Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Health Serv Res. 2024 May 1;24(1):563. doi: 10.1186/s12913-024-11026-8.
The postpartum is a vital period for women, newborns, spouses, parents, caregivers, and families. Regarding the importance of postpartum care and the lack of comprehensive and up-to-date clinical guidelines in the country of Iran, the postpartum clinical guidelines have been adapted.
Cultural adaptation was conducted in three stages. In the first stage, the adaptation team was formed and the process was approved. During the second stage, a systematic literature review was conducted using international databases to identify English-language clinical guidelines published within the last 10 years. Out of 17 guidelines and documents initially selected, 5 guidelines meeting the inclusion and exclusion criteria and published within the last 5 years were chosen following a thorough review by the search team. In the secondary selection, the guidelines were investigated by two subject-matter experts based on AGREE II Checklist, and regarding the high evaluation score obtained by the WHO Recommendations on Postnatal Care of the Mother and Newborn (2022), and the National Institute for Health and Care Excellence (NICE,2021) guideline for postnatal care were selected for cultural adaptation. In the third stage, the opinions of experts from all over the country were collected and scored using the Delphi method, and a final guideline was formulated.
The adapted postpartum clinical guideline has offered 56 recommendations. The recommendations are categorized into four major themes including mother care, newborn care, health system and health promotion interventions and post caesarean care.
Applying evidence-based recommendations for the care of mothers and babies in the postpartum period will enhance the health system, promote the provision of care after vaginal and caesarean births, and ensure a positive postnatal experience for mothers, fathers, babies, and families.
产后阶段对女性、新生儿、配偶、父母、照料者和家庭至关重要。鉴于产后护理的重要性以及伊朗国内缺乏全面且最新的临床指南，本研究对产后临床指南进行了改编。
文化适应性改编分三个阶段进行。第一阶段，成立改编团队并批准改编流程。第二阶段，通过检索国际数据库，以识别过去 10 年内发表的英文临床指南，开展系统文献回顾。在最初选择的 17 份指南和文件中，经过搜索团队全面审查，选择了 5 份符合纳入和排除标准且在过去 5 年内发表的指南。在二次选择中，两名主题专家基于 AGREE II 清单对指南进行了调查，世界卫生组织（WHO）关于母婴产后护理的推荐（2022 年）和英国国家卫生与保健优化研究所（NICE）产后护理指南（2021 年）因获得较高评价得分而被选中进行文化适应性改编。在第三阶段，采用德尔菲法收集并评分来自全国各地的专家意见，制定最终的指南。
改编后的产后临床指南提出了 56 条建议。这些建议分为四个主要主题，包括母亲护理、新生儿护理、卫生系统和健康促进干预措施以及剖宫产护理。
应用针对产后母婴护理的循证建议，将增强卫生系统，促进阴道分娩和剖宫产产后护理的提供，并确保母亲、父亲、婴儿和家庭拥有积极的产后体验。
