Salutogenically focused outcomes in systematic reviews of intrapartum interventions:A systematic review of systematic reviews

• Introduction: research on intrapartum interventions in maternity care has focused traditionally on the identification of risk factors' and on the reduction of adverse outcomes with less attention given to the measurement off actors that contribute to well-being and positive health outcomes.We conducted a systematic review of reviews to determine the type and number of salutogenically-focused reported outcomes in current maternity care intrapartum intervention-based research.For the conduct of this review,we interpreted salutogenic outcomes as tho se relating to optimum and/or positive maternal and neonatal health and well-being. Objectives: to identify salutogenically-focused outcomes reported in systematic reviews of randomised trials of intrapartum interventions. Review methods: we searched Issue 9(September 2011 of the Cochrane Database of Systematic Reviews for allreviews of intrapartum interventions published by the Cochrane Pregnancy and Childbirth Group using the group filter “hm-preg”. Systematic reviews of randomised trials ofi ntrapartum interventions were eligible for inclusion.We excluded protocols for systematic reviews and systematic reviews that had been withdrawn. Outcome data were extracted independently from each included review by at least two review authors.Unique lists of salutogenically and non-salutogenically focused outcomes wereestablished. Results: 16 salutogenically-focused outcome categories were identified in 102 included reviews. Maternal satisfaction and breastfeeding were reported most frequently. 49non-salutogenically-focusedoutcome categories were identified in the102 included reviews. Measures of neonatal morbidity were reported most frequently. Conclusion: there is an absence of salutogenically focused outcomes reported in intrapartum intervention- based research. We recommend the development of a core outcome dataset of salutogenically-focused outcomes for intrapartumresearch.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Annan hälsovetenskap (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Other Health Sciences (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Nyckelord

Salutogenesis

Salutogenically-focusedoutcomes

Systematicreview

Intrapartum interventions

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