Evidence map›Paper›PMID 42304707›Full record

SynthesisJournal of midwifery & women's health

Barriers and Facilitators to Providing Women Postpartum Care by Health Care Providers in the First 12 Months After Childbirth: A Systematic Qualitative Meta-Aggregation Review.

Maryam Rouhi, Silvana Bettiol, Sarah Prior, Narges Rouhi, Theodora Dedo Azu, Christine Stirling, Lynne Staff, Linda Jones, Antigoni Leftherioti, Patricia Nicholson

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of midwifery & women's health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Maryam RouhiSchool of Nursing, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Silvana BettiolSchool of Medicine, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Sarah PriorSchool of Medicine, Rural Clinical School, College of Health and Medicine, University of Tasmania, Burnie, Tasmania, Australia.
Narges RouhiMinistry of Health and Medical Education, Tehran, Iran.
Theodora Dedo AzuDepartment of Maternal and Child Health Nursing, School of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana.
Christine StirlingSchool of Nursing, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Lynne StaffSchool of Nursing, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Linda JonesSchool of Nursing, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Antigoni LeftheriotiSchool of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.
Patricia NicholsonSchool of Nursing and Midwifery, Centre for Quality and Patient Safety, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPostpartum care is crucial for maternal and infant health but remains inconsistently administered. This systematic qualitative review aimed to synthesize health care providers' perspectives by exploring the barriers and facilitators experienced by health care providers in administering optimal maternal care during the first 12 months after childbirth.

methodsA systematic qualitative meta-aggregation review was conducted using the Joanna Briggs Institute methodology. Peer-reviewed qualitative studies from January 2010 to April 2024 were retrieved from MEDLINE, CINAHL, Embase, and Web of Science. Findings were mapped onto the Behavioral Model of Health Services Use.

resultsTwenty-three studies were included. Four key themes emerged: (1) professional barriers associated with administering quality health care, (2) organizational and systemic challenges in postpartum care (structural, policy, and resources barriers), (3) facility levels of services and their influence on decision-making, and (4) client's factors impacting their postpartum. Facilitators included interprofessional teamwork, training, and continuity of care. Key facilitators that supported health care providers in administering postpartum maternal care included interprofessional teamwork, targeted training, and continuity of care. DISCUSSION: Postpartum care continues to be fragmented and underprioritized at individual, organizational, and systemic levels, limiting the quality and continuity of maternal care. Addressing these challenges requires strengthened provider training, improved referral systems, culturally sensitive care, and integrated, team-based approaches. Policy reforms that prioritize postpartum care as a core component of the maternal health care continuum are essential to improving maternal outcomes.

Indexed as

Attitude of Health PersonnelHealth PersonnelHealth Services AccessibilityMaternal Health ServicesPostnatal CareContinuity of Patient CareFemaleHumansPostpartum PeriodPregnancyQualitative ResearchQuality of Health Carebarriersfacilitatorsmeta‐aggregationpostpartum carequalitative systematic review

Identifiers

PMID42304707
PMCPMC13655192

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.