Özkan Hava, Aktaş Elif Odabaşi, Işik Hafsa Kübra
Department of Midwifery, Faculty of Health Sciences, Atatürk University, Erzurum, Turkey.
Department of Midwifery, Faculty of Health Sciences, Bayburt University, Bayburt, Turkey.
Matern Health Neonatol Perinatol. 2024 Sep 2;10(1):17. doi: 10.1186/s40748-024-00187-3.
This study was conducted to determine the effect of the mode of delivery on maternal postpartum comfort level and breastfeeding self-efficacy.
The study was conducted as a systematic review and a meta-analysis. Searching was performed from March to July 2022, on PubMed, National Thesis Center, Dergi Park, Google Scholar, Web of Science, and EBSCO search engines and we included studies from the last 10 years. The Joanna Briggs Institute Critical Appraisal tools used in cross-sectional studies were employed to appraise the methodological quality and performed meta-analyses using a random-effects model for all outcomes. Study data consisted of continuous variables calculated by Mean Difference.
From 3732 records received, 21 cross-sectional studies involving 5266 participants were determined to be eligible. Meta-analysis results showed that cesarean section reduced postpartum comfort, albeit not statistically significant (MD: -0.87 95%: -1.98-0.24, Z = 1.53, p = 0.44), whereas the combined results of breastfeeding self-efficacy showed that delivery type did not affect breastfeeding self-efficacy.
The results of this review have clinical implications for postpartum caregivers, as the effects of mode of delivery on postpartum comfort and breastfeeding self-efficacy have been well documented in previous studies. The authors recommend caregivers plan maternal care to increase their comfort, taking into account the factors that may affect postpartum comfort in the light of evidence-based practices.
本研究旨在确定分娩方式对产妇产后舒适度和母乳喂养自我效能感的影响。
本研究采用系统评价和荟萃分析的方法。于2022年3月至7月在PubMed、国家论文中心、Dergi Park、谷歌学术、科学网和EBSCO搜索引擎上进行检索，纳入过去10年的研究。采用横断面研究中使用的乔安娜·布里格斯研究所批判性评价工具来评估方法学质量，并对所有结局采用随机效应模型进行荟萃分析。研究数据由通过平均差计算的连续变量组成。
在收到的3732条记录中，确定21项涉及5266名参与者的横断面研究符合条件。荟萃分析结果显示，剖宫产降低了产后舒适度，尽管无统计学意义（平均差：-0.87；95%置信区间：-1.98至0.24；Z = 1.53；p = 0.44），而母乳喂养自我效能感的综合结果显示分娩方式不影响母乳喂养自我效能感。
本综述结果对产后护理人员具有临床意义，因为分娩方式对产后舒适度和母乳喂养自我效能感的影响在以往研究中已有充分记录。作者建议护理人员根据循证实践，考虑可能影响产后舒适度的因素，规划产妇护理，以提高她们的舒适度。
