Buser Julie M, Lori Jody R
PAHO/WHO Collaborating Center, Department of Health Behavior and Biological Sciences, University of Michigan School of Nursing, 400 N. Ingalls, Ann Arbor, MI, 48109, USA.
Matern Child Health J. 2017 Apr;21(4):760-769. doi: 10.1007/s10995-016-2162-2.
Objectives Decreasing neonatal morbidity and mortality remains a challenge in low resource settings. Maternity waiting homes (MWHs) may offer a way to better provide perinatal obstetric care and improve newborn outcomes. The purpose of this scoping review is to examine the impact of MWHs on newborn outcomes and to inform the development of targeted interventions and services to decrease neonatal mortality. Methods A literature search of four databases in the fields of nursing, medicine and global health was conducted yielding a total of 11 articles included for the review. Results Results indicate studies with extremely limited qualitative or quantitative measures of the impact of MWHs on neonatal health. Conclusions An exceptionally wide gap in knowledge on the outcomes of neonates born at MWHs was identified through this scoping review of the scientific literature. The review illustrates the need for more research to understand the effectiveness of MWHs on newborn morbidity and mortality. An increased focus on the study of MWHs for improving newborn outcomes in low resource settings merits immediate attention.
目标 在资源匮乏地区,降低新生儿发病率和死亡率仍然是一项挑战。产妇候产之家(MWHs)可能提供了一种更好地提供围产期产科护理并改善新生儿结局的方法。本范围综述的目的是研究产妇候产之家对新生儿结局的影响,并为制定有针对性的干预措施和服务以降低新生儿死亡率提供参考。方法 对护理、医学和全球健康领域的四个数据库进行文献检索,共纳入11篇文章进行综述。结果 结果表明,关于产妇候产之家对新生儿健康影响的定性或定量测量极其有限。结论 通过对科学文献的本次范围综述,发现了关于在产妇候产之家出生的新生儿结局的知识存在巨大差距。该综述表明需要更多研究来了解产妇候产之家对新生儿发病率和死亡率的有效性。在资源匮乏地区,更加关注产妇候产之家对改善新生儿结局的研究值得立即关注。