{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:45:16Z","timestamp":1787013916556,"version":"build-2736575974"},"reference-count":73,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T00:00:00Z","timestamp":1716768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In the United States, 35% of all pregnancy\u2010related deaths occur between 24\u2009h and 6\u2009weeks after delivery, yet the first outpatient visit is not typically scheduled until 6\u2009weeks postpartum. Thus, the ability to independently navigate this period is critical to maternal well\u2010being and safety. However, previous research suggests that many women feel unprepared to manage the challenges they encounter during this time, and there is a current need to synthesize the existing evidence. Therefore, the purpose of this integrative review is to describe parent\u2010identified gaps in preparation for the postpartum period in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the Integrative Review framework by Whittemore and Knafl, a systematic search of Medline, CINAHL, PsychInfo, Web of Science, and a hand\u2010search was conducted for peer\u2010reviewed articles published in English between 1995 and 2023. Results were reported according to PRISMA 2020 guidelines. Studies that met eligibility criteria were synthesized in a literature matrix.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010two studies met inclusion criteria. Four themes were identified: Mental Health Concerns, Physical Concerns, Infant Feeding and Care Concerns, and General Concerns and Recommendations. Many women, regardless of parity, reported feeling unprepared for numerous postpartum experiences, including depression, anxiety, physical recovery, breastfeeding, and infant care. Parents reported difficulty differentiating normal postpartum symptoms from complications. Hospital discharge teaching was viewed as simultaneously overwhelming and inadequate. Parent recommendations included the need for earlier and more comprehensive postpartum preparation during pregnancy, delivered in multiple formats and settings. Parents also reported the need for earlier postpartum visits and improved outpatient support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings indicate that many parents in the United States feel unprepared to navigate a wide variety of emotional, physical, breastfeeding, and infant\u2010care experiences. Future research should explore innovative educational approaches to postpartum preparation during pregnancy as well as outpatient programs to bridge the current gaps in postpartum care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.12832","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T03:23:52Z","timestamp":1716780232000},"page":"669-689","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["<scp>Parent\u2010identified<\/scp>\n                    gaps in preparation for the postpartum period in the United States: An integrative review"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9690-9099","authenticated-orcid":false,"given":"Danielle N.","family":"Nazarenko","sequence":"first","affiliation":[{"name":"School of Nursing University at Buffalo  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8159-2447","authenticated-orcid":false,"given":"Ariel L.","family":"Daniel","sequence":"additional","affiliation":[{"name":"School of Nursing University at Buffalo  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9333-3444","authenticated-orcid":false,"given":"Stephanie","family":"Durfee","sequence":"additional","affiliation":[{"name":"School of Nursing University at Buffalo  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7224-1899","authenticated-orcid":false,"given":"Kafuli","family":"Agbemenu","sequence":"additional","affiliation":[{"name":"School of Nursing University at Buffalo  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.03.032"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-022-03393-7"},{"key":"e_1_2_9_4_1","volume-title":"Pregnancy\u2010Related Deaths: Data from Maternal Mortality Review Committees in 36 US States, 2017\u20132019","author":"Trost S","year":"2022"},{"key":"e_1_2_9_5_1","volume-title":"WHO Recommendations on Maternal and Newborn Care for a Positive Postnatal Experience","author":"World Health Organization","year":"2022"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2021.100318"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12139"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2021.100482"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002633"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nwh.2019.03.006"},{"issue":"8","key":"e_1_2_9_11_1","first-page":"485","article-title":"Postpartum care: an approach to the fourth trimester","volume":"100","author":"Paladine HL","year":"2019","journal-title":"Am Fam Physician"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000733"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-019-00956-6"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0192513X19835866"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjom.2012.20.10.724"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-002-1006-3"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181d04dff"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2006.16.573"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22597"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6835a3"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6834a3"},{"key":"e_1_2_9_22_1","volume-title":"Infant Mortality in the United States, 2019: Data from the Period Linked Birth\/Infant Death File. 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