The development of multidisciplinary convalescence recommendations after childbirth: a modified Delphi study

Area of Science:

• Obstetrics and Gynecology
• Maternal Health
• Postpartum Care

Background:

• Postpartum recovery often exceeds the traditional 6-week period.
• A lack of evidence-based recommendations for postpartum recovery exists.
• Current research prioritizes hospital stay length over outpatient recovery.

Purpose of the Study:

• To develop multidisciplinary recommendations for postpartum convalescence.
• To improve recovery following vaginal and cesarean delivery.
• Utilized a modified Delphi method for consensus building.

Main Methods:

• A panel of 16 multidisciplinary experts (gynecologists, midwives, nurses, GPs, physical therapist) participated.
• Recommendations were developed for uncomplicated vaginal and cesarean deliveries.
• A modified Delphi procedure with literature review informed the consensus on 27 functional activities.

Main Results:

• Consensus was achieved on 26 of 27 functional activities for postpartum recovery.
• Seven factors identified as potentially delaying recovery and requiring adapted recommendations.
• Recommendations were validated as feasible by medical organization representatives.

Conclusions:

• Multidisciplinary consensus was successfully reached on postpartum recovery recommendations.
• Developed guidelines address convalescence after uncomplicated vaginal and cesarean deliveries.
• The study provides a foundation for improved evidence-based postpartum care.