Face-to-face health professional contact for postpartum women: A systematic review |
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| Institution: | 1. Primary Care Clinical Unit, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia;2. School of Nursing, Midwifery and Social Work, Faculty of Health and Behavioural Sciences, The University of Queensland, St Lucia, Brisbane, Australia;3. Mater Health Services, Raymond Tce, South Brisbane, Australia;4. Departments of Family Medicine and Clinical Skills, University of Split School of Medicine, Split, Croatia;5. Cochrane Croatia, University of Split School of Medicine, Split, Croatia;1. Department of Perinatal Health, Centre for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico;2. Data Mining Coordinator, Carlos Slim Foundation, Mexico City, Mexico;3. Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, CA, United States;4. Vanderbilt University, Nashville, TN, United States;5. Bixby Center for Global Reproductive Health, University of California San Francisco, CA, United States;6. Division of Determinants and Challenges of Health Systems, Centre for Health Systems Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico;1. Centre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Australia;2. Sydney Institute of Women, Children and their Families, Sydney Local Health District, NSW Australia;3. Charles Perkins Centre, University of Sydney, NSW, Australia;4. Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Australia;5. Red Nose Australia;6. SANDS Australia;7. Stillbirth Foundation Australia;8. Still Aware;9. SAHMRI Women and Kids, South Australian Health and Medical Research Institute, Adelaide, Australia;1. Charles Darwin University, Australia;2. Charles Darwin University & Edith Cowan University, Australia;3. Politeknik Kesehatan Kartini, Bali, Indonesia;4. Politeknik Kesehatan Kemenkes Denpasar, Indonesia;1. Amsterdam UMC Vrije Universiteit Amsterdam, VU Medical Center, Department of Obstetrics and Gynaecology, De Boelelaan 1117, Amsterdam, 1081 HV, The Netherlands;2. Department of Child Health, TNO, P.O. Box 3005, Leiden, 2301 DA, The Netherlands;3. The Netherlands Department of Clinical Psychology, Vrije Universiteit, Van Der Boechorststraat 1, Amsterdam, 1081 BT, The Netherlands;4. Amsterdam Public Health (APH) Research Institute, Van Der Boechorststraat 7, Amsterdam, 1081 BT, The Netherlands |
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| Abstract: | The postpartum period is a time when physical, psychological and social changes occur. Health professional contact in the first month following birth may contribute to a smoother transition, help prevent and manage infant and maternal complications and reduce health systems’ expenditure.The aim of this systematic review was to assess the effect of face-to-face health professional contact with postpartum women within the first four weeks following hospital discharge on maternal and infant health outcomes.Fifteen controlled trial reports that included 8332 women were retrieved after searching databases and reference lists of relevant trials and reviews.Although the evidence was of moderate or low quality and the effect size was small, this review suggests that at least one health professional contact within the first 4 weeks postpartum has the potential to reduce the number of women who stop breastfeeding within the first 4–6 weeks postpartum (Risk Ratio 0.86 (95% Confidence Interval 0.75–0.99)) and the number of women who cease exclusive breastfeeding by 4–6 weeks (Risk Ratio 0.84 (95% Confidence Interval 0.71–0.99)) and 6 months (Risk Ratio 0.88 (95% Confidence Interval 0.81–0.96).There was no evidence that one form of health professional contact was superior to any other. There was insufficient evidence to show that health professional contact in the first month postpartum, at a routine or universal level, had an impact on other aspects of maternal and infant health, including non-urgent or urgent use of health services. |
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| Keywords: | Postpartum care Home visits Clinic visits Breastfeeding Health service Systematic review |
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