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Conceptualising women's perinatal well-being: A systematic review of theoretical discussions
Journal article   Peer reviewed

Conceptualising women's perinatal well-being: A systematic review of theoretical discussions

Franziska Wadephul, Lesley Glover and Julie Jomeen
Midwifery, Vol.81, pp.102598-102598
2020
PMID: 31835103
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Conceptualising women's perinatal well-being: A systematic review of theoretical discussionsView

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UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

Source: InCites

Abstract

Pregnancy Maternal well-being Systematic review Postnatal Birth Perinatal well-being
•Perinatal well-being is dynamic, complex and multi-dimensional.•There is a lack of theorising about well-being, particularly in labour and birth.•There is a need for a comprehensive model of perinatal well-being.•Perinatal well-being does not exist in a vacuum but within a wider life context.•Themes identified contribute to a tentative model of perinatal well-being. Perinatal well-being has increasingly become the focus of research, clinical practice and policy. However, attention has mostly been on a reductionist understanding of well-being based on a mind-body duality. Conceptual clarity around what constitutes well-being beyond this is lacking. To systematically review theoretical discussions of perinatal well-being in the academic literature. A search of online databases identified papers which discussed perinatal well-being theoretically, taking a multi-dimensional approach to well-being. Thematic synthesis was used to identify and synthesize relevant elements within the included papers. Eight papers were identified for inclusion in this review. All contributed a number of elements towards a theoretical discussion of perinatal well-being. Three themes were developed: (1) the importance of a number of general domains of women's lives and domains specific to the perinatal period, (2) well-being as a subjective and individual experience with physical/embodied, affective, and psychological/cognitive aspects, and (3) the dynamic nature of well-being. Perinatal well-being is a complex, multi-dimensional construct. Current theoretical discussions in the academic literature do not provide a comprehensive model or conceptualisation covering all aspects of well-being during the perinatal period. Further theoretical work is required, particularly with regards to theorising well-being during labour and birth, the perinatal period as a continuum, and the role played by women's expectations. The themes identified in this review contribute to a tentative model of perinatal well-being, taking note particularly of the dynamic nature of well-being. This model should be refined and validated through empirical work and can then be used to underpin further research and the development of a multi-dimensional measure of perinatal well-being.

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