AbstractObjectivesThe purpose of this scoping review is to describe the research trends of postpartum healthcare for postpartum women, as well as to identify further direction for research in the area of postpartum healthcare.
MethodsThis study was conducted sequentially according to the Scoping Review Method referred to as ‘frameworks of Arskey and O’Malley’. We searched for articles published as of May 15th, 2020 in seven Korean databases in order to obtain the data. A key term search strategy was employed, including terms such as “Postpartum period care”, “Postpartum health”, “Postpartum care”, and “Postpartum status” to identify relevant studies.
ResultsEighty-three articles were selected from a total of 259. The research has been undertaken steadily since 1997, particularly in the fields of Nursing and Korean medicine. In terms of study design, survey studies were the majority (48.2%), followed by interventions and experimental papers (32.5%). However, qualitative research areas are lacking. The research topics were largely divided into two categories: postpartum care characteristics and postpartum care interventions. The characteristics of postpartum care were highly connected with care for mental health. Among the postpartum care interventions, the most common employed was Korean medicine intervention.
ConclusionThis study confirms that management of mental health during the postpartum period is necessary. In addition, it is necessary to identify the experiences of postpartum women and the effectiveness of a postpartum care intervention program through the utilization of qualitative research methods. In particular, such research is needed in the field of Korean medicine.
AppendicesAppendix 1List of included papersReferences1. The society of Korean medicine obstetrics and gynecology. Oriental obstetrics & gynecology. 1st ed. Seoul:Euiseongdang. (2012). p. 691-2. p. 765-70. p. 798
2. Korea Institute for Health and Social Affairs. Prenatal and Postnatal Care and Its Policy Implications. Health and welfare policy forum, (2016). 236(0), 37-50.
3. Lee, TK. A Literary Study of the Postpartum Care. The Journal of Oriental Gynecology, (2001). 14(1), 209-28.
4. The society of Korean medicine obstetrics and gynecology. Oriental obstetrics & gynecology. 3rd ed. Seoul. Euiseongdang;(2016). p. 765-7.
5. Bae, GM, & Lee, IS. The Study to Investigate the Recognition on Postpartum Symptom among Korean, Korean resident in America and American. The Journal of Oriental Gynecology, (2010). 23(2), 131-44.
6. Ministry of Health and Welfare. The 2017’ Casebook on Maternity Support Policy of Korea Local Governments. Seoul. Ministry of Health and Welfare;(2017). p. 332p. 334p. 337p. 344-5.
7. Arksey, H, & O’malley, L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol, (2005). 8(1), 19-32.
8. Thomas, A, Lubarsky, S, Durning, SJ, & Young, ME. Knowledge syntheses in medical education: demystifying scoping reviews. Acad Med, (2017). 92(2), 161-166.
9. Zaza, S, Wright-De Agüero, LK, Briss, PA, Truman, BI, Hopkins, DP, & Hennessy, MH, et al. Data collection instrument and procedure for systematic reviews in the Guide to Community Preventive Services. Am J Prev Med, (2000). 18(1), 44-74.
10. Ahn, SH. Canonical Correlation between Korean Traditional Postpartum Care Performance and Postpartum Health Status. J Korean Acad Nurs, (2005). 35(1), 37-46.
11. Yoo, EK. A Study on functional Status after Childbirth under the Sanhujori. Korean J Women Health Nurs, (1999). 5(3), 410-419.
12. Kim, TK, & Yoo, EK. A Correlational Study on the level of Importance & performance of postpartal Care and its Relationship with Women’s Health Status. Korean J Women Health Nurs, 298. 4(2), 145-61.
13. Cho, EJ. Subjective Sleep Quality in Depressed and Non-Depressed Mothers During the Late Postpartum Period. Korean J Women Health Nurs, (2009). 15(2), 108-20.
14. Song, JE. Factors Related to the Childcare Stress among Primiparous Women who delivered at Women’s Health Hospitals. J Korean Soc Matern Child Health, (2009). 13(2), 158-70.
15. Lee, JY, & Kim, HY. Development and Validation of a Postpartum Care Mobile Application for First-time Mothers. Korean J Women Health Nurs, (2017). 23(3), 210-20.
16. Koh, HJ, & Lim, KH. A Comparison of the Educational Needs of the Mothers’ for the Infant Care Between Primipara and Multipara. Child Health Nurs Res, (2002). 8(2), 217-28.
17. Kim, LH, Kwon, BY, & Kim, SY. A Clinical Study on the Social Environmental Factors of Postpartum blues and depression. J of Oriental Neuropsychiatry, (2001). 12(2), 27-35.
18. Kim, ME, & Hur, MH. Sleep Quality, Fatigue, and Postpartum Depression of Mother at Six Months after Delivery. Korean J Women Health Nurs, (2014). 20(4), 266-76.
19. Jung, MH, & Kim, JI. A Study on the Relationship among Prenatal Emotional Status, Preparation for Delivery, Postpartum Social Support and Postpartum Blues. Korean J Women Health Nurs, (2005). 11(1), 38-45.
20. Lee, JW, Eo, YS, & Moon, EH. Effects of Self Efficacy, Body Image and Family Support on Postpartum Depression in Early Postpartum Mothers. Journal of the Korea Academia-Industrial cooperation Society, (2015). 16(6), 4 011-20.
21. Lee, SO, Yeo, JH, Ahn, SH, Lee, HS, Yang, HJ, & Han, MJ. Postpartum depressive score and related factors pre-and post-delivery. Korean J Women Health Nurs, (2010). 16(1), 29-36.
22. Bak, JY, Park, JK, Park, KY, & Kim, TH. A Study about the Satisfaction of Oriental Medical Postpartum Care. The Journal of Oriental Gynecology, (2009). 22(4), 173-86.
23. Choi, SW, & Kim, JY. Effect of Oriental Postpartum Management on the Hematology and Blood Chemistry in Puerperium Maternity. J Korean Oriental Med, (2001). 22(4), 121-30.
24. Moon, SH, & Kim, JY. The Effect of the Oriental Postpartum Care in Hemoglobin Changes of Maternity. J Korean Oriental Med, (2002). 22(4), 112-19.
25. Park, SM, & Yoo, DY. A Clinical Study on Three Cases of Anemia in Postpartum Women Treated by Gamisaengwha-tang with Deer Antler. J Korean Obstet Gynecol, (2011). 24(3), 212-21.
26. Lee, EH. Short-term Clinical Observation of the Early Postpartum Low Back Pain in the Korean Medical Hospital. J Korean Obstet Gynecol, (2012). 25(2), 174-84.
27. Park, KY, Lee, AY, Ban, JH, Park, JK, & Lee, EH. Effects of Herbal Medicine on Breast-feeding - Analysis of Marker Substances in Saenghwa-tang by HPLC and LC/MS/MS. J Korean Obstet Gynecol, (2013). 26(4), 48-65.
28. Kim, PW, Kim, AN, Jang, HC, & LEE, EH. A Prospective Observational Study on Symptoms of the Postpartum Women with Korean Medicine Treatment during Six Weeks after Childbirth. J Korean Obstet Gynecol, (2017). 30(4), 111-34.
29. Lee, AY, Park, GY, & Lee, EH. Changes of Depression and Fatigue Level According to Sasang Constitution in Early Postpartum Women. J Korean Obstet Gynecol, (2013). 26(2), 33-45.
30. Hwang, YS, Park, NC, Lee, JW, Yang, HR, Park, SH, & Hwang, DS, et al. Analysis on Outpatients with Postpartum Disease at the Korean Gynecology Clinic of Traditional Korean Medicine Hospital. J Korean Obstet Gynecol, (2018). 31(3), 61-78.
31. Choi, SY, Kim, CW, Kim, NH, Park, KS, Hwang, DS, & Lee, JM, et al. A Study on the Changes of Early Puerperium Symptoms and Blood Stasis Index of Women Taking Gungguijohyeol-eum-gamibang. J Korean Obstet Gynecol, (2018). 31(1), 1-19.
32. Kim, ES, Lee, JM, Lee, CH, Cho, JH, Jang, JB, & Lee, KS. A Case Report of Postpartum Disease Induced by Inadequate Postpartum Care. J Korean Obstet Gynecol, (2007). 20(3), 238-45.
33. Kim, GH, Lee, JH, Cho, HB, Choi, CM, & Kim, SB. A Study on the Effect of Omibaekchul-san on Postpartum Edema-Comparison with Saenghwa-tang. J Korean Obstet Gynecol, (2015). 28(2), 91-108.
34. Kim, JH, Park, MK, & Park, MH. Effects of a Postpartum Care Program for Postpartum Women on Postpartum Activity and Postpartum Discomfort in Primiparous Women. Korean J Women Health Nurs, (2008). 14(1), 36-43.
35. Park, MK, & Lee, YS. Effects of a Postpartum Care Program on the Knowledge and Behavior of Postpartum Recovery in Primiparous Women. J Korean Soc Matern Child Health, (2006). 11(2), 127-36.
36. Song, JE, & Ahn, JA. Effect of Intervention Programs for Improving Maternal Adaptation in Korea: Systematic Review. Korean J Women Health Nurs, (2013). 19(3), 129-41.
37. Bang, KS, Huh, BY, & Kwon, MK. The Effect of a Postpartum Nursing Intervention Program for Immigrant Mothers. Child Health Nurs Res, (2014). 20(1), 11-19.
38. Shin, HS, Kim, SH, & Kwon, SH. The Effects of Education on Primiparas’ Postpartal care. Korean J Women Health Nurs, (2000). 6(1), 34-45.
39. Kim, JK, Choi, HM, & Ryu, EJ. Postnatal Breast-Feeding Knowledge, Techniques and Rates of First-Time Mothers Depending on a Prenatal Breast-Feeding Education Method. J Korean Acad Soc Nurs Edu, (2011). 17(1), 90-99.
40. Yun, SE, & LEE, HK. Effects of Breast-feeding Adaptation, Attitude and Practice of Primipara Depending on Method of Postpartum Breast-feeding Education. Korean J Women Health Nurs, (2012). 18(2), 75-84.
41. Kim, DH, & Ahn, HS. The Effect of Abdominal Massage Six Months Postpartum on Body Composition. Journal of the Korean Society of Cosmetology, (2011). 17(6), 1048-58.
42. Choi, MS, & Lee, EJ. Effects of Foot-Reflexology Massage on Fatigue, Stress and Postpartum Depression in Postpartum Women. J Korean Acad Nurs, (2015). 45(4), 587-94.
43. Lee, SO. Effects of Postpartum Exercise on Pelvic Muscle Contraction, Body Composition, and Physical Fitness of the Postpartum Mother. Korean J Women Health Nurs, (2004). 10(3), 244-51.
44. Lee, SO, Kim, MO, Ahn, SH, & Cho, YR. Effects of Postpartum Exercise on Mental Health. Korean J Women Health Nurs, (2004). 10(1), 15-22.
45. Jeong, NO. Effects of an Incontinence Prevention Program on Postpartum Women. Korean J Women Health Nurs, (2009). 15(3), 177-85.
46. Kim, SH, & Sung, KM. The Effects of Auricular Acupressure on Depression and Fatigue among Early Postpartum Mothers. J East-West Nurs Res, (2019). 25(2), 91-102.
47. Yun, SE, Lee, SO, & Lee, HK. Effects of Music Therapy on Postpartum Stress and Maternal Attachment of Puerperal Women. Korean Parent Child Health J, (2011). 14(2), 45-54.
48. Park, YC, Song, JY, Choe, BK, Park, JH, Oh, DJ, & Lim, OG, et al. Somatization and Poor Adherence to ‘Doing the Month’ Practices in Korean Women with Somatoform Disorders. Korean J Psychosomatic Med, (2008). 16(2), 103-11.
49. Kim, MJ, & Kang, KJ. Effects of Sanhujori and Menopausal Adaptation on Health-related QOL in Middle-aged Women. Korean J Women Health Nurs, (2014). 20(1), 62-71.
50. Yoo, EK, Lee, SH, & Kim, MH. A Study on the Relationship between the Experience of Sanhujori, the Traditional Postpartal Care in Korea and Present Health Status of Chronic Arthritis Female Patient. Korean J Women Health Nurs, (1998). 4(2), 217-30.
Appendix 2Paper List about Study Topics (This is reference number by appendix1)참고문헌1. The society of Korean medicine obstetrics and gynecology. Oriental obstetrics & gynecology. 1st ed. Seoul:Euiseongdang. (2012). p. 691-2. p. 765-70. p. 798
2. Korea Institute for Health and Social Affairs. Prenatal and Postnatal Care and Its Policy Implications. Health and welfare policy forum, (2016). 236(0), 37-50.
3. Lee, TK. A Literary Study of the Postpartum Care. The Journal of Oriental Gynecology, (2001). 14(1), 209-28.
4. The society of Korean medicine obstetrics and gynecology. Oriental obstetrics & gynecology. 3rd ed. Seoul. Euiseongdang;(2016). p. 765-7.
5. Bae, GM, & Lee, IS. The Study to Investigate the Recognition on Postpartum Symptom among Korean, Korean resident in America and American. The Journal of Oriental Gynecology, (2010). 23(2), 131-44.
6. Ministry of Health and Welfare. The 2017’ Casebook on Maternity Support Policy of Korea Local Governments. Seoul. Ministry of Health and Welfare;(2017). p. 332p. 334p. 337p. 344-5.
7. Arksey, H, & O’malley, L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol, (2005). 8(1), 19-32.
8. Thomas, A, Lubarsky, S, Durning, SJ, & Young, ME. Knowledge syntheses in medical education: demystifying scoping reviews. Acad Med, (2017). 92(2), 161-166.
9. Zaza, S, Wright-De Agüero, LK, Briss, PA, Truman, BI, Hopkins, DP, & Hennessy, MH, et al. Data collection instrument and procedure for systematic reviews in the Guide to Community Preventive Services. Am J Prev Med, (2000). 18(1), 44-74.
10. Ahn, SH. Canonical Correlation between Korean Traditional Postpartum Care Performance and Postpartum Health Status. J Korean Acad Nurs, (2005). 35(1), 37-46.
11. Yoo, EK. A Study on functional Status after Childbirth under the Sanhujori. Korean J Women Health Nurs, (1999). 5(3), 410-419.
12. Kim, TK, & Yoo, EK. A Correlational Study on the level of Importance & performance of postpartal Care and its Relationship with Women’s Health Status. Korean J Women Health Nurs, 298. 4(2), 145-61.
13. Cho, EJ. Subjective Sleep Quality in Depressed and Non-Depressed Mothers During the Late Postpartum Period. Korean J Women Health Nurs, (2009). 15(2), 108-20.
14. Song, JE. Factors Related to the Childcare Stress among Primiparous Women who delivered at Women’s Health Hospitals. J Korean Soc Matern Child Health, (2009). 13(2), 158-70.
15. Lee, JY, & Kim, HY. Development and Validation of a Postpartum Care Mobile Application for First-time Mothers. Korean J Women Health Nurs, (2017). 23(3), 210-20.
16. Koh, HJ, & Lim, KH. A Comparison of the Educational Needs of the Mothers’ for the Infant Care Between Primipara and Multipara. Child Health Nurs Res, (2002). 8(2), 217-28.
17. Kim, LH, Kwon, BY, & Kim, SY. A Clinical Study on the Social Environmental Factors of Postpartum blues and depression. J of Oriental Neuropsychiatry, (2001). 12(2), 27-35.
18. Kim, ME, & Hur, MH. Sleep Quality, Fatigue, and Postpartum Depression of Mother at Six Months after Delivery. Korean J Women Health Nurs, (2014). 20(4), 266-76.
19. Jung, MH, & Kim, JI. A Study on the Relationship among Prenatal Emotional Status, Preparation for Delivery, Postpartum Social Support and Postpartum Blues. Korean J Women Health Nurs, (2005). 11(1), 38-45.
20. Lee, JW, Eo, YS, & Moon, EH. Effects of Self Efficacy, Body Image and Family Support on Postpartum Depression in Early Postpartum Mothers. Journal of the Korea Academia-Industrial cooperation Society, (2015). 16(6), 4 011-20.
21. Lee, SO, Yeo, JH, Ahn, SH, Lee, HS, Yang, HJ, & Han, MJ. Postpartum depressive score and related factors pre-and post-delivery. Korean J Women Health Nurs, (2010). 16(1), 29-36.
22. Bak, JY, Park, JK, Park, KY, & Kim, TH. A Study about the Satisfaction of Oriental Medical Postpartum Care. The Journal of Oriental Gynecology, (2009). 22(4), 173-86.
23. Choi, SW, & Kim, JY. Effect of Oriental Postpartum Management on the Hematology and Blood Chemistry in Puerperium Maternity. J Korean Oriental Med, (2001). 22(4), 121-30.
24. Moon, SH, & Kim, JY. The Effect of the Oriental Postpartum Care in Hemoglobin Changes of Maternity. J Korean Oriental Med, (2002). 22(4), 112-19.
25. Park, SM, & Yoo, DY. A Clinical Study on Three Cases of Anemia in Postpartum Women Treated by Gamisaengwha-tang with Deer Antler. J Korean Obstet Gynecol, (2011). 24(3), 212-21.
26. Lee, EH. Short-term Clinical Observation of the Early Postpartum Low Back Pain in the Korean Medical Hospital. J Korean Obstet Gynecol, (2012). 25(2), 174-84.
27. Park, KY, Lee, AY, Ban, JH, Park, JK, & Lee, EH. Effects of Herbal Medicine on Breast-feeding - Analysis of Marker Substances in Saenghwa-tang by HPLC and LC/MS/MS. J Korean Obstet Gynecol, (2013). 26(4), 48-65.
28. Kim, PW, Kim, AN, Jang, HC, & LEE, EH. A Prospective Observational Study on Symptoms of the Postpartum Women with Korean Medicine Treatment during Six Weeks after Childbirth. J Korean Obstet Gynecol, (2017). 30(4), 111-34.
29. Lee, AY, Park, GY, & Lee, EH. Changes of Depression and Fatigue Level According to Sasang Constitution in Early Postpartum Women. J Korean Obstet Gynecol, (2013). 26(2), 33-45.
30. Hwang, YS, Park, NC, Lee, JW, Yang, HR, Park, SH, & Hwang, DS, et al. Analysis on Outpatients with Postpartum Disease at the Korean Gynecology Clinic of Traditional Korean Medicine Hospital. J Korean Obstet Gynecol, (2018). 31(3), 61-78.
31. Choi, SY, Kim, CW, Kim, NH, Park, KS, Hwang, DS, & Lee, JM, et al. A Study on the Changes of Early Puerperium Symptoms and Blood Stasis Index of Women Taking Gungguijohyeol-eum-gamibang. J Korean Obstet Gynecol, (2018). 31(1), 1-19.
32. Kim, ES, Lee, JM, Lee, CH, Cho, JH, Jang, JB, & Lee, KS. A Case Report of Postpartum Disease Induced by Inadequate Postpartum Care. J Korean Obstet Gynecol, (2007). 20(3), 238-45.
33. Kim, GH, Lee, JH, Cho, HB, Choi, CM, & Kim, SB. A Study on the Effect of Omibaekchul-san on Postpartum Edema-Comparison with Saenghwa-tang. J Korean Obstet Gynecol, (2015). 28(2), 91-108.
34. Kim, JH, Park, MK, & Park, MH. Effects of a Postpartum Care Program for Postpartum Women on Postpartum Activity and Postpartum Discomfort in Primiparous Women. Korean J Women Health Nurs, (2008). 14(1), 36-43.
35. Park, MK, & Lee, YS. Effects of a Postpartum Care Program on the Knowledge and Behavior of Postpartum Recovery in Primiparous Women. J Korean Soc Matern Child Health, (2006). 11(2), 127-36.
36. Song, JE, & Ahn, JA. Effect of Intervention Programs for Improving Maternal Adaptation in Korea: Systematic Review. Korean J Women Health Nurs, (2013). 19(3), 129-41.
37. Bang, KS, Huh, BY, & Kwon, MK. The Effect of a Postpartum Nursing Intervention Program for Immigrant Mothers. Child Health Nurs Res, (2014). 20(1), 11-19.
38. Shin, HS, Kim, SH, & Kwon, SH. The Effects of Education on Primiparas’ Postpartal care. Korean J Women Health Nurs, (2000). 6(1), 34-45.
39. Kim, JK, Choi, HM, & Ryu, EJ. Postnatal Breast-Feeding Knowledge, Techniques and Rates of First-Time Mothers Depending on a Prenatal Breast-Feeding Education Method. J Korean Acad Soc Nurs Edu, (2011). 17(1), 90-99.
40. Yun, SE, & LEE, HK. Effects of Breast-feeding Adaptation, Attitude and Practice of Primipara Depending on Method of Postpartum Breast-feeding Education. Korean J Women Health Nurs, (2012). 18(2), 75-84.
41. Kim, DH, & Ahn, HS. The Effect of Abdominal Massage Six Months Postpartum on Body Composition. Journal of the Korean Society of Cosmetology, (2011). 17(6), 1048-58.
42. Choi, MS, & Lee, EJ. Effects of Foot-Reflexology Massage on Fatigue, Stress and Postpartum Depression in Postpartum Women. J Korean Acad Nurs, (2015). 45(4), 587-94.
43. Lee, SO. Effects of Postpartum Exercise on Pelvic Muscle Contraction, Body Composition, and Physical Fitness of the Postpartum Mother. Korean J Women Health Nurs, (2004). 10(3), 244-51.
44. Lee, SO, Kim, MO, Ahn, SH, & Cho, YR. Effects of Postpartum Exercise on Mental Health. Korean J Women Health Nurs, (2004). 10(1), 15-22.
45. Jeong, NO. Effects of an Incontinence Prevention Program on Postpartum Women. Korean J Women Health Nurs, (2009). 15(3), 177-85.
46. Kim, SH, & Sung, KM. The Effects of Auricular Acupressure on Depression and Fatigue among Early Postpartum Mothers. J East-West Nurs Res, (2019). 25(2), 91-102.
47. Yun, SE, Lee, SO, & Lee, HK. Effects of Music Therapy on Postpartum Stress and Maternal Attachment of Puerperal Women. Korean Parent Child Health J, (2011). 14(2), 45-54.
48. Park, YC, Song, JY, Choe, BK, Park, JH, Oh, DJ, & Lim, OG, et al. Somatization and Poor Adherence to ‘Doing the Month’ Practices in Korean Women with Somatoform Disorders. Korean J Psychosomatic Med, (2008). 16(2), 103-11.
49. Kim, MJ, & Kang, KJ. Effects of Sanhujori and Menopausal Adaptation on Health-related QOL in Middle-aged Women. Korean J Women Health Nurs, (2014). 20(1), 62-71.
50. Yoo, EK, Lee, SH, & Kim, MH. A Study on the Relationship between the Experience of Sanhujori, the Traditional Postpartal Care in Korea and Present Health Status of Chronic Arthritis Female Patient. Korean J Women Health Nurs, (1998). 4(2), 217-30.
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