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Yang M, Yue W, Han X, et al. Postpartum care indications and methodological quality:a systematic review of guidelines. Z Gesundh Wiss. 2021;1-15doi: 10.1007/s10389-021-01629-4.
Yang, M., Yue, W., Han, X., Hu, C., Sun, X., & Luo, J. (2021). Postpartum care indications and methodological quality:a systematic review of guidelines. Zeitschrift fur Gesundheitswissenschaften = Journal of public health, 1-15. https://doi.org/10.1007/s10389-021-01629-4
Yang, Ming, et al. "Postpartum care indications and methodological quality:a systematic review of guidelines." Zeitschrift fur Gesundheitswissenschaften = Journal of public health vol. (2021): 1-15. doi: https://doi.org/10.1007/s10389-021-01629-4
Yang M, Yue W, Han X, Hu C, Sun X, Luo J. Postpartum care indications and methodological quality:a systematic review of guidelines. Z Gesundh Wiss. 2021 Jul 19;1-15. doi: 10.1007/s10389-021-01629-4. Epub 2021 Jul 19. PMID: 34306970; PMCID: PMC8288832.
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Z Gesundh Wiss. 2021 Jul 19;1-15. doi: 10.1007/s10389-021-01629-4. Epub 2021 Jul 19.

Postpartum care indications and methodological quality:a systematic review of guidelines.

Zeitschrift fur Gesundheitswissenschaften = Journal of public health

Ming Yang, Wei Yue, Xinrui Han, Chunhong Hu, Xiaoning Sun, Jianghe Luo

Affiliations

  1. School of Nursing, Guangzhou University of Chinese Medicine, No. 232, Waihuan East Road, Guangzhou University City, Panyu District, Guangzhou, Guangdong China.
  2. Department of Spleen and Stomach, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong China.

PMID: 34306970 PMCID: PMC8288832 DOI: 10.1007/s10389-021-01629-4

Abstract

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.

© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021.

Keywords: Methodological quality; Postpartum care; Practice guidelines; Systematic review

Conflict of interest statement

Conflict of interestThe authors have no conflict of interest to declare.

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