Proposed domains for assessing postpartum recovery: a concept elicitation study.
Caesarean section
childbirth
dimenesions
domains
postpartum
recovery
vaginal delivery
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
revised:
07
07
2021
received:
06
01
2021
accepted:
20
07
2021
pubmed:
19
9
2021
medline:
22
1
2022
entrez:
18
9
2021
Statut:
ppublish
Résumé
To propose postpartum recovery domains. Concept elicitation study. Semi-structured interviews. Ten writing committee members and 50 stakeholder interviews (23 postpartum women, nine general obstetricians, five maternal and fetal medicine specialists, eight nurses and five obstetric anaesthetists). Alternating interviews and focus group meetings until concept saturation was achieved (no new themes discussed in three consecutive interviews). Interviews were digitally recorded and transcribed, and an iterative coding process was used to identify domains. The primary outcome was to identify recovery domains. We also report key symptoms and concerns. Discussion frequency and importance scores (0-100; 0 = not important; 100 = vitally important to recovery) were used to rank domains. Discussion frequency was used to rank factors helping and hindering recovery, and to determine the greatest challenges experienced postpartum. Thirty-four interviews and two focus group meetings were performed. The 13 postpartum recovery domains identified, (ranked highest to lowest) were: psychosocial distress, surgical/medical factors, infant feeding and breast health, psychosocial support, pain, physical function, sleep, motherhood experience, infant health, fatigue, appearance, sexual function and cognition. The most frequently discussed factors facilitating postpartum recovery were: family support, lactation/breastfeeding support and partner support. The most frequently discussed factor hindering recovery was inadequate social support. The most frequent challenges reported were: breastfeeding (week 1), breastfeeding (week 3) and sleep (week 6). We propose 13 domains that comprehensively describe recovery in women delivering in a single centre within the USA. This provides a novel framework to study the postpartum recovery process. We propose 13 postpartum recovery domains that provide a framework to study the recovery process following childbirth.
Identifiants
pubmed: 34536324
doi: 10.1111/1471-0528.16937
pmc: PMC9090309
mid: NIHMS1797970
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
9-20Subventions
Organisme : NIGMS NIH HHS
ID : R35 GM137936
Pays : United States
Informations de copyright
© 2021 John Wiley & Sons Ltd.
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