Canadian Women's Heart Health Centre, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Berkman Library, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
BMJ Open. 2024 Aug 17;14(8):e084212. doi: 10.1136/bmjopen-2024-084212.
Women with previous pregnancy-related cardiovascular risk indicators, including gestational diabetes mellitus (GDM) and hypertensive disorders of pregnancy (HDP), have an increased risk of future cardiovascular disease (CVD). Although CVD screening and preventive care beginning in the early postpartum period are recommended, certain barriers limit access to such services. We plan to conduct a scoping review of the literature to explore and summarise evidence on the barriers and facilitators of postpartum CVD preventive services in women with a history of GDM and HDP.
This scoping review will be conducted in line with the Arksey and O'Malley's (2005) methodological framework and the Joanna Briggs Institute guidance for conducting a systematic scoping review and will follow the Evidence for Policy and Practice Information and the Coordinating Centre at the Institute of Education guidelines. The review results will be reported using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. We will search the following databases: Medline, Embase and CINAHL. We will conduct grey literature searches for registered dissertations and theses. Inclusion and exclusion criteria will be kept broad. Qualitative and quantitative studies published in English or French that investigated and reported percieved barriers or facilitators to postpartum CVD screening and preventive care among women with previous GDM and HDP will be included. Individual, interpersonal, organizational, and system level factors will be reported. Qualitative findings will be summarised narratively, and quantitative findings will be absorbed within the themes using the multisource synthesis method.
This review represents one objective of a larger project that was reviewed by the Ottawa Health Sciences Network Research Ethics Board (QI-184). We will disseminate knowledge emanating from this review through open-access publication, presentation/public forums on women's cardiovascular health, women's CVD prevention forums and social media. We will also present the findings of this review at the annual meeting of the Canadian Women's Heart Health Alliance.
有妊娠相关心血管风险指标史的女性，包括妊娠糖尿病（GDM）和妊娠高血压疾病（HDP），未来患心血管疾病（CVD）的风险增加。尽管建议在产后早期开始进行 CVD 筛查和预防保健，但某些障碍限制了对这些服务的获取。我们计划对文献进行范围综述，以探索和总结有 GDM 和 HDP 病史的女性产后 CVD 预防服务的障碍和促进因素的证据。
本范围综述将按照 Arksey 和 O'Malley（2005 年）的方法框架和 Joanna Briggs 研究所进行系统范围综述的指南进行，并遵循政策和实践信息及教育研究所协调中心的指南。综述结果将按照系统综述和荟萃分析扩展的首选报告项目（PRISMA-ScR）清单进行报告。我们将检索 Medline、Embase 和 CINAHL 等数据库。我们将对注册的论文和论文进行灰色文献搜索。纳入和排除标准将保持广泛。纳入和排除标准将保持广泛。将纳入以英语或法语发表的调查和报告既往 GDM 和 HDP 妇女产后 CVD 筛查和预防保健障碍或促进因素的定性和定量研究。将报告个体、人际、组织和系统层面的因素。定性研究结果将进行叙述性总结，定量研究结果将使用多源综合方法纳入主题。
本综述代表一个更大项目的一个目标，该项目已由渥太华健康科学网络研究伦理委员会（QI-184）审查。我们将通过开放获取出版物、妇女心血管健康公开论坛/专题论坛、妇女 CVD 预防论坛和社交媒体传播本综述产生的知识。我们还将在加拿大妇女心脏健康联盟年会上介绍本综述的结果。
