An integrative review of home care recommendations for women after caesarean section.

Mwajuma Bakari Mdoe, Lilian Teddy Mselle, Stephen Mathew Kibusi

Journal: Nursing open 2024;11(3):e2145

PMID: 38532272

Abstract

AIM

To describe home-based care and practices recommended for mothers after caesarean section (CS), existing in the literature.

DESIGN

Systematic review.

METHODS

This integrative literature review was conducted by using Google Scholar, PubMed and Hinari databases from its inception to June 2021. The search included research articles, protocols and guidelines that describe home care practice after CS and assessed for their quality. Synthesis of recommendations from the included literature was classified based on the type of study design, and the review was guided by methodology registered in Prospero (ID CRD42021276905).

RESULTS

A total of 681 literatures were found, and 12 met the criteria. Recommended home care components were divided into four major categories; wound care practice (wound cleaning, drying and bandage change); nutrition (high-protein diet, vitamin C, fibre and balanced diet); exercise (pelvic floor muscle, walking and breathing exercise) and hygiene (bathing and wearing clean clothes). There was limited literature addressing the components of perineal care and home environment. Varying recommendations were found regarding wound cleaning and dressing in the studies done in low- and high-income countries.

© 2024 The Authors. Nursing Open published by John Wiley & Sons Ltd.

Address: Department of Clinical Nursing, School of Nursing and Public Health, University of Dodoma, Dodoma, Tanzania.; Department of Clinical Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.; Department of Clinical Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.; Department of Public Health, School of Nursing and Public Health, University of Dodoma, Dodoma, Tanzania.
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