Academic Journal
Scoping review into models of interconception care delivered at well-child visits for the Australian context.
| العنوان: | Scoping review into models of interconception care delivered at well-child visits for the Australian context. |
|---|---|
| المؤلفون: | Thomas, Morgan1 morgan.thomas121@gmail.com, Cheney, Kate1, Black, Kirsten I.1 |
| المصدر: | Australian Journal of Primary Health. 2023, Vol. 29 Issue 3, p195-206. 12p. |
| مصطلحات موضوعية: | *EVALUATION of medical care, *MATERNAL health services, *CINAHL database, *ONLINE information services, *FAMILY planning, *CONTRACEPTION, *ATTITUDES of mothers, *MEDICAL information storage & retrieval systems, *COUNSELING, *POSTPARTUM depression, *ATTITUDES of medical personnel, *SYSTEMATIC reviews, *MEDICAL screening, *PRIMARY health care, *HEALTH behavior, *CHILD health services, *MEDLINE, *FOLIC acid, *THEMATIC analysis, *PRECONCEPTION care, *HEALTH promotion, *WOMEN'S health |
| مصطلحات جغرافية: | AUSTRALIA |
| مستخلص: | Background: The interconception period provides an opportunity to address women's health risks and optimise birth spacing before the next pregnancy. This scoping review aimed to identify models of interconception care (ICC) delivered at well-child visits (WCVs) around the world, review the impacts of ICC delivered, and what the feasibility and applicability of these models were. Methods: The global review included clinical studies that that were identified using medical subject headings (MeSH) and keyword combinations. Studies were included if they met the criteria: were clinical studies; examined a model of ICC; were conducted by a registered health professional; and examined women who had given birth within the last 24-months. The following databases were searched: Medline (OVID); CINAHL (EBSCO); PubMed; and Embase (OVID). Relevant studies were screened in Covidence and the data was then extracted using a narrative analysis. Results: Fifteen studies met the inclusion criteria. The benefits of ICC delivered at WCVs included screening for maternal health behaviours and conditions and increase women's uptake of interventions. The studies identified that implementing ICC at WCVs was acceptable to women. Identified challenges included lack of time for health providers, lack of education among women and health providers, and limited funding for WCVs. Conclusion: ICC interventions found in this review included family planning counselling and provision of long-acting contraception; health promotion of folic acid; and postpartum depression screening. The research concluded that ICC delivered at WCVs contributes to improving health behaviours for future pregnancies. Increased capacity for this care at WCVs could be achieved with targeted resources and time allocation. Interconception care improves women's postpartum journey, their health outcomes and the health of their future pregnancies and children. This scoping review examines models of interconception care delivered around the world at scheduled well-child visits, to determine the benefit combining these services can have for women and children, and the acceptability and feasibility of doing so. The review concludes that there is significant benefit for postpartum women to receive interconception care at well-child visits; however, time, funding and educational barriers may prevent successful implementation of this model of care. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: | Academic Search Index |
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This scoping review aimed to identify models of interconception care (ICC) delivered at well-child visits (WCVs) around the world, review the impacts of ICC delivered, and what the feasibility and applicability of these models were. Methods: The global review included clinical studies that that were identified using medical subject headings (MeSH) and keyword combinations. Studies were included if they met the criteria: were clinical studies; examined a model of ICC; were conducted by a registered health professional; and examined women who had given birth within the last 24-months. The following databases were searched: Medline (OVID); CINAHL (EBSCO); PubMed; and Embase (OVID). Relevant studies were screened in Covidence and the data was then extracted using a narrative analysis. Results: Fifteen studies met the inclusion criteria. The benefits of ICC delivered at WCVs included screening for maternal health behaviours and conditions and increase women's uptake of interventions. The studies identified that implementing ICC at WCVs was acceptable to women. Identified challenges included lack of time for health providers, lack of education among women and health providers, and limited funding for WCVs. Conclusion: ICC interventions found in this review included family planning counselling and provision of long-acting contraception; health promotion of folic acid; and postpartum depression screening. The research concluded that ICC delivered at WCVs contributes to improving health behaviours for future pregnancies. Increased capacity for this care at WCVs could be achieved with targeted resources and time allocation. Interconception care improves women's postpartum journey, their health outcomes and the health of their future pregnancies and children. This scoping review examines models of interconception care delivered around the world at scheduled well-child visits, to determine the benefit combining these services can have for women and children, and the acceptability and feasibility of doing so. The review concludes that there is significant benefit for postpartum women to receive interconception care at well-child visits; however, time, funding and educational barriers may prevent successful implementation of this model of care. [ABSTRACT FROM AUTHOR] ) |
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