背景:更多的女性正在经历怀孕,患有两种或两种以上的长期健康状况,如高血压,抑郁症或艾滋病毒(MLTC)。护理可能很复杂,包括多个团队,卫生专业人员和服务。这些妇女的产妇护理模式的类型和范围以及助产士在这种模式中的作用尚不清楚。
目的:为了概述有关孕妇护理模式的文献,分娩,和产后妇女MLTC和助产士的作用。
方法:我们在JoannaBriggsInstitute范围审查方法的指导下进行了范围审查。五个数据库MEDLINE,CINAHLPlus,PsycINFO,EMBASE和妇幼保健数据库从开始到2022年8月进行了搜索。由两名研究人员独立筛选了3458篇标题和摘要以及56篇全文论文。数据是从五篇论文中提取出来的,并进行了叙述综合。
结果:所有五篇论文都描述或推荐了多学科护理模式。助产士在MLTC妇女的多学科护理中发挥着多种多样的核心作用。
结论:MLTC患者的护理模式涵盖了部分或全部的生育旅程,主要是产前和产后护理。专注于在整个生育过程中提供高质量的整体护理,包括出生后的需要。缺乏证据表明护理模式的助产连续性如何影响该群体的护理体验和结果。
结论:缺乏关于如何最好地为MLTC患者提供助产和多学科护理的经验证据,并且需要进行研究以了解这一点。
■我们的目标是指怀孕,分娩,以及产后妇女和分娩患有MLTC的人。我们承认,并非所有获得生育服务的人都会认定为妇女。我们不断努力确保我们的研究和公众参与具有包容性,并对每个人的需求敏感。我们的搜索词没有专门针对女性或分娩者,并使用了广泛的怀孕术语,产前,产前,分娩和产后护理。因此,所有包含的论文都使用“女人”或“女人”一词,我们在描述他们的发现时使用了这个术语.如果使用“妇女”一词,则应包括妇女和不确定为妇女但怀孕或分娩的人。这建立在我们的患者和公众参与和参与工作的基础上,该工作强调了使用包容性语言的必要性。
BACKGROUND: More women are experiencing pregnancy with two or more long-term health conditions such as hypertension, depression or HIV (MLTC). Care can be complex and include multiple teams, health professionals and services. The type and range of maternity care models for these women and the role of the midwife within such models is unknown.
OBJECTIVE: To provide an overview of the literature on models of care for pregnant, birthing, and postnatal women with MLTC and the role of the midwife.
METHODS: We conducted a scoping
review guided by the Joanna Briggs Institute scoping
review methodology. Five databases MEDLINE, CINAHL Plus, PsycINFO, EMBASE and The Maternity and Infant Care database were searched from inception until August 2022. A total of 3458 titles and abstracts and 56 full text papers were screened independently by two researchers. Data was extracted from five papers and synthesised narratively.
RESULTS: Multidisciplinary care models are described or recommended in all five papers. Midwives have a varied and core role in the multidisciplinary care of women with MLTC.
CONCLUSIONS: Models of care for those with MLTC covered part or all the maternity journey, primarily antenatal and postnatal care. A focus on delivering high-quality holistic care throughout the maternity journey, including postnatally is needed. There is a lack of evidence on how midwifery continuity of care models may impact experiences of care and outcomes for this group.
CONCLUSIONS: There is a lack of empirical evidence on how best to provide midwifery and multi-disciplinary care for those with MLTC and a need for research to understand this.
UNASSIGNED: Our aims refer to \'pregnant, birthing, and postnatal women and birthing people with MLTC\'. We acknowledge that not all those accessing maternity services will identify as a woman. We continually strive to ensure that our research and public involvement is inclusive and sensitive to the needs of everyone. Our search terms did not narrow to either women or birthing people specifically and used broad terms of pregnancy, antenatal, prenatal, childbirth and postnatal care. All included papers use the term woman or women throughout therefore, we have used this terminology when describing their findings. Where the term \'woman\' is used this should be taken to include women and people who do not identify as women but are pregnant or have given birth. This builds on our Patient and Public Involvement and Engagement work which has highlighted the need to use inclusive language.