Social determinants and maternal exposure to intimate partner violence of obstetric patients with severe maternal morbidity in the intensive care unit: a systematic review protocol

Abstract

IntroductionMaternal mortality is a potentially preventable public health issue. Maternal morbidity is increasingly of interest to aid the reduction of maternal mortality. Obstetric patients admitted to the intensive care unit (ICU) are an important part of the global burden of maternal morbidity. Social determinants influence health outcomes of pregnant women. Additionally, intimate partner violence has a great negative impact on women's health and pregnancy outcome. However, little is known about the contextual and social aspects of obstetric patients treated in the ICU. This study aimed to conduct a systematic review of the social determinants and exposure to intimate partner violence of obstetric patients admitted to an ICU.Methods and analysisA systematic search will be conducted in MEDLINE, CINAHL, ProQuest, LILACS and SciELO from 2000 to 2016. Studies published in English and Spanish will be identified in relation to data reporting on social determinants of health and/or exposure to intimate partner violence of obstetric women, treated in the ICU during pregnancy, childbirth or within 42 days of the end of pregnancy. Two reviewers will independently screen for study eligibility and data extraction. Risk of bias and assessment of the quality of the included studies will be performed by using the Critical Appraisal Skills Programme (CASP) checklist. Data will be analysed and summarised using a narrative description of the available evidence across studies. This systematic review protocol will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) guidelines.Ethics and disseminationSince this systematic review will be based on published studies, ethical approval is not required. Findings will be presented at La Trobe University, in Conferences and Congresses, and published in a peer-reviewed journal.Trial registration numberCRD42016037492.

Intimate partner violence and severe maternal morbidity among pregnant and postpartum women in São Paulo, Brazil

“…IPV and severe maternal morbidity are configured as issues of gender and human rights and should be seen as such in the field of public policies concerning health care 25,38,40 . Both the events imply that there is a need to implement institutional changes to make IPV more visible, as well as to adopt new practices to improve obstetrical care based on continuously monitoring pregnant and postpartum women who develop potentially life-threatening conditions 1,25,35,38,40 . Therefore, we propose routine screening for IPV among pregnant women so that victims of violence are included in network care programmers, e.g.…”

“…Therefore, we propose routine screening for IPV among pregnant women so that victims of violence are included in network care programmers, e.g. through public health, education, social support, security, and legal services, among other measures 1,25,40 . The systematic monitoring of severe maternal morbidity through indicators of potentially life-threatening maternal conditions is also suggested as an important strategy to understand their determining factors and to intervene in them in a timely manner.…”

“…The systematic monitoring of severe maternal morbidity through indicators of potentially life-threatening maternal conditions is also suggested as an important strategy to understand their determining factors and to intervene in them in a timely manner. The development of improved care technologies can significantly reduce maternal morbidity 38,[40][41][42] . Finally, this study's results support a deeper analysis of the phenomena of IPV and severe maternal morbidity as a priority to qualify the integral health care provided to women.…”

A systematic review protocol of educational programs for nursing staff on management of resident‐to‐resident elder mistreatment in residential aged care homes

“…Selection of the studies will be performed according to published guidelines (Ayala Quintanilla, Taft, McDonald, Pollock, & Roque Henriquez, ). The screening of potential studies will be assessed independently by two reviewers.…”

“…Two reviewers will independently extract all relevant data of each included study by using a standardized data extraction form in accordance with the recommendations of the Cochrane Collaboration and as previously described (Ayala Quintanilla et al., ; Higgins & Green, ; Pollock, Rose, & Dennis, ). They will ensure that there are no data errors.…”