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Postpartum symptom clusters in birthing individuals: A systematic review
Jihye Kim Scroggins1, Leila S Ledbetter2, Bonnie Jones-Hepler1
1Duke University School of Nursing, Durham, North Carolina, USA.
Journal of Clinical Nursing
|August 22, 2022
Summary
Postpartum individuals commonly experience stress, depression, somatic, and anxiety symptom clusters. Further research is needed to understand their consistency and clinical significance for improved maternal care.
Area of Science:
- Reproductive Health
- Maternal Health
- Psychological Health
Background:
- Postpartum symptoms can lead to adverse health outcomes.
- Previous reviews focused on individual symptoms, limiting understanding of symptom clusters.
- This review examines postpartum symptom cluster compositions, methodologies, and predictors up to one year postpartum.
Approach:
- Systematic review following PRISMA guidelines.
- Searched five major databases: PubMed, Embase, CINAHL Complete, PsycINFO, and Scopus.
- Included 30 articles, primarily quantitative and cross-sectional studies, with narrative synthesis.
Key Points:
- Factor analysis was the most common methodology.
- Frequently identified clusters include stress (infant, partner, or other related), depression, somatic symptoms, and anxiety.
- Predictors of symptom clusters were examined in less than half of the studies, often focusing on individual symptom influence.
Conclusions:
- Stress, depression, somatic, and anxiety clusters are the most prevalent postpartum symptom clusters.
- Future research should investigate the consistency, stability, and clinical relevance of these four clusters.
- Identifying and managing these symptom clusters is crucial for clinicians and researchers.
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