Abstract overview:
At least three additional postnatal contacts are recommended for all mothers and newborns, on day 3 (48-72 hours) and between days 7-14 after birth, and six weeks after birth (WHO, 2013). Good postnatal care is important to prevent adverse maternal and neonatal outcomes and to provide support coping with motherhood.

Aims and objectives:
The aim of the work is to describe and analyze the expectations and needs of women for the maternity care service and the postpartum homevisit, to compare the existing models of the postpartum home visit and to create a model for postpartum home visit and implementation strategy in West-Estonia County. In the development of the community midwifery service, the focus is on woman and family centeredness, the availability of the service close to home is important.

Method:
The development project was based on Deming's model of continuous improvement, using a systematic literature review, and analysis the results of semi-structured interviews. Regarding the implementation of the development project, the current situation of the empirical information collected was based on the interrelationships of the collected empirical information and a model of postpartum home visit and a strategy for its implementation for the development of community midwifery services in Western Estonian Lääne County was created.

Results:
Women in Western Estonia Lääne county emphasize the need for integrated healthcare and support services, psychological assistance, and social support networks. All five interviewees highlighted these aspects as crucial. Their primary expectation is postpartum mental health support to help them adjust to parenthood. They stress the importance of a holistic and trust- based approach tailored to individual needs. Psychological support was unanimously identified as a key requirement. Overall, in Western Estonia Lääne county women call for more accessible psychological and postpartum support services to ensure a smoother transition and coping process into motherhood. As a result, women feel empowered in parenthood and receive comprehensive help and mental support from the midwife during the postpartum period.

Conclusion:
All the women described the need for postnatal care from a local midwife, based on their own needs. The conclusions of the research are that postnatal home visits will help to provide essential care to women in the community.