Self-care interventions for preconception, antenatal, intrapartum and postpartum care: a scoping review

Author:

Nguyen Phi-YenORCID,Caddy Cassandra,Wilson Alyce N,Blackburn Kara,Page Matthew JORCID,Gülmezoglu A MetinORCID,Narasimhan Manjulaa,Bonet Mercedes,Tunçalp Özge,Vogel Joshua PORCID

Abstract

ObjectiveTo identify current and emerging self-care interventions to improve maternity healthcare.DesignScoping review.Data sourcesMEDLINE, Embase, EmCare, PsycINFO, Cochrane CENTRAL/CDSR, CINAHL Plus (last searched on 17 October 2021).Eligibility criteriaEvidence syntheses, interventional or observational studies describing any tool, resource or strategy to facilitate self-care in women preparing to get pregnant, currently pregnant, giving birth or post partum.Data extraction/synthesisScreening and data collection were conducted independently by two reviewers. Self-care interventions were identified based on predefined criteria and inductively organised into 11 categories. Characteristics of study design, interventions, participants and outcomes were recorded.ResultsWe identified eligible 580 studies. Many included studies evaluated interventions in high-income countries (45%) and during antenatal care (76%). Self-care categories featuring highest numbers of studies were diet and nutrition (26% of all studies), physical activity (24%), psychosocial strategies (18%) and other lifestyle adjustments (17%). Few studies featured self-care interventions for sexual health and postpartum family planning (2%), self-management of medication (3%) and self-testing/sampling (3%). Several venues to introduce self-care were described: health facilities (44%), community venues (14%), digital platforms (18%), partner/peer support (7%) or over-the-counter products (13%). Involvement of health and community workers were described in 38% and 8% of studies, who supported self-care interventions by providing therapeutics for home use, training or counselling. The most common categories of outcomes evaluated were neonatal outcomes (eg, birth weight) (31%), maternal mental health (26%) and labour outcomes (eg, duration of labour) (22%).ConclusionSelf-care interventions in maternal care are diverse in their applications, implementation characteristics and intended outcomes. Many self-care interventions were implemented with support from the health system at initial stages of use and uptake. Some promising self-care interventions require further primary research, though several are matured and up-to-date evidence syntheses are needed. Research on self-care in the preconception period is lacking.

Funder

UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training

Publisher

BMJ

Subject

General Medicine

Reference42 articles.

1. World Health Organization . Self-Care interventions for health fact sheet. 2021. Available: https://www.who.int/news-room/fact-sheets/detail/self-care-health-interventions

2. International Self-Care Foundation . The seven pillars of self-care. Available: https://isfglobal.org/practise-self-care/the-seven-pillars-of-self-care/ [Accessed 13 Jan 2022].

3. World Health Organization . Guideline on self-care interventions for health and well-being Geneva. 2021. Available: https://www.who.int/publications/i/item/9789240030909

4. Narasimhan M , Allotey P , Hardon A . Self care interventions to advance health and wellbeing: a conceptual framework to inform normative guidance. BMJ 2019;365:l688. doi:10.1136/bmj.l688

5. Self-Care interventions for sexual and reproductive health and rights for advancing universal health coverage;Narasimhan;Sexual and Reproductive Health Matters,2020

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3