Asadi Mahboobeh, Noroozi Mahnaz, Alavi Mousa
Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Faculty of Nursing and Midwifery, Department of Midwifery, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2020 Nov 7;25(6):463-470. doi: 10.4103/ijnmr.IJNMR_54_20. eCollection 2020 Nov-Dec.
Postpartum period is associated with stress and pressure, and the woman must adjust herself to these changes. This study aimed to review the factors affecting women's adjustment to postpartum changes in conducted studies.
This review was conducted by searching databases such as ISI Web of Science, Science Direct, Scopus, Cochrane, PubMed and Scientific Information Database (SID), Iranian Medical Articles Database (IranMedex), Iranian Research Institute for Information Science and Technology (IranDoc), and the Iranian Magazine Database (MagIran), as well as searching through Google Scholar (as a Web search engine) in December 2019. Publications from July 2004 to October 2019 were reviewed and limited to Persian and English. The keywords used included "Postpartum", "Women's needs", "Adjustment" and "Coping". After reviewing the articles, out of 60 original articles, 17 articles were selected for final evaluation.
Factors affecting adjustment to postpartum changes were divided into personal and social factors. Personal factors included previous experiences, coping styles and strategies, personality traits, self-efficacy and awareness, and social factors included family and relatives, healthcare providers, cultural context, and laws and regulations.
Adjustment to postpartum changes depends on the personal and social factors that can interact with each other. Women's awareness enables them to use positive coping strategies in this critical situation. Educating women's spouse and family members can contribute to increase the women's social support. Additionally, the law support guarantees the implementation of many interventions in promoting the mother's health.
产后时期与压力相关，女性必须使自己适应这些变化。本研究旨在回顾已开展研究中影响女性适应产后变化的因素。
本综述通过检索数据库进行，如科学引文索引（ISI）网络数据库、科学Direct、Scopus、考克兰图书馆、医学期刊数据库（PubMed）和科学信息数据库（SID）、伊朗医学文章数据库（IranMedex）、伊朗信息科学与技术研究所数据库（IranDoc）以及伊朗杂志数据库（MagIran），同时于2019年12月通过谷歌学术搜索（作为网络搜索引擎）。对2004年7月至2019年10月的出版物进行了回顾，且限于波斯语和英语。使用的关键词包括“产后”“女性需求”“适应”和“应对”。在审阅文章后，从60篇原始文章中选出17篇进行最终评估。
影响适应产后变化的因素分为个人因素和社会因素。个人因素包括既往经历、应对方式和策略、人格特质、自我效能感和认知，社会因素包括家庭和亲属、医疗保健提供者、文化背景以及法律法规。
对产后变化的适应取决于相互作用的个人因素和社会因素。女性的认知使她们能够在这一关键时期运用积极的应对策略。对女性配偶和家庭成员进行教育有助于增加女性的社会支持。此外，法律支持保障了许多促进母亲健康干预措施的实施。
