My ‘normal’ isn't your normal...What is maternal wellbeing? A scoping review

IF 2.6 3区 医学 Q1 NURSING
Adele Baldwin , Tanya Capper , Simone Naughton
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引用次数: 0

Abstract

Problem

Many global health strategies are developed to optimise ‘maternal wellbeing’. However, what is meant by this term and therefore how it is interpreted and understood by different groups of people is currently poorly understood.

Background

For midwives to provide woman-centred care they must recognise the diverse understandings of what is considered ‘maternal wellbeing’ and be able to identify factors underpinning this.

Aim

To identify and synthesise the literature related to the meaning and understanding of the term ‘maternal wellbeing.’

Methods

A search of PubMed, CINAHL Ultimate, OVID and Emcare databases was conducted between 2015 and 2024 for studies related to maternal wellbeing. Data from fourteen studies were charted and thematically analysed.

Findings

Two overarching but interrelated themes were identified. One refers to the inner self, and the second to the woman's place in her social world. Theme 1, sense of self, comprises two sub-themes: finding a sense of self and sustaining a sense of self. Theme 2, the sense of place, comprises two sub-themes: sustaining place and making space in place.

Discussion

Disconnects between the practice-oriented concept of wellbeing and wellbeing as perceived by women exist. Current maternal wellbeing assessment methods only measure the woman's sense of identity, and sense of self in their changed worlds.

Conclusion

Clear articulation of maternal wellbeing is needed to operationalise health strategies, institutional policies, procedures and standards of care that support positive maternal and infant outcomes. Midwives are pivotal to promoting maternal wellbeing during transitions across the pregnancy, birth, and motherhood continuum.
我的“正常”不是你的“正常”……什么是母亲的幸福?范围审查
制定了许多全球卫生战略以优化“孕产妇福祉”。然而,这个术语的含义以及不同群体如何解释和理解它,目前知之甚少。助产士要提供以妇女为中心的护理,他们必须认识到对什么是“产妇福利”的不同理解,并能够确定支撑这一理解的因素。目的识别和综合与“母亲幸福”一词的含义和理解相关的文献。方法检索PubMed、CINAHL Ultimate、OVID和Emcare数据库,在2015年至2024年间进行与孕产妇健康相关的研究。来自14项研究的数据被绘制成图表并进行主题分析。确定了两个总体但相互关联的主题。一个是指内在的自我,第二个是指女性在她的社会世界中的位置。主题1,自我意识,包括两个子主题:寻找自我意识和维持自我意识。主题2,地点感,包括两个子主题:维持地点和使空间在适当的地方。以实践为导向的幸福概念与女性所感知的幸福之间存在脱节。目前的产妇健康评估方法只衡量妇女在变化的世界中的认同感和自我意识。结论:需要明确孕产妇福利,以实施卫生战略、体制政策、程序和护理标准,以支持积极的孕产妇和婴儿结局。助产士在促进孕产妇在怀孕、分娩和孕产连续体过渡期间的健康方面发挥着关键作用。
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来源期刊
Midwifery
Midwifery 医学-护理
CiteScore
4.50
自引率
7.40%
发文量
221
审稿时长
13.4 weeks
期刊介绍: Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.
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