背景:产后是女性的关键时期,新生儿,配偶,父母,看护者,和家庭。关于产后护理的重要性以及伊朗缺乏全面和最新的临床指南,产后临床指南已经调整.
方法:文化适应分三个阶段进行。在第一阶段,成立了适应小组,并批准了该过程。在第二阶段,我们使用国际数据库进行了系统的文献综述,以确定过去10年内发表的英语临床指南.在最初选定的17项准则和文件中,经过搜索小组的全面审查,选择了5个符合纳入和排除标准并在过去5年内发布的指南。在次要选择中,该指南由两名主题专家根据AGREEII清单进行调查,关于世界卫生组织关于母亲和新生儿产后护理的建议(2022年)获得的高评价分数,和国家健康与护理卓越研究所(NICE,2021)选择了产后护理指南进行文化适应。第三阶段,收集全国各地专家的意见,采用德尔菲法进行评分,并制定了最终指导方针。
结果:经调整的产后临床指南提供了56条建议。这些建议分为四个主要主题,包括母亲护理,新生儿护理,卫生系统和健康促进干预措施以及剖腹产后护理。
结论:在产后期间对母亲和婴儿的护理应用基于证据的建议将增强卫生系统,促进阴道分娩和剖腹产后的护理,并确保母亲有积极的产后经历,父亲们,婴儿,和家庭。
BACKGROUND: The postpartum is a vital period for women, newborns, spouses, parents, caregivers, and families. Regarding the importance of
postpartum care and the lack of comprehensive and up-to-date clinical
guidelines in the country of Iran, the
postpartum clinical
guidelines have been adapted.
METHODS: Cultural adaptation was conducted in three stages. In the first stage, the adaptation team was formed and the process was approved. During the second stage, a systematic literature review was conducted using international databases to identify English-language clinical guidelines published within the last 10 years. Out of 17
guidelines and documents initially selected, 5
guidelines meeting the inclusion and exclusion criteria and published within the last 5 years were chosen following a thorough review by the search team. In the secondary selection, the guidelines were investigated by two subject-matter experts based on AGREE II Checklist, and regarding the high evaluation score obtained by the WHO Recommendations on Postnatal Care of the Mother and Newborn (2022), and the National Institute for Health and Care Excellence (NICE,2021) guideline for postnatal care were selected for cultural adaptation. In the third stage, the opinions of experts from all over the country were collected and scored using the Delphi method, and a final
guideline was formulated.
RESULTS: The adapted
postpartum clinical
guideline has offered 56 recommendations. The recommendations are categorized into four major themes including mother care, newborn care, health system and health promotion interventions and post caesarean care.
CONCLUSIONS: Applying evidence-based recommendations for the care of mothers and babies in the postpartum period will enhance the health system, promote the provision of care after vaginal and caesarean births, and ensure a positive postnatal experience for mothers, fathers, babies, and families.