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Factors that influence the uptake of postnatal care among adolescent girls: a qualitative evidence synthesis
BACKGROUND: Adolescent pregnancy is associated with increased risk of maternal and child morbidity and mortality globally. Access to safe, appropriate and affordable antenatal, childbirth and postnatal care (PNC) is essential in mitigating this risk. PNC is an often undervalued, underused, and under...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163540/ https://www.ncbi.nlm.nih.gov/pubmed/37137533 http://dx.doi.org/10.1136/bmjgh-2022-011560 |
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author | Javadi, Dena Sacks, Emma Brizuela, Vanessa Finlayson, Kenneth Crossland, Nicola Langlois, Etienne V Ziegler, Daniela Chandra-Mouli, Venkatraman Bonet, Mercedes |
author_facet | Javadi, Dena Sacks, Emma Brizuela, Vanessa Finlayson, Kenneth Crossland, Nicola Langlois, Etienne V Ziegler, Daniela Chandra-Mouli, Venkatraman Bonet, Mercedes |
author_sort | Javadi, Dena |
collection | PubMed |
description | BACKGROUND: Adolescent pregnancy is associated with increased risk of maternal and child morbidity and mortality globally. Access to safe, appropriate and affordable antenatal, childbirth and postnatal care (PNC) is essential in mitigating this risk. PNC is an often undervalued, underused, and understudied component of the continuum of maternal health services; however, it provides an important opportunity for adolescent girls to have access to health information and resources as they navigate the transition to motherhood and/or recovery from childbirth. This qualitative evidence synthesis seeks to highlight the experiences and perspectives of adolescent girls and their partners in accessing and using routine PNC. METHODS: Papers were selected from a primary review on PNC where a global search of databases was conducted to identify studies with qualitative data focused on PNC utilisation. Within this primary review, a subset of studies focused on adolescents was tagged for subanalysis. A data extraction form drawing on an a priori framework was used to extract data from each study. Review findings were grouped across studies and mapped onto relevant themes, which were then adapted, as appropriate, to best reflect emergent themes from included studies. RESULTS: Of 662 papers identified for full text review, 15 were included in this review on adolescents’ experiences. Fourteen review findings were mapped onto four themes including: resources and access, social norms, experiences of care, and tailored support needs. CONCLUSION: Improving uptake of PNC by adolescent girls requires multipronged approaches in improving availability of and access to adolescent-sensitive maternal health services and reducing feelings of shame and stigma in the postpartum period. Much should be done to address structural barriers to access, but tangible steps to improving the quality and responsiveness of available services can be taken immediately. PROSPERO REGISTRATION NUMBER: CRD42019139183. |
format | Online Article Text |
id | pubmed-10163540 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-101635402023-05-07 Factors that influence the uptake of postnatal care among adolescent girls: a qualitative evidence synthesis Javadi, Dena Sacks, Emma Brizuela, Vanessa Finlayson, Kenneth Crossland, Nicola Langlois, Etienne V Ziegler, Daniela Chandra-Mouli, Venkatraman Bonet, Mercedes BMJ Glob Health Original Research BACKGROUND: Adolescent pregnancy is associated with increased risk of maternal and child morbidity and mortality globally. Access to safe, appropriate and affordable antenatal, childbirth and postnatal care (PNC) is essential in mitigating this risk. PNC is an often undervalued, underused, and understudied component of the continuum of maternal health services; however, it provides an important opportunity for adolescent girls to have access to health information and resources as they navigate the transition to motherhood and/or recovery from childbirth. This qualitative evidence synthesis seeks to highlight the experiences and perspectives of adolescent girls and their partners in accessing and using routine PNC. METHODS: Papers were selected from a primary review on PNC where a global search of databases was conducted to identify studies with qualitative data focused on PNC utilisation. Within this primary review, a subset of studies focused on adolescents was tagged for subanalysis. A data extraction form drawing on an a priori framework was used to extract data from each study. Review findings were grouped across studies and mapped onto relevant themes, which were then adapted, as appropriate, to best reflect emergent themes from included studies. RESULTS: Of 662 papers identified for full text review, 15 were included in this review on adolescents’ experiences. Fourteen review findings were mapped onto four themes including: resources and access, social norms, experiences of care, and tailored support needs. CONCLUSION: Improving uptake of PNC by adolescent girls requires multipronged approaches in improving availability of and access to adolescent-sensitive maternal health services and reducing feelings of shame and stigma in the postpartum period. Much should be done to address structural barriers to access, but tangible steps to improving the quality and responsiveness of available services can be taken immediately. PROSPERO REGISTRATION NUMBER: CRD42019139183. BMJ Publishing Group 2023-05-03 /pmc/articles/PMC10163540/ /pubmed/37137533 http://dx.doi.org/10.1136/bmjgh-2022-011560 Text en © World Health Organization 2023. Licensee BMJ. https://creativecommons.org/licenses/by/3.0/igo/This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (CC BY 3.0 IGO (https://creativecommons.org/licenses/by/3.0/igo/) ), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article’s original URL. |
spellingShingle | Original Research Javadi, Dena Sacks, Emma Brizuela, Vanessa Finlayson, Kenneth Crossland, Nicola Langlois, Etienne V Ziegler, Daniela Chandra-Mouli, Venkatraman Bonet, Mercedes Factors that influence the uptake of postnatal care among adolescent girls: a qualitative evidence synthesis |
title | Factors that influence the uptake of postnatal care among adolescent girls: a qualitative evidence synthesis |
title_full | Factors that influence the uptake of postnatal care among adolescent girls: a qualitative evidence synthesis |
title_fullStr | Factors that influence the uptake of postnatal care among adolescent girls: a qualitative evidence synthesis |
title_full_unstemmed | Factors that influence the uptake of postnatal care among adolescent girls: a qualitative evidence synthesis |
title_short | Factors that influence the uptake of postnatal care among adolescent girls: a qualitative evidence synthesis |
title_sort | factors that influence the uptake of postnatal care among adolescent girls: a qualitative evidence synthesis |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163540/ https://www.ncbi.nlm.nih.gov/pubmed/37137533 http://dx.doi.org/10.1136/bmjgh-2022-011560 |
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