Purpose To determine the effectiveness of post-partum care to enhance mothers and newborn safety. Data sources Electronic search of PubMed, Google Scholar, CAS Google Scholar, Yahoo, Cochrane, Research Gate of post-partum care websites and bibliographies of included articles and key journals. Study selection English and French language studies published between January 2009 and August 2024 that measured the effectiveness of post-partum care using quantitative or qualitative measures of good practices, mother and new-born safety. Studies included were survey, quasi-experimental, systematic review, task force analysis based on essentially on experts’ professional experience, phenomelogical, retrospective and one case-control. Data extraction Data extraction and critical appraisal were conducted by three system-internal and one independent reviewer, the statistician, for ethical consideration. Study design, intervention, level of application, setting, study participants, post-partum care standards, measures and implementation and impact lessons were extracted from the included articles. Results of data synthesis Over 600 articles were screened for inclusion, of which 25 full text articles were included in data synthesis. Among them, 14 survey, 2 quasi-experimental, 4 systematic review, 1 task force analysis based essentially on experts’ professional experience, 1 phenomelogical, 2 retrospective and one case-control studies met the inclusion criteria (figure 1) and cut-across the specific objectives of the study. As for the qualitative studies, they were 2. Conclusions The WHO’s guide for essential practice in pregnancy, childbirth, postpartum and new-born care remain the most broad standards employed by health facilities across the world for post-partum care and it is supported by the WHO standards for improving quality of maternal and new-born care in health facilities. Post-partum care processes have been highly standardized over the past decades with the provision of more comprehensive guideline to help health facilities in this respect. There is sufficient evidence as depicted by the literature for a strong face validity of these guides and their effectiveness has been proven through numerous scientific evidences. However, these guides have been contextualized on some specific areas to suit the requirements of specific settings. Governments and organisations are advised to consider the socio-cultural and political realities of their countries while using these guides which of course at several levels have open brackets for such contextualization.
Pregnancy, childbirth, postpartum, mother, new-born, Care, systematic review
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