Postpartum care content and delivery throughout the African continent: An integrative review.
Postpartum care content and delivery throughout the African continent: An integrative review.
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DOI：
10.1016/j.midw.2021.102976
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发表时间：
2021-06
期刊：
影响因子：
2.7
通讯作者：
Glass N
中科院分区：
文献类型：
--
作者：
Gresh A;Cohen M;Anderson J;Glass N
本次审查的目的是描述和评估整个非洲大陆的产后护理和交付模式的内容。使用综合审查，以允许使用不同的研究方法的研究相结合。使用短语“产后期”，“医疗保健交付”和“非洲”的综合检索策略，包括非洲大陆内的所有拼写变体和国家，用于以下数据库：PubMed，护理和相关健康文献累积索引Plus和Embase，用于2019年9月发表的研究。综合审查过程包括五个阶段：问题识别、文献检索、数据评估、数据分析和演示。在检索中确定了来自8个非洲国家的12项研究，符合审查的纳入标准。使用混合方法评价工具评价纳入综述的研究质量。世界卫生组织孕产妇发病率工作组为解决孕产妇发病率问题而制定的保健干预措施的理论框架被用于数据分析和综合结果以供介绍。产后期的定义各不相同的研究与服务提供范围从六周到产后一年。在所有研究中，没有标准的产后护理方案。根据世界卫生组织的理论框架，产后护理干预措施涵盖了五个主要主题：预防性护理和咨询、卫生系统创新、生命过程方法、计划生育以及卫生知识和教育。相比之下，产后护理服务内容和服务提供方面的五个差距包括：将非传染性疾病的筛查和治疗与孕产妇保健相结合、亲密伴侣暴力筛查、社会保障、基于权利的方法和社会脆弱性。没有一项研究涉及世界卫生组织解决孕产妇发病率框架的所有方面。这次审查的结果表明，需要解决整个非洲大陆在产后护理服务方面的差距，以降低孕产妇发病率。重新构想产妇保健的范例，采取生命过程的方法，并将未来的研究重点放在制定和建立针对产后护理和产后护理的保健服务的干预措施上，这对降低产妇发病率和改善母婴健康结果的努力是必要和重要的。
The objective of this review was to describe and evaluate the content of postpartum care and models of delivery throughout the African continent. Integrative review was used to allow for the combination of studies using diverse research methodologies. A comprehensive search strategy using the phrases ‘postpartum period’, ‘healthcare delivery’, and ‘Africa,’ including all spelling variants and countries within the continent, was used in the following databases: PubMed, Cumulative Index of Nursing and Allied Health Literature Plus, and Embase for studies published through September 2019. The integrative review process included five stages: problem identification, literature search, data evaluation, data analysis and presentation. Twelve studies from eight African countries were identified in the search and met the inclusion criteria for the review. The Mixed Methods Appraisal Tool was used to evaluate the quality of the studies included in the review. The theoretical framework developed by the World Health Organization Maternal Morbidity Working Group for healthcare interventions to address maternal morbidity was used for data analysis and to synthesize the results for presentation. Definitions of the postpartum period varied among studies with service delivery ranging from six weeks to one year postpartum. There was no standard package of postpartum care across studies. Based on the World Health Organization theoretical framework, five primary topics were covered in postpartum care interventions: preventive care and counseling, health systems innovation, a life course approach, family planning, and health literacy and education. In contrast, five gaps in content of postpartum care services and service delivery included: integration of screening and treatment of noncommunicable diseases with maternal healthcare, intimate partner violence screening, social protection, a rights-based approach, and social vulnerability. No study addressed all aspects of the World Health Organization framework to address maternal morbidity. The results from this review indicate the need to address gaps in postpartum care services throughout the African continent in order to reduce maternal morbidity. Re- conceptualizing the paradigm of maternal health to take a life course approach and focusing future research on developing and building interventions to target postpartum care and healthcare delivery of postpartum care are necessary and important in efforts to reduce maternal morbidity and improve health outcomes for mother and child.
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影响因子：
3.7
作者：
Lamadrid-Figueroa H;Montoya A;Fritz J;Olvera M;Torres LM;Lozano R
通讯作者：
Lozano R
影响因子：
2.3
作者：
Groves AK;Moodley D;McNaughton-Reyes L;Martin SL;Foshee V;Maman S
通讯作者：
Maman S
影响因子：
0.9
作者：
Hong, Quan Nha;Fabregues, Sergi;Pluye, Pierre
通讯作者：
Pluye, Pierre
影响因子：
3.1
作者：
Duysburgh E;Kerstens B;Kouanda S;Kaboré CP;Belemsaga Yugbare D;Gichangi P;Masache G;Crahay B;Gondola Sitefane G;Bique Osman N;Foia S;Barros H;Castro Lopes S;Mann S;Nambiar B;Colbourn T;Temmerman M
通讯作者：
Temmerman M
影响因子：
3.4
作者：
Yugbaré Belemsaga D;Goujon A;Bado A;Kouanda S;Duysburgh E;Temmerman M;Degomme O
通讯作者：
Degomme O