Patient-reported outcome measures evaluating postpartum maternal health and well-being: a systematic review and evaluation of measurement properties

O'Byrne, Laura; Bodunde, Elizabeth O; Maher, Gillian M.; Khashan, Ali S.; Greene, Richard M.; Browne, John; McCarthy, Fergus P.

doi:10.1016/j.ajogmf.2022.100743

Cited by 7 publications

(5 citation statements)

References 54 publications

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“…Over the last decade, there has been a growing interest in evaluating the quality of care and impact of treatment interventions in women who give birth in health care facilities 1 . Patient-reported outcome measures (PROMs) are structured, validated questionnaires that give an insight into the effect that an intervention or therapy has on the patient 2 …”

Section: Commentmentioning

confidence: 99%

“…The use of standardized PROMs can help identify domains where there is greatest scope for improvement, aligning resources, and services to address them 8 . There is no universal tool that covers all domains of postpartum health and well-being 2 . While usage of patient-reported outcomes and metrics may positively impact the way postpartum care is provided, the lack of inclusion of diverse populations, narrow scopes, and lack of generalizability in primary studies, affects the understanding of the full potential of PROMs and subsequent recommendations for policy implementation 9 …”

Section: Commentmentioning

confidence: 99%

“…1 Patient-reported outcome measures (PROMs) are structured, validated questionnaires that give an insight into the effect that an intervention or therapy has on the patient. 2 The authors of this multicenter cohort study across the United Kingdom aimed to evaluate quality of recovery following childbirth in 1631 patients by using a combination of PROMs instruments (ObsQoR-10, EQ-5D-5L, and Global health VAS) and commonly tracked clinical outcomes [pain scores at rest and movement, length of stay (LOS), readmission rates, and self-reported complications]. Modes of delivery included vaginal, instrumental, and cesarean.…”

Section: Commentmentioning

confidence: 99%

“…8 There is no universal tool that covers all domains of postpartum health and well-being. 2 While usage of patient-reported…”

Section: Commentmentioning

confidence: 99%

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Why Anesthetists Should Care About Postnatal Care

Bamber

2024

Obstetric Anesthesia Digest

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(Anaesthesia. 2023;78(9):1058–1061) The National Institute for Health and Care Excellence (NICE) characterizes current UK postnatal care as a “Cinderella service,” marked by insufficient provisions and only 8.5% of the maternity care budget. Despite 97% of births occurring in hospitals, the average postnatal stay of 1.5 days is the shortest among high-income countries. While most women find their stay appropriate, empowering them to choose its duration enhances satisfaction without adverse effects.

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Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

“…8 There is no universal tool that covers all domains of postpartum health and well-being. 2 While usage of patient-reported…”

Section: Commentmentioning

confidence: 99%

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Why Anesthetists Should Care About Postnatal Care

Bamber

2024

Obstetric Anesthesia Digest

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“…However, there are no well-validated self-report instruments that give comprehensive, efficient coverage of the 6 areas identified by the ICHOM as being important for women. This means that the only possible way to measure the results reported by patients in the postpartum period, covering the 6 areas, is to use a combination of tools [ 31 , 32 ], as the ICHOM itself suggests. This means carrying out a fragmentary evaluation and analysis of women's health, which is not the ideal method for approaching health from a thorough, person-centred perspective.…”

Section: Introductionmentioning

confidence: 99%

Development and evaluation of the psychometric properties of a digital questionnaire for the self-management of health and well-being in the postpartum period

Bully,

Artieta-Pinedo,

Paz-Pascual

et al. 2023

BMC Pregnancy Childbirth

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Background Despite the fact that the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030) recognises the special importance of care for women during the postpartum period, thus highlighting the need to identify and measure any condition that may affect the welfare of pregnant women in any way, this is one of the most neglected stages in the health system. Given the absence in our area of global, efficient instruments, the objective of this study was to design a complete, specific measurement tool with good metric qualities in digital format for the evaluation of self-reported health and well-being during the puerperium, to conform to what was proposed by the ICHOM. Methods A cross-sectional study was carried out to evaluate the psychometric characteristics of a digital measurement tool. The development of the tool was carried out in 4 steps, following the recommendations of the International Test Commission. It was tested on 280 puerperas attending primary healthcare appointments in the Basque Healthcare System (Osakidetza), and they did the newly created survey, answering all the questions that had been selected as the gold standard. The average age of the women was 34.93 (SD = 4.80). The analysis of the psychometric characteristics was based on mixed procedures of expert judgment (a focus group of healthcare professionals, an item evaluation questionnaire and interviews with users) and quantitative evaluations (EFA, CFA, and correlation with gold standard, ordinal alpha and McDonald’s omega). Results The final version of the tool comprised 99 items that evaluate functional state, incontinence, sexuality, breastfeeding, adaptation to the role of mother and mental health, and all of these questions can be used globally or partially. It was found that the scores were valid and reliable, which gives metric guarantees for using the tool in our area. Conclusions The use of this comprehensive concise tool with good psychometric properties will allow women to take stock of their situation, assess if they have the necessary resources, in psychological and social terms, and work together with midwives and other healthcare professionals on the most deficient areas.

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