been watching your channel very long but y’all have been a blessing!!!

  • I had my daughter totally unmedicated (not even an IV) in dec 2018!! This is making me want another baby! <3 it's not glamorous in the beginning but it's all part of becoming a mama and I wouldn't trade any of it!! Proud of you for everything you've been through and how you guys have trusted the Lord through it! so much love <3

  • UK/USA/Hong Kong/China books: Title can be read if front cover facing up.

    France/NZ: Either way up.

    I also have the occasional book whose spine is thick enough to have the title upright when the book is the right way up on the shelf. Those either have the author also oriented the same way, or in the UK/USA…way.

  • For someone who very much never wants children I have a pretty extensive knowledge on birth anyway. These videos are so intriguing lol. It also helps to hear the painful and gross stuff and know I never have to go through that ��

  • Thank goodness for you Lexie! I love your channel. I am a Christian woman and my husband is Christian and I just found out 3 days ago I am pregnant! ☺️ I would appreciate any positive prayers for health and protection on this journey. Thank y’all ❤️
    Ps good luck to all amazing women out there! We got this! ��

  • Hey girl! Kudos to youuuu! Mothers are so Strong! I’m not one but I enjoyed watching your video. My husband and I want to wait a couple years so this helps me know what to expect ��

  • Breastfeeding…varies by baby. If a Mom had medication, Baby will be more sleepy. Sleepy babies (non medicated delivery) might need to be uncovered, or stimulated. One of mine was VERY sleepy-35 week gestation, and was wide awake in the bath, so from 2 weeks to about 3 months, 4 feeds a day we were in the tub. Another 34 week baby (a triplet) was a really laid back kid, and it took forever to feed her, so I used an NG tube after she seemed to tired to finish her feed. Then at night, I had 4 babies on continuous tube feeds, so I could sleep. I took the triplets home at day 18, so they were all around 4lbs. Normally, they’d still be in the hospital until 5 pounds. My 13 month old has a disability, so her feeds at a year were only by g-tube. When I switched the triplets to regular feeds, I always bottle fed my slow poke, to ensure she was getting enough. By 8 months, all were nursing.

  • Omg such a great video. When I had my daughter NO ONE told me that I would bleed for a whole month! No one!!!! There’s a lot of things that I had to figure out on my own which sucked! Thanks for sharing with us and hopefully it can help other women expect or be aware of body changes postpartum.

  • I love this! Thank you for making this video, so informative! Small tidbit to add: my father-in-law is a plumber and has told us before not to flush “flushable” wipes as they can get caught on debris that may be present in your pipes and don’t degrade fast enough to pass through like toilet paper does. Basically, they can cause your plumbing to get clogged if that were to happen! Again, thanks for sharing your experience!

  • I feel like the to-go cup/vs. bringing your own bottle (I see many people with reusable water bottles nowadays) has to do with the ‘take-away culture’ in the US. It’s very uncommon for Germans to get a coffee to go or other drinks throughout the day most drink coffee at home or in the shop (not talking about big cities, it’s more comparable to the US there). People tend to bring their own bottles, store them in their backpacks and cars.. And recycle them afterwards. Getting take-out meals and drinks is just not that popular I live in a smaller city and we don’t have a Starbucks, the only places you could get bigger drinks in cups from are McDonald’s and burger King (the only fast food restaurant chains in town) and people just don’t go there that often. Especially since they’re not reachable without a car, so kids/teens often bring 0,5-1l bottles from their grocery store to school (another thing: lunch isn’t available at most schools so it’s engrained to bring your own food and bottle from a young age. A cup just would be too impractical and expensive to get every day).
    Whoops what a rant ��

  • Here in the uk cause we don’t pay for private medical insurance you don’t get hardly any of the stuff you guys get, they don’t give you anything really other than pain meds �� obviously I’m thankful for the nhs but it is very bog standard in terms of qualityalso considering the amount we pay towards it in taxes.

  • Jovie: “geboorte geven” is a literal but wrong translation of your “giving birth”. It should be “geboorte in Nederland” (something like that). You’d better change that because it looks silly.

  • I think the word “midwife” puts a lot of English speaking people of. The Dutch word “verloskundige” literally means “birthing specialist” which sounds way more like the person to see if you’re an expecting mum.

  • In Österreich gibt es das Wort „ein Weh-Weh“ bzw „ein Aua“ für eine Verletzung. Wenn man in MS Word als Sprache Deutsch einstellt, macht Word ein Anführungszeichen VOR einem Wort automatisch „unten“. Fun fact: die Anführungszeichen in der Schweiz sind »seitlich«!

  • I was so scared when I had my baby boy I had to get rushed into an emergency c section cuz I ended up with pre eclampsia during labour my and baby were in danger I almost didnt make it and he was stuck in the birth canal took 2 of them to pull him out it took a few minutes to get baby to cry I was so worried for him after the cesarean I ended up having to go to the 7th floor and my boyfriend and baby went to the 5th floor I was super upset I didn’t get those first moments with him but luckily the hospital worked together so we would all be together again I had to be watched because I stopped breathing a few times I ended up getting really sick but doing better now amd my little boy is 3 months old now and super smart and strong and learning really fast so enjoy all the memories you and your little one has it goes so fast

  • I absolutely love how transparent you are in this video! These are things I never knew happened after and thank you so much for educating women and showing how normal what you went through is and showing men just how strong women are. And on that note… I think I’ll wait a few more years to even think about pregnancy ��

  • WITHOUT BACKGROUND MUSIC: https://youtu.be/_daPBa4ujfk

    Hi everyone,

    We are really overwhelmed by all the positive reactions on this video.

    This is one of our first videos and we learned a lot since we posted it.

    The most important thing is that the background music was way to loud.

    And because of the fact that this video still gets 500 new views everyday i decided to upload a new version without the background music!

    editor Daan

    https://youtu.be/_daPBa4ujfk

  • Lexie, I watched it all and thought it was very interesting and informative. I had 3 vaginal births with no medication and it was very intense. I felt so strong afterwards. God bless your family and thanks for keeping it raw and real.

  • In my area of the US (Seattle) pop is really falling out of fashion as there are very high sugar taxes on pop in the city. Most people carry a refillable/reusable 1L/32oz thermos bottle of still water.

  • Not even pregnant but I soo appreciate all your honesty and rawness! We need to talk more about the hard, grose, and raw things in life. Thank you for your realness. This was such a great video!

  • Never knew this! Why don’t we learn this at school? (I live in Europa, so we do get a pretty good sex education, but still only the biological and not the real life stuff.)

  • did you say medical insurance is 380 euros?? and is it paid every month or yearly? it is very important to know this details please ^^

  • Giving birth in the Netherlands is traumatizing! as i have experienced, they Will wait till something worst happen for the mother and the baby before they act., they dont have such things like prevention or anticipation of needs. Luckily i was on time in the hospital and i and my baby were saved.

  • Actually it IS a pattern depending on the publisher. There are some German Books with the back in the other direction. And also in UK you can find both even if the very most books have it contrary to the very most German books.:)

  • LADIES don’t waste money on wipes and just invest in a bidet attachment (under $35) and use the perri-bottle when you go out!!!

    Benefits of a bidet
    Better Cleaning Than Paper. Eco-Friendly. Cost-Efficient. Comfortable and Gentle on Your Skin. Hygienic for Women and Expecting Mothers (AND EVERYONE IN GENERAL). Easy to Use for those with mobility issues. LESS EXPENSIVE PLUMBING ISSUES AND CLOGGED TOILETS ��

  • Here in Iceland people are trying to stop treating pregnancy and childbirth like a disease. After all, the vast majority of pregnancies have few or no complications, this is what womankind has been dealing with for thousands of years. It is, however, VERY important to have a system in place so experts (MIDWIVES) can monitor and advise expecting mothers so any potential complications can be spotted early and dealt with. Midwives are highly trained and experienced medical specialists that are at least as trustworthy as any doctor. Post-partum care, support and aid is also very important.
    I believe all the North-European countries have some form of this all-encompassing care regarding pregnancy, childbirth and the first few years of a child’s life, and it is usually free or at least very affordable. The results can be seen in statistics regarding infant and maternal mortality rates in these countries.

  • 7:48 I am actually from Germany and we write it like on the left side. On the Computer mostly it is auto corrected by the program but tbh we dont have a key for tht as I know. Even the phones do only have the english quotation marks:)

  • Und was mir bei Büchern aus GB oder USA auffällt, ist dir Grösse. Unsere Taschenbücher sind irgendwie immer kleiner. Die US-Bücher passen oft nicht in mein Regal.

  • I watched till the end, I’m 6 weeks pp and literally everything you said was true!! I know everyone’s Birth experience is different but mine was very similar in what you described as far as part postpartum wise. I also watched your labor and delivery video and just want to tell you that you guys did such a wonderful job and delivering your beautiful baby boy

  • I like Hazelnuts better.
    Event T-shirt’s are awful. Can’t wear them. German clothes are more stylish. They also iron their clothes. Americans don’t.
    Have you noticed that the quotation marks end before the period and not after?

  • My recovery was pretty hell for me because my stitches came off and I got a small gap,, and because of it i sometimes got a few bleeding from the wound being open,, i need to drink laxatives to ease out my poop because it bleeds once so traumatising for someone who experienced it for the first time and without someone to rely on and honestly it’s a hell due to pain and everything,, I only recover after 2 months but I still feel discomfort not as much as before,, if u take good care of it and occasionally does sitz bath ur recovery gonna be smooth sailing,, don’t worry mamma this will be a new experience for us mother’s and everyone is different as long as the baby came out healthy it’s all that matters pain meant nothing,, and honestly I miss being pregnant

  • Similar here in Switzerland ����the doctors and midwife weren’t sure I would have been able to deliver naturally due to my disability then I stated contractions rather early as well

  • Thank you for being so raw and honest. We’ve been gping through infertility treatments and now there might be a light at the end of the tunnel. But I am also in my mid 30’s and honestly freakin out, but would love to do a natural birth. Blessings to you and your family!

  • Ich habe es so gelernt, dass Zitate mit Anführungszeichen unten begonnen werden, also in der Form „… “. Wenn vorne und hinten Anführungszeichen oben stehen “… “, handelt es sich nicht um ein Zitat einer anderen Person. In diesem Fall kann es verschiedene Gründe geben, die Anführungszeichen zu nutzen, z.B. um ein umgangssprachlich oder auch ironisch genutztes Wort zu kennzeichnen, ein Wort besonders zu betonen, o.ä..
    Deshalb gibt es auch in Deutschland beide Versionen, aber eben mit unterschiedlicher Bedeutung. ��

  • We Dutch tend not to treat pregnancy as an illness as long as there’s no complications. If there are, you can be sure all necessary steps will be taken to ensure the safety for both mother and child or children should you be blessed with twins or even more 😉

  • I have a copy of the Disney version of Beauty and the Beast that came to theaters in 1991 that has the option for dubbing in German. There’s a line that has Mrs. Potts say, “Oh, pish tosh.” With the German dubbing, what she says is, “Poppa le pop.”

  • Both of our children were born at home, with a midwife helping. A doctor was not necessary. But, if you live more than a certain distance from a hospital, going to a hospital for childbirth is mandatory.

  • This is such a great video. I gave birth 3months ago. I went through 16hrs labour without an epidural (literally nothing for the pain), vaginal delivery & my daughter was born with a weight of 4.16kg. Had a little tear down there so my midwife said it was optional to get a stitch or not which I chose not to get it. Urinating was the quickest way to heal it & was fully recovered after 2weeks of giving birth. The only pain I faced was my contractions. Loved my journey throughout.