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Policy, evidence and practice for post-birth care plans: a scoping review. | LitMetric

Policy, evidence and practice for post-birth care plans: a scoping review.

BMC Pregnancy Childbirth

School of Nursing and Midwifery, Faculty of Health and Social Care, Robert Gordon University, Garthdee Road, Aberdeen, AB10 7QB, UK.

Published: April 2019

AI Article Synopsis

  • Postnatal care is often overlooked compared to other childbirth aspects, leading to low maternal satisfaction and a lack of empirical evidence regarding post-birth care plans despite policy recommendations.
  • A scoping review analyzed literature and documents from 2005 onward using a structured five-stage approach, revealing that while health policies support post-birth care planning, actual practice examples and evaluations are scarce.
  • The findings highlight four key themes related to post-birth care planning, emphasizing the need for personalized care and relational continuity to improve women's satisfaction, yet significant gaps in practical implementation and experience remain.

Article Abstract

Background: Postnatal care continually attracts less attention than other parts of the childbirth year. Many regions consistently report poor maternal satisfaction with care in the post-birth period. Despite policy recommending post-birth planning be part of maternity services there remains a paucity of empirical evidence and reported experience using post-birth care plans. There is a need to report on post-birth care plans, identify policy and guideline recommendations and gaps in the current empirical research, as well as experiences creating and using post-birth care plans.

Methods: This scoping review accessed empirical literature and government and professional documents from 2005 to present day to build a picture of current understanding of policy imperatives and existent published empirical evidence. The review was informed by the Arksey and O'Malley approach employing five stages.

Results: The review revealed that post-birth care planning is promoted extensively in health policy and there is emergent evidence for its implementation. Yet there is a paucity of practice examples and only one evaluation in the UK. The review identified four overarching themes: 'Positioning of post-birth care planning in policy; 'Content and approach'; 'Personalised care and relational continuity'; Feasibility and acceptability in practice'.

Conclusions: Empirical evidence supports post-birth care planning, but evidence is limited leaving many unanswered questions. Health care policy reflects evidence and recommends implementation of post-birth care plans, however, there remains a paucity of information in relation to post-birth care planning experience and implementation in practice. Women need consistent information and advice and value personalised care. Models of care that facilitate these needs are focused on relational continuity and lead to greater satisfaction. It remains unclear if a combination of post-birth care planning and continuity of carer interventions would improve post-birth outcomes and satisfaction. Gaps in research knowledge and practice experience are identified and implications for practice and further research suggested.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485080PMC
http://dx.doi.org/10.1186/s12884-019-2274-yDOI Listing

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