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Postpartum care indications and methodological quality:a systematic review of guidelines
BACKGROUND: The coverage of postpartum care is not ideal, and has not been used very well due to not enough attention being paid to the puerperal women and newborns, especially in developing countries. Practice guidelines on postpartum care provide beneficial practice guidance and help to reduce mat...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8288832/ https://www.ncbi.nlm.nih.gov/pubmed/34306970 http://dx.doi.org/10.1007/s10389-021-01629-4 |
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author | Yang, Ming Yue, Wei Han, Xinrui Hu, Chunhong Sun, Xiaoning Luo, Jianghe |
author_facet | Yang, Ming Yue, Wei Han, Xinrui Hu, Chunhong Sun, Xiaoning Luo, Jianghe |
author_sort | Yang, Ming |
collection | PubMed |
description | BACKGROUND: The coverage of postpartum care is not ideal, and has not been used very well due to not enough attention being paid to the puerperal women and newborns, especially in developing countries. Practice guidelines on postpartum care provide beneficial practice guidance and help to reduce maternal mortality. However, little is known about the credibility and consistency of those guidelines. This systematic review was conducted to summarize main postpartum care indications and appraise methodological quality of guidelines. METHODS: Seven literature databases and guideline development institutions and organizations of obstetrics and maternity care were searched. Two reviewers independently assessed guideline quality using the AGREE II instrument, and synthesized consistent and non-consistent recommendations using the content analysis approach. RESULTS: Twenty-nine guidelines were included and a total of eight postpartum care indications were identified. Most guidelines focused on care indications and interventions including exclusive breastfeeding, maternal nutrition, home visit, infant or newborn care and sexuality, contraception, and birth spacing. However, indications such as pain or weight management, pelvic floor muscle training, abdominal rehabilitation, and mental health got less attention. Additionally, the overall quality of all involving postpartum care guidelines is relatively good and acceptable. CONCLUSIONS: Guidelines developed by NICE, RANO, and WHO indicated higher methodological quality. For postpartum care indications, most guidelines are incomplete. Variation in practice guidelines for postpartum care recommendations exists. In the future, implementation research into shared decision-making, as well as further high-quality research to broaden the evidence base for postpartum care indications is recommended. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10389-021-01629-4. |
format | Online Article Text |
id | pubmed-8288832 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-82888322021-07-19 Postpartum care indications and methodological quality:a systematic review of guidelines Yang, Ming Yue, Wei Han, Xinrui Hu, Chunhong Sun, Xiaoning Luo, Jianghe Z Gesundh Wiss Review Article BACKGROUND: The coverage of postpartum care is not ideal, and has not been used very well due to not enough attention being paid to the puerperal women and newborns, especially in developing countries. Practice guidelines on postpartum care provide beneficial practice guidance and help to reduce maternal mortality. However, little is known about the credibility and consistency of those guidelines. This systematic review was conducted to summarize main postpartum care indications and appraise methodological quality of guidelines. METHODS: Seven literature databases and guideline development institutions and organizations of obstetrics and maternity care were searched. Two reviewers independently assessed guideline quality using the AGREE II instrument, and synthesized consistent and non-consistent recommendations using the content analysis approach. RESULTS: Twenty-nine guidelines were included and a total of eight postpartum care indications were identified. Most guidelines focused on care indications and interventions including exclusive breastfeeding, maternal nutrition, home visit, infant or newborn care and sexuality, contraception, and birth spacing. However, indications such as pain or weight management, pelvic floor muscle training, abdominal rehabilitation, and mental health got less attention. Additionally, the overall quality of all involving postpartum care guidelines is relatively good and acceptable. CONCLUSIONS: Guidelines developed by NICE, RANO, and WHO indicated higher methodological quality. For postpartum care indications, most guidelines are incomplete. Variation in practice guidelines for postpartum care recommendations exists. In the future, implementation research into shared decision-making, as well as further high-quality research to broaden the evidence base for postpartum care indications is recommended. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10389-021-01629-4. Springer Berlin Heidelberg 2021-07-19 2022 /pmc/articles/PMC8288832/ /pubmed/34306970 http://dx.doi.org/10.1007/s10389-021-01629-4 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Review Article Yang, Ming Yue, Wei Han, Xinrui Hu, Chunhong Sun, Xiaoning Luo, Jianghe Postpartum care indications and methodological quality:a systematic review of guidelines |
title | Postpartum care indications and methodological quality:a systematic review of guidelines |
title_full | Postpartum care indications and methodological quality:a systematic review of guidelines |
title_fullStr | Postpartum care indications and methodological quality:a systematic review of guidelines |
title_full_unstemmed | Postpartum care indications and methodological quality:a systematic review of guidelines |
title_short | Postpartum care indications and methodological quality:a systematic review of guidelines |
title_sort | postpartum care indications and methodological quality:a systematic review of guidelines |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8288832/ https://www.ncbi.nlm.nih.gov/pubmed/34306970 http://dx.doi.org/10.1007/s10389-021-01629-4 |
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