围产期的神经变异经历--关于自闭症和注意力缺陷多动障碍的系统性文献综述。

IF 4.1 2区 医学 Q1 NURSING
Jata K. Elliott , Kate Buchanan , Sara Bayes
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引用次数: 0

摘要

背景:神经变异者在围产期往往面临着独特的挑战,这会严重影响他们的怀孕、分娩和早期养育子女的经历。尽管人们对神经多样性的认识不断提高,但在围产期护理方面仍存在差距,无法充分满足自闭症(ASD)和注意力缺陷/多动障碍(ADHD)等神经变异疾病患者的生活经历和需求:汇编并分析近期有关神经变异产妇围产期经历的文献。概述当前的知识,确定普遍存在的挑战,并提出改善围产期服务的机会。此外,我们还旨在强调研究缺口,以指导未来的研究并提高围产期神经变异者的护理质量:方法:采用系统综述的方法搜索相关科学数据库,收集当前有关神经变异者围产期经历的研究文章。有 11 项研究符合纳入标准,并通过严格的质量检查表进行了评估。专题分析确定了所选论文中反复出现的主题:结果:出现了三大主题:护理提供者的支持、围产期心理健康需求以及神经变异产妇的恢复力和成长。这些主题凸显了神经变异者和神经畸形者在围产期经历上的显著差异,强调了采取针对性护理方法的必要性:研究结果表明,目前的围产期护理实践并不能充分应对围产期神经变异者所面临的特殊挑战。围产期护理系统亟需整合支持神经多样性的护理实践。未来的研究应考虑交叉性,以纳入边缘化和代表性不足的神经变异者的声音。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The neurodivergent perinatal experience — A systematic literature review on autism and attention deficit hyperactivity disorder

Background

Neurodivergent individuals often face unique challenges during the perinatal period, which can significantly impact their experiences of pregnancy, childbirth, and early parenting. Despite growing awareness of neurodiversity, there remains a gap in perinatal care that fully addresses the lived experiences and needs of those with neurodivergent conditions such as Autism (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD).

Objective

To compile and analyse recent literature on the perinatal experiences of neurodivergent parturients. To provide an overview of current knowledge, identify prevalent challenges, and suggest opportunities for improving perinatal services. Additionally, we aim to highlight research gaps that guide future studies and enhance care quality for neurodivergent individuals during the perinatal period.

Methods

The Systematic Reviews methodological process was utilised to search relevant scientific databases to gather current research articles on neurodivergent perinatal experiences. Eleven studies met the inclusion criteria and were appraised using a rigorous quality checklist. Thematic analysis identified recurring themes across the selected papers.

Results

Three major themes emerged: Care provider support, Perinatal mental health needs, and Resilience and growth of neurodivergent parturients. These themes highlight significant differences in perinatal experiences between neurodivergent and neurotypical individuals, underscoring the need for tailored care approaches.

Conclusion

The findings reveal that current perinatal care practices do not adequately address the specific challenges faced by perinatal neurodivergent individuals. There is a critical need for perinatal care systems to integrate neurodiversity-affirming practices. Future research should consider intersectionality to include marginalised and underrepresented neurodivergent voices.
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来源期刊
Women and Birth
Women and Birth NURSING-OBSTETRICS & GYNECOLOGY
CiteScore
7.20
自引率
13.20%
发文量
371
审稿时长
27 days
期刊介绍: Women and Birth is the official journal of the Australian College of Midwives (ACM). It is a midwifery journal that publishes on all matters that affect women and birth, from pre-conceptual counselling, through pregnancy, birth, and the first six weeks postnatal. All papers accepted will draw from and contribute to the relevant contemporary research, policy and/or theoretical literature. We seek research papers, quality assurances papers (with ethical approval) discussion papers, clinical practice papers, case studies and original literature reviews. Our women-centred focus is inclusive of the family, fetus and newborn, both well and sick, and covers both healthy and complex pregnancies and births. The journal seeks papers that take a woman-centred focus on maternity services, epidemiology, primary health care, reproductive psycho/physiology, midwifery practice, theory, research, education, management and leadership. We also seek relevant papers on maternal mental health and neonatal well-being, natural and complementary therapies, local, national and international policy, management, politics, economics and societal and cultural issues as they affect childbearing women and their families. Topics may include, where appropriate, neonatal care, child and family health, women’s health, related to pregnancy, birth and the postpartum, including lactation. Interprofessional papers relevant to midwifery are welcome. Articles are double blind peer-reviewed, primarily by experts in the field of the submitted work.
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