Postpartum symptom clusters in birthing individuals: A systematic review.
affective symptoms
behavioural symptoms
depression
postpartum period
postpartum women
pregnancy
psychological
psychological distress
stress
symptoms
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
revised:
13
07
2022
received:
12
05
2022
accepted:
05
08
2022
medline:
7
7
2023
pubmed:
23
8
2022
entrez:
22
8
2022
Statut:
ppublish
Résumé
Birthing individuals experience various postpartum symptoms which have been associated with adverse health outcomes. Previous systematic reviews have focused on the examination of individual symptoms and their impact on health, which have limited our understanding of postpartum symptom clusters. To examine the compositions of symptom clusters, analytic methodologies and predictors of symptom clusters in birthing individuals up to 1 year postpartum. Systematic review. This systematic review was reported following the PRISMA. Five databases were searched: PubMed, Embase, CINAHL Complete, PsycINFO and Scopus. Two reviewers performed title and abstract and full-text screening independently. Standard Quality Assessment Criteria were used to assess the articles' qualities. Key information was extracted into evidence table, which was checked for accuracy and completeness. A narrative synthesis was conducted. A total of 30 articles were included. Studies were conducted in 16 countries, mostly in Europe (n = 9) and North America (n = 7). The majority were quantitative (n = 27) and cross-sectional (n = 27). Factor analysis was the most frequently used analytic methodology (n = 21). All three qualitative studies used grounded theory. Taking into consideration the variations among the studies, stress (n = 15, infant or partner-related and from other sources), depression (n = 12), somatic (n = 12) and anxiety clusters (n = 10) were most frequently identified. Symptom cluster predictors were examined in less than half of the included studies (n = 13). Among these, most were focused on how individual postpartum symptoms influence symptom clusters. Stress, depression, somatic and anxiety clusters are the most frequently identified postpartum symptom clusters. Future studies should examine the consistency, stability and clinical meaningfulness of these four symptom clusters. The identification and management of the four symptom clusters should be of particular interest to clinicians and researchers. This systematic review did not directly involve patient or public contribution to the manuscript.
Sections du résumé
BACKGROUND
BACKGROUND
Birthing individuals experience various postpartum symptoms which have been associated with adverse health outcomes. Previous systematic reviews have focused on the examination of individual symptoms and their impact on health, which have limited our understanding of postpartum symptom clusters.
OBJECTIVE
OBJECTIVE
To examine the compositions of symptom clusters, analytic methodologies and predictors of symptom clusters in birthing individuals up to 1 year postpartum.
DESIGN
METHODS
Systematic review.
METHODS
METHODS
This systematic review was reported following the PRISMA. Five databases were searched: PubMed, Embase, CINAHL Complete, PsycINFO and Scopus. Two reviewers performed title and abstract and full-text screening independently. Standard Quality Assessment Criteria were used to assess the articles' qualities. Key information was extracted into evidence table, which was checked for accuracy and completeness. A narrative synthesis was conducted.
RESULTS
RESULTS
A total of 30 articles were included. Studies were conducted in 16 countries, mostly in Europe (n = 9) and North America (n = 7). The majority were quantitative (n = 27) and cross-sectional (n = 27). Factor analysis was the most frequently used analytic methodology (n = 21). All three qualitative studies used grounded theory. Taking into consideration the variations among the studies, stress (n = 15, infant or partner-related and from other sources), depression (n = 12), somatic (n = 12) and anxiety clusters (n = 10) were most frequently identified. Symptom cluster predictors were examined in less than half of the included studies (n = 13). Among these, most were focused on how individual postpartum symptoms influence symptom clusters.
CONCLUSIONS
CONCLUSIONS
Stress, depression, somatic and anxiety clusters are the most frequently identified postpartum symptom clusters. Future studies should examine the consistency, stability and clinical meaningfulness of these four symptom clusters.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
The identification and management of the four symptom clusters should be of particular interest to clinicians and researchers.
NO PATIENT OR PUBLIC CONTRIBUTION
UNASSIGNED
This systematic review did not directly involve patient or public contribution to the manuscript.
Types de publication
Systematic Review
Journal Article
Review
Langues
eng
Pagination
4419-4440Informations de copyright
© 2022 John Wiley & Sons Ltd.
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