Systematic Reviews and Meta Analysis
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Doğum Sonu Yorgunluğun Yönetilmesinde Farmakolojik Olmayan Girişimler: Randomize Kontrollü Çalışmaların Sistematik Derlemesi

Year 2022, Volume: 5 Issue: 1, 104 - 113, 06.04.2022
https://doi.org/10.38108/ouhcd.932441

Abstract

Amaç: Doğum sonrası yorgunluk, doğumdan sonra haftalarca sürebilen, annenin hem kendi hem de bebeğinin bakımını etkileyebilen ve anne ve bebek sağlığını tehdit edebilen önemli ve yaygın görülen bir sorundur. Bu çalışmada, doğum sonrası yorgunluğun yönetilmesinde kullanılan müdahaleleri belirlemek ve bu müdahalelerin etkinliğini incelemek amaçlanmıştır.
Yöntem: Bu sistematik derlemede; PubMed, Google Scholar, Web of Science ve EBSCOhost veri tabanlarında ‘yorgunluk’, ‘doğum sonrası yorgunluk’, ‘doğum sonrası yorgunluk ve müdahaleler ya da farmakolojik olmayan müdahaleler’ ve ‘doğum sonrası yorgunluğun yönetimi veya stratejileri ve randomize kontrollü çalışma’ anahtar kelimeleriyle tam metnine ulaşılabilen, 2010-2021 yılları arasında yayınlanmış dokuz randomize kontrollü çalışma incelenmiştir.
Bulgular: Yapılan inceleme sonucunda, doğum sonu yorgunluğun yönetiminde eğitim (n=2), eğitim ve egzersiz (n=1), egzersiz (n=1), aromaterapi (n=1), akupunktur (n=1), lavanta çayı tüketme (n=1), uyumaya yardımcı olma (n=1) ve ten tene temas (n=1) girişimlerinin uygulandığı görülmüştür. İncelenen çalışmaların çoğunda annelerin doğum sonu yorgunluk düzeyinin azaldığı bildirilmiştir.
Sonuç: Doğum sonu yorgunluğun etkili bir şekilde yönetilebilmesine yönelik uygulanan girişimlere ilişkin sınırlı bilgi ve uygulama yer almaktadır. Bu doğrultuda, doğum sonu yorgunluğa yönelik müdahaleleri kapsayan daha büyük örneklemle kanıt düzeyi yüksek araştırmaların yapılması, bu araştırmaların içerik, müdahale ve yöntem açısından zenginleştirilmesi, doğum sonu yorgunluğun etkilerini azaltabilecek yeni stratejiler geliştirilmesi önerilir.

References

  • American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice (2015). Committee opinion no. 650: Physical activity and exercise during pregnancy and the postpartum period. Erişim tarihi:15.02.2021, https://www.acog.org/ clinical/clinicalguidance/committee-opinion/articles/ 2020/04/physical-activityand-exercise-during-pregnancy-and-the-postpartum-period.
  • Amanak K, Karaöz B, Sevil Ü. (2013). Alternatif/ Tamamlayıcı Tıp ve Kadın Sağlığı: EBSCOhost. TAF Preventive Medicine Bulletin, 12(4), 441-448.
  • Ashrafinia F, Mirmohammadali M, Rajabi H, Kazemnejad A, Sadeghniiat Haghighi K, Amelvalizadeh M. (2015). Effect of Pilates exercises on postpartum maternal fatigue. Singapore Medical Journal, 56(3), 169-173.
  • Bakker M, van der Beek AJ, Hendriksen IJM, Bruinvels DJ, van Poppel MNM. (2014). Predictive factors of postpartum fatigue: A prospective cohort study among working women. Journal of Psychosomatic Research, 77(5), 385-390.
  • Chen SL, Chen CH. (2015). Effects of lavender tea on fatigue, depression, and maternal-ınfant attachment in sleep-disturbed postnatal women. Worldviews on Evidence-Based Nursing, 12(6), 370-379.
  • Doering JJ, Dogan S. (2018). A postpartum sleep and fatigue ıntervention feasibility pilot study. Behavioral Sleep Medicine, 16(2), 185-201.
  • Dunning MJ, Giallo R. (2012). Fatigue, parenting stress, self-efficacy and satisfaction in mothers of infants and young children. Journal of Reproductive and Infant Psychology, 30(2), 145-159.
  • Gai TT, Gao MX, Fan W, Wang Y. (2020). Analysis of status quo and research progress in nursing of postpartum fatigue: A literature review. Frontiers of Nursing, 7(1), 71-76.
  • Gholami Z, Mohammadirizi S, Bahadoran P. (2017). Study of the impact of educational behavioral interventions on fatigue in mothers in the postpartum period in the groups of face-to-face and electronic training. Iranian Journal of Nursing and Midwifery Research, 22(6), 465-470.
  • Giallo R, Cooklin A, Dunning M, Seymour M. (2014). The Efficacy of an Intervention for the Management of Postpartum Fatigue. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 43(5), 598-613.
  • Giallo R, Seymour M, Dunning M, Cooklin A, Loutzenhiser L, Mc Auslan P. (2015). Factors associated with the course of maternal fatigue across the early postpartum period. Journal of Reproductive and Infant Psychology, 33(5), 528-544.
  • Glazener CMA, Abdalla M, Stroud P, Templeton A, Russell IT, Naji S. (1995). Postnatal maternal morbidity: extent, causes, prevention and treatment. BJOG: An International Journal of Obstetrics and Gynaecology, 102(4), 282-287.
  • Henderson J, Alderdice F, Redshaw M. (2019). Factors associated with maternal postpartum fatigue: An observational study. BMJ Open, 9(7), e025927.
  • Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, WV. (2021). Cochrane Handbook for Systematic Reviews of Interventions version 6.2 (updated February 2021). Cochrane, 2021. Erişim Tarihi: 26.04.2021, https://training.cochrane.org/ handbook/current Joanna Bridge Institute (JBI) (2021). Critical Appraisal Tools, Checklist for Randomized Controlled Trials. Erişim Tarihi: 26.04.2021, https://jbi.global/critical-appraisal-tools
  • Karaçam Z. (2013). Sistematik Derleme Metodolojisi Sistematik Derleme Metodolojisi: Sistematik Derleme Hazırlamak İçin Bir Rehber. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 6(1), 26-33.
  • Khayamim N, Bahadoran P, Mehrabi T. (2016). Relationship between fatigue and sleepiness with general health of mothers in the postpartum period. Iranian Journal of Nursing and Midwifery Research, 21(4), 385-390.
  • Kuo SY, Tsai SH, Chen SL, Tzeng YL. (2016). Auricular acupressure relieves anxiety and fatigue, and reduces cortisol levels in post-caesarean section women: A single-blind, randomised controlled study. International Journal of Nursing Studies, 53, 17-26.
  • Lai YL, Hung CH, Stocker J, Chan TF, Liu Y. (2015). Postpartum fatigue, baby-care activities, and maternal-infant attachment of vaginal and cesarean births following rooming-in. Applied Nursing Research, 28(2), 116-120.
  • Mohammadi F, Malakooti J, Babapoor J, Charandabi MAS. (2015). The effect of a home‐based exercise intervention on postnatal depression and fatigue: A randomized controlled trial. International Journal of Nursing Practice, 21(5), 478-485.
  • Nisman WA, Parmawati I, Wismawati P, Fitriana N, Maharani, F. (2020). How Do Breastfeeding Pillows Influence Mother Fatigue and Mother and Baby Response During Breastfeeding? Indian Journal of Public Health Research Development, 8(11), 351-357.
  • Özcan S, Eryılmaz G. (2020). Using Levine’s conservation model in postpartum care: a randomized controlled trial. Health Care for Women International, 1–21.
  • Song JE, Chae HJ, Kim CH. (2014). Changes in perceived health status, physical symptoms, and sleep satisfaction of postpartum women over time. Nursing & Health Sciences, 16(3), 335-342.
  • Taylor J, Johnson M. (2010). How women manage fatigue after childbirth. Midwifery, 26(3), 367-375.
  • Güleroğlu FT, Mucuk S, Özgürlük İ. (2020). The effect of mother-infant skin-to-skin contact on the involution process and maternal postpartum fatigue during the early postpartum period. Women & Health, 60(6), 707-718.
  • Varcho MS, Hill PD, Anderson M. (2012). Evaluation of the Tiredness Management Guide: a pilot study. Applied Nursing Research, 25(2), 123-128.
  • Vaziri F, Shiravani M, Najib FS, Pourahmad S, Salehi A, Yazdanpanahi Z. (2017). Effect of lavender oil aroma in the early hours of postpartum period on maternal pains, fatigue, and mood: A randomized clinical trial. International Journal of Preventive Medicine, 8 , 29. DOI: 10.4103/ijpvm.IJPVM_137¬_16
  • Volrathongchai K, Neelasmith S, Thinkhamrop J. (2013). Non-pharmacological interventions for women with postpartum fatigue. Cochrane Database of Systematic Reviews, 2013(3). DOI:10.1002/14651858.CD010444
  • Yang CL, Chen CH. (2018). Effectiveness of aerobic gymnastic exercise on stress, fatigue, and sleep quality during postpartum: A pilot randomized controlled trial. International Journal of Nursing Studies, 77, 1-7.
  • Yeşilçınar I, Yavan T, Karasahin KE, Yenen MC. (2017). The identification of the relationship between the perceived social support, fatigue levels and maternal attachment during the postpartum period. The Journal of Maternal-Fetal &Neonatal Medicine, 30(10), 1213-1220.
  • Zourladani A, Zafrakas M, Chatzigiannis B, Papasozomenou P, Vavilis D, Matziari C. (2015). The effect of physical exercise on postpartum fitness, hormone and lipid levels: a randomized controlled trial in primiparous, lactating women. Archives of Gynecology and Obstetrics, 291(3), 525-530.

Non-Pharmacological Interventions to Manage Postpartum Fatigue: Systematic Review of Randomized Controlled Trials

Year 2022, Volume: 5 Issue: 1, 104 - 113, 06.04.2022
https://doi.org/10.38108/ouhcd.932441

Abstract

Objective: Postpartum fatigue is an important and common problem that can last for weeks after birth, affect the care of both the mother and her baby, and threaten the health of the mother and baby. In this study, it was aimed to determine the interventions used in the management of postpartum fatigue and to examine the effectiveness of these interventions.
Methods: In this systematic review; the full text can be accessed in PubMed, Google Scholar, Web of Science and EBSCOhost databases with the keywords 'fatigue’, ‘postpartum fatigue’, ‘postpartum fatigue and interventions or non-pharmacological interventions’ and ‘management or strategies of postpartum fatigue and randomized controlled trial’. 9 published randomized controlled trials were reviewed.
Results: As a result of the examination, education (n = 2), education and exercise (n = 1), exercise (n = 1), aromatherapy (n = 1), acupuncture (n = 1), consuming lavender tea (n = 2) in the management of postpartum fatigue. = 1), helping to sleep (n = 1) and skin-to-skin contact (n = 1) attempts were observed. In most of the studies reviewed, it was reported that postpartum fatigue levels of mothers were decreased.
Conclusion: There is limited information and practice regarding interventions for effective management of postpartum fatigue. In this respect, it is recommended to conduct high-level studies with a larger sample including interventions for postpartum fatigue, enrich these studies in terms of content, intervention and method, and develop new strategies that can reduce the effects of postpartum fatigue.

References

  • American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice (2015). Committee opinion no. 650: Physical activity and exercise during pregnancy and the postpartum period. Erişim tarihi:15.02.2021, https://www.acog.org/ clinical/clinicalguidance/committee-opinion/articles/ 2020/04/physical-activityand-exercise-during-pregnancy-and-the-postpartum-period.
  • Amanak K, Karaöz B, Sevil Ü. (2013). Alternatif/ Tamamlayıcı Tıp ve Kadın Sağlığı: EBSCOhost. TAF Preventive Medicine Bulletin, 12(4), 441-448.
  • Ashrafinia F, Mirmohammadali M, Rajabi H, Kazemnejad A, Sadeghniiat Haghighi K, Amelvalizadeh M. (2015). Effect of Pilates exercises on postpartum maternal fatigue. Singapore Medical Journal, 56(3), 169-173.
  • Bakker M, van der Beek AJ, Hendriksen IJM, Bruinvels DJ, van Poppel MNM. (2014). Predictive factors of postpartum fatigue: A prospective cohort study among working women. Journal of Psychosomatic Research, 77(5), 385-390.
  • Chen SL, Chen CH. (2015). Effects of lavender tea on fatigue, depression, and maternal-ınfant attachment in sleep-disturbed postnatal women. Worldviews on Evidence-Based Nursing, 12(6), 370-379.
  • Doering JJ, Dogan S. (2018). A postpartum sleep and fatigue ıntervention feasibility pilot study. Behavioral Sleep Medicine, 16(2), 185-201.
  • Dunning MJ, Giallo R. (2012). Fatigue, parenting stress, self-efficacy and satisfaction in mothers of infants and young children. Journal of Reproductive and Infant Psychology, 30(2), 145-159.
  • Gai TT, Gao MX, Fan W, Wang Y. (2020). Analysis of status quo and research progress in nursing of postpartum fatigue: A literature review. Frontiers of Nursing, 7(1), 71-76.
  • Gholami Z, Mohammadirizi S, Bahadoran P. (2017). Study of the impact of educational behavioral interventions on fatigue in mothers in the postpartum period in the groups of face-to-face and electronic training. Iranian Journal of Nursing and Midwifery Research, 22(6), 465-470.
  • Giallo R, Cooklin A, Dunning M, Seymour M. (2014). The Efficacy of an Intervention for the Management of Postpartum Fatigue. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 43(5), 598-613.
  • Giallo R, Seymour M, Dunning M, Cooklin A, Loutzenhiser L, Mc Auslan P. (2015). Factors associated with the course of maternal fatigue across the early postpartum period. Journal of Reproductive and Infant Psychology, 33(5), 528-544.
  • Glazener CMA, Abdalla M, Stroud P, Templeton A, Russell IT, Naji S. (1995). Postnatal maternal morbidity: extent, causes, prevention and treatment. BJOG: An International Journal of Obstetrics and Gynaecology, 102(4), 282-287.
  • Henderson J, Alderdice F, Redshaw M. (2019). Factors associated with maternal postpartum fatigue: An observational study. BMJ Open, 9(7), e025927.
  • Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, WV. (2021). Cochrane Handbook for Systematic Reviews of Interventions version 6.2 (updated February 2021). Cochrane, 2021. Erişim Tarihi: 26.04.2021, https://training.cochrane.org/ handbook/current Joanna Bridge Institute (JBI) (2021). Critical Appraisal Tools, Checklist for Randomized Controlled Trials. Erişim Tarihi: 26.04.2021, https://jbi.global/critical-appraisal-tools
  • Karaçam Z. (2013). Sistematik Derleme Metodolojisi Sistematik Derleme Metodolojisi: Sistematik Derleme Hazırlamak İçin Bir Rehber. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 6(1), 26-33.
  • Khayamim N, Bahadoran P, Mehrabi T. (2016). Relationship between fatigue and sleepiness with general health of mothers in the postpartum period. Iranian Journal of Nursing and Midwifery Research, 21(4), 385-390.
  • Kuo SY, Tsai SH, Chen SL, Tzeng YL. (2016). Auricular acupressure relieves anxiety and fatigue, and reduces cortisol levels in post-caesarean section women: A single-blind, randomised controlled study. International Journal of Nursing Studies, 53, 17-26.
  • Lai YL, Hung CH, Stocker J, Chan TF, Liu Y. (2015). Postpartum fatigue, baby-care activities, and maternal-infant attachment of vaginal and cesarean births following rooming-in. Applied Nursing Research, 28(2), 116-120.
  • Mohammadi F, Malakooti J, Babapoor J, Charandabi MAS. (2015). The effect of a home‐based exercise intervention on postnatal depression and fatigue: A randomized controlled trial. International Journal of Nursing Practice, 21(5), 478-485.
  • Nisman WA, Parmawati I, Wismawati P, Fitriana N, Maharani, F. (2020). How Do Breastfeeding Pillows Influence Mother Fatigue and Mother and Baby Response During Breastfeeding? Indian Journal of Public Health Research Development, 8(11), 351-357.
  • Özcan S, Eryılmaz G. (2020). Using Levine’s conservation model in postpartum care: a randomized controlled trial. Health Care for Women International, 1–21.
  • Song JE, Chae HJ, Kim CH. (2014). Changes in perceived health status, physical symptoms, and sleep satisfaction of postpartum women over time. Nursing & Health Sciences, 16(3), 335-342.
  • Taylor J, Johnson M. (2010). How women manage fatigue after childbirth. Midwifery, 26(3), 367-375.
  • Güleroğlu FT, Mucuk S, Özgürlük İ. (2020). The effect of mother-infant skin-to-skin contact on the involution process and maternal postpartum fatigue during the early postpartum period. Women & Health, 60(6), 707-718.
  • Varcho MS, Hill PD, Anderson M. (2012). Evaluation of the Tiredness Management Guide: a pilot study. Applied Nursing Research, 25(2), 123-128.
  • Vaziri F, Shiravani M, Najib FS, Pourahmad S, Salehi A, Yazdanpanahi Z. (2017). Effect of lavender oil aroma in the early hours of postpartum period on maternal pains, fatigue, and mood: A randomized clinical trial. International Journal of Preventive Medicine, 8 , 29. DOI: 10.4103/ijpvm.IJPVM_137¬_16
  • Volrathongchai K, Neelasmith S, Thinkhamrop J. (2013). Non-pharmacological interventions for women with postpartum fatigue. Cochrane Database of Systematic Reviews, 2013(3). DOI:10.1002/14651858.CD010444
  • Yang CL, Chen CH. (2018). Effectiveness of aerobic gymnastic exercise on stress, fatigue, and sleep quality during postpartum: A pilot randomized controlled trial. International Journal of Nursing Studies, 77, 1-7.
  • Yeşilçınar I, Yavan T, Karasahin KE, Yenen MC. (2017). The identification of the relationship between the perceived social support, fatigue levels and maternal attachment during the postpartum period. The Journal of Maternal-Fetal &Neonatal Medicine, 30(10), 1213-1220.
  • Zourladani A, Zafrakas M, Chatzigiannis B, Papasozomenou P, Vavilis D, Matziari C. (2015). The effect of physical exercise on postpartum fitness, hormone and lipid levels: a randomized controlled trial in primiparous, lactating women. Archives of Gynecology and Obstetrics, 291(3), 525-530.
There are 30 citations in total.

Details

Primary Language Turkish
Subjects Nursing
Journal Section Systematic Review
Authors

Pınar Uzunkaya Öztoprak 0000-0001-6985-2971

Pelin Calpbinici 0000-0001-8242-2773

Early Pub Date April 6, 2022
Publication Date April 6, 2022
Submission Date May 4, 2021
Published in Issue Year 2022 Volume: 5 Issue: 1

Cite

APA Uzunkaya Öztoprak, P., & Calpbinici, P. (2022). Doğum Sonu Yorgunluğun Yönetilmesinde Farmakolojik Olmayan Girişimler: Randomize Kontrollü Çalışmaların Sistematik Derlemesi. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 5(1), 104-113. https://doi.org/10.38108/ouhcd.932441