Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut, United States of America.
Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, Connecticut, United States of America.
PLoS One. 2024 Apr 16;19(4):e0298927. doi: 10.1371/journal.pone.0298927. eCollection 2024.
Dyadic care, which is the concurrent provision of care for a birthing person and their infant, is an approach that may improve disparities in postnatal health outcomes, but no synthesis of existing dyadic care studies has been conducted. This scoping review seeks to identify and summarize: 1) dyadic care studies globally, in which the birthing person-infant dyad are cared for together, 2) postnatal health outcomes that have been evaluated following dyadic care interventions, and 3) research and practice gaps in the implementation, dissemination, and effectiveness of dyadic care to reduce healthcare disparities.
Eligible studies will (1) include dyadic care instances for the birthing person and infant, and 2) report clinical outcomes for at least one member of the dyad or intervention outcomes. Studies will be excluded if they pertain to routine obstetric care, do not present original data, and/or are not available in English or Spanish. We will search CINAHL, Ovid (both Embase and Medline), Scopus, Cochrane Library, PubMed, Google Scholar, Global Health, Web of Science Core Collection, gray literature, and WHO regional databases. Screening will be conducted via Covidence and data will be extracted to capture the study design, dyad characteristics, clinical outcomes, and implementation outcomes. The risk of bias will be assessed using the Joanna Briggs Institute Critical Appraisal Tool. A narrative synthesis of the study findings will be presented.
This scoping review will summarize birthing person-infant dyadic care interventions that have been studied and the evidence for their effectiveness. This aggregation of existing data can be used by healthcare systems working to improve healthcare delivery to their patients with the aim of reducing postnatal morbidity and mortality. Areas for future research will also be highlighted.
This review has been registered at Open Science Framework (OSF, https://osf.io/5fs6e/).
对偶护理是指同时为分娩者及其婴儿提供护理，这是一种可能改善产后健康结果差异的方法，但尚未对现有的对偶护理研究进行综合分析。本范围综述旨在确定和总结：1）在全球范围内对母婴进行护理的对偶护理研究，2）对偶护理干预后评估的产后健康结果，以及 3）实施、传播和对偶护理有效性方面的研究和实践差距，以减少医疗保健差异。
符合条件的研究将包括分娩者和婴儿的对偶护理实例，并且 2）报告至少一个对偶成员的临床结果或干预结果。如果研究涉及常规产科护理、未提供原始数据和/或无法提供英文或西班牙文，将被排除在外。我们将搜索 CINAHL、Ovid（包括 Embase 和 Medline）、Scopus、Cochrane 图书馆、PubMed、Google Scholar、全球卫生、Web of Science 核心合集、灰色文献和世界卫生组织区域数据库。筛选将通过 Covidence 进行，数据将被提取以捕获研究设计、对偶特征、临床结果和实施结果。使用 Joanna Briggs 研究所批判性评估工具评估偏倚风险。将呈现研究结果的叙述性综合。
本范围综述将总结已研究过的母婴对偶护理干预措施及其有效性证据。这些现有数据的汇总可用于努力改善其患者医疗服务的医疗保健系统，旨在降低产后发病率和死亡率。还将突出未来研究的领域。
本综述已在开放科学框架（OSF，https://osf.io/5fs6e/）上注册。
