Cheng Ching-Yu, Li Qing
School of Nursing, Virginia Commonwealth University, Richmond, Virginia, USA.
Womens Health Issues. 2008 Jul-Aug;18(4):267-80. doi: 10.1016/j.whi.2008.02.004. Epub 2008 May 12.
Postpartum mothers experience certain physical health conditions that may affect their quality of life, future health, and health of their children. Yet, the physical health of postpartum mothers is relatively neglected in both research and practice. The purpose of this review is to describe the general health status and prevalence of common physical health conditions of postpartum mothers.
The review followed standard procedures for integrative literature reviews. Twenty-two articles were reviewed from searches in scientific databases, reference lists, and an up-to-date survey. Three tables were designed to answer review questions.
In general, postpartum mothers self-rate their health as good. They experience certain physical conditions such as fatigue/physical exhaustion, sleep-related problems, pain, sex-related concerns, hemorrhoids/constipation, and breast problems.
Despite a limited number of studies, the findings provide a glimpse of the presence of a number of physical health conditions experienced by women in the 2 years postpartum. In the articles reviewed, physical health conditions and postpartum period were poorly defined, no standard scales existed, and the administration of surveys varied widely in time. Those disparities prevented systematic comparisons of results and made it difficult to gain a coherent understanding of the physical health conditions of postpartum mothers. More longitudinal research is needed that focuses on the etiology, predictors, and management of the health conditions most prevalent among postpartum mothers. Instruments are needed that target a broader range of physical conditions in respect to type and severity.
产后母亲会经历某些可能影响其生活质量、未来健康及其子女健康的身体健康状况。然而,产后母亲的身体健康在研究和实践中都相对被忽视。本综述的目的是描述产后母亲的总体健康状况以及常见身体健康状况的患病率。
本综述遵循综合文献综述的标准程序。从科学数据库搜索、参考文献列表及一项最新调查中筛选出22篇文章进行综述。设计了三个表格来回答综述问题。
总体而言,产后母亲自我评定其健康状况良好。她们会经历某些身体状况,如疲劳/身体疲惫、睡眠相关问题、疼痛、性相关问题、痔疮/便秘以及乳房问题。
尽管研究数量有限,但研究结果让我们得以了解产后两年内女性所经历的一些身体健康状况。在所综述的文章中,身体健康状况和产后期的定义不明确,不存在标准量表,调查实施的时间差异很大。这些差异妨碍了对结果进行系统比较,难以对产后母亲的身体健康状况形成连贯的认识。需要开展更多纵向研究,关注产后母亲中最普遍的健康状况的病因、预测因素及管理。需要有针对更广泛身体状况的类型和严重程度的工具。