Medicine · 2026
Non-pharmacological postpartum interventions for management of maternal stress in postpartum period: A systematic review of clinical trials.
Систематический обзорСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Rezaie Keikhaie Khadije, Nakhaee Moghadam Maryam, Faal Siahkal Shahla, Arbabi Hayedeh, Koochakzai Maryam
Аннотация
BACKGROUND: In the crucial postpartum stage, mothers undergo substantial physiological and psychological shifts, with many experiencing stresses. Non-pharmacological interventions hold potential as a safe and effective way to manage postpartum stress compared to medication. The aim was to review non-pharmacological interventions for management of maternal stress in the postpartum period.
METHODS: In this systematic review, a comprehensive literature search was conducted on March 1, 2024 across databases including PubMed, Web of Science, and CINAHL, focusing on clinical trials published in English from inception until the end of 2023. Clinical trials utilizing interventions other than pharmacological agents for management of stress among postpartum women were included. The study outcome was postpartum stress measured by any standard scale. The risk of bias assessment was done using JADAD scale for randomized trials.
RESULTS: Electronic database searches initially yielded 9129 records, of which there remained 42 studies after removing duplicates and excluding records based on title and abstract screening. Finally, 15 studies that met the inclusion criteria were included in this review as a result of searching in databases and reviewing the reference list of related reviews. The most common non-pharmacologic interventions were: support group; home visiting program; mother-infant transaction program; listening to music; advanced practice nurses' follow up through telephone calls; heart rate variability biofeedback; film addressing common stressors or a telephone support hotline; professionally-led telephone support or self-directed written support; home-based supportive-educational counseling; aerobic gymnastic exercise; telephone-based exercise or telephone-based wellness/support; home midwifery assistance; skin-to-skin contact; and social media-based parenting program. Despite the heterogeneity between the included studies, the majority demonstrated significant reduction in postpartum stress.
CONCLUSION: Non-pharmacological interventions reduce postpartum stress, which may offer safe alternatives to pharmacological treatments, particularly for breastfeeding mothers.
METHODS: In this systematic review, a comprehensive literature search was conducted on March 1, 2024 across databases including PubMed, Web of Science, and CINAHL, focusing on clinical trials published in English from inception until the end of 2023. Clinical trials utilizing interventions other than pharmacological agents for management of stress among postpartum women were included. The study outcome was postpartum stress measured by any standard scale. The risk of bias assessment was done using JADAD scale for randomized trials.
RESULTS: Electronic database searches initially yielded 9129 records, of which there remained 42 studies after removing duplicates and excluding records based on title and abstract screening. Finally, 15 studies that met the inclusion criteria were included in this review as a result of searching in databases and reviewing the reference list of related reviews. The most common non-pharmacologic interventions were: support group; home visiting program; mother-infant transaction program; listening to music; advanced practice nurses' follow up through telephone calls; heart rate variability biofeedback; film addressing common stressors or a telephone support hotline; professionally-led telephone support or self-directed written support; home-based supportive-educational counseling; aerobic gymnastic exercise; telephone-based exercise or telephone-based wellness/support; home midwifery assistance; skin-to-skin contact; and social media-based parenting program. Despite the heterogeneity between the included studies, the majority demonstrated significant reduction in postpartum stress.
CONCLUSION: Non-pharmacological interventions reduce postpartum stress, which may offer safe alternatives to pharmacological treatments, particularly for breastfeeding mothers.