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Women's help-seeking behaviours within the first twelve months after childbirth: A systematic qualitative meta-aggregation review


Rouhi, M and Stirling, C and Ayton, J and Crisp, EP, Women's help-seeking behaviours within the first twelve months after childbirth: A systematic qualitative meta-aggregation review, Midwifery, 72 pp. 39-49. ISSN 0266-6138 (2019) [Refereed Article]

Copyright Statement

Copyright 2019 Elsevier Ltd.

DOI: doi:10.1016/j.midw.2019.02.005


Introduction: Women within the first 12 months after birth often do not seek professional help for post-childbirth morbidities. This systematic review uses the Behavioural Model of Health Services Use (BMSHU) to assess the barriers and facilitators to women's help-seeking from health professionals during the first twelve months after childbirth.

Method: A qualitative meta-aggregation was used for the review. Systematic searching of Medline via Ovid, CINAHL, EMBASE and Web of Science revealed an initial 691 papers, of which 48 were reviewed. Nine qualitative papers, peer-reviewed, English papers and published from 2000 to 2017, were identified. Studies selected according to the pre-defined protocol were assessed using The Joanna Briggs Institute Critical Appraisal Tools (JBIQARI).

Results: Seventy-five findings were identified from the approved articles and aggregated into seven categories. Key themes that emerged were that women did not seek help because they accepted problems as a part of the motherhood role or because they feared being judged negatively. Women shared their issues with family and friends as trusted people. Low health literacy was a barrier to seeking help, as was lack of access to proper care and poor advice from families. The women's cultural context was an essential influence in whether or not they sought help. According to BMSHU, a model of key influences on women's help-seeking for maternal morbidities introduced.

Item Details

Item Type:Refereed Article
Keywords:maternal morbidity, postpartum, midwifery, cultural barriers, Anderson model, unmet need
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Family care
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health outcomes
UTAS Author:Rouhi, M (Mrs Maryam Rouhi)
UTAS Author:Stirling, C (Professor Christine Stirling)
UTAS Author:Ayton, J (Dr Jennifer Ayton)
UTAS Author:Crisp, EP (Dr Elaine Crisp)
ID Code:130840
Year Published:2019
Web of Science® Times Cited:11
Deposited By:Medicine
Deposited On:2019-02-15
Last Modified:2020-02-21

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