Category: Practice Management
Poster Session III
To review and evaluate postpartum PROM across all domains of postpartum health using the Consensus-based standards for the selection of health Measurement instruments (COSMIN) guidelines.
Study Design: Based on a pre-prepared published protocol, a systematic search of PubMed, EMBASE and CINAHL was undertaken identifying patient reported outcome tools. Studies eligible for inclusion assessed a PROM examining postpartum women’s health and wellbeing with no limitation on domain with an aim to evaluate one or more measurement properties of the PROM. Data extraction and the methodological assessment of the quality of the PROM were assessed by two reviewers independently based on content validity, structural validity, internal consistency, cross-cultural validity/measurement invariance, reliability, measurement error, hypotheses testing for construct validity, and responsiveness, as defined by COSMIN. The standard used for content validity were the domains of importance to women in postpartum health and wellbeing proposed by the international consortium for health outcome measurements (ICHOM).
Results: 29 tools were identified from 41 eligible studies included in the review. Of the ‘A’ rated tools 80% (17) examined the domain of mental health, five examined HRQoL, four examined breastfeeding, role transition was represented in six. No ‘A’ recommended tools examined postpartum incontinence or pain with intercourse. The majority of tools were awarded very low-moderate GRADE level of evidence. The highest quality tool that covered most domains of postpartum health and wellbeing found was the postpartum women’s quality of Life Questionnaire (PQOL). The domain of urinary incontinence was represented by ICIQ‐UI SF which requires further psychometric analysis prior to its recommended use. Postpartum sexual health, not represented by any tool.
Conclusion: No individual tool covers all six domains of postpartum health and wellbeing. Further psychometric evaluation of the ICIQ‐UI SF and the development of a sexual health PROM are needed to provide a postpartum PROM.
Laura O'Byrne, MRCOG MRCPI O&G MSc BSc
Clinical Researcher
University College Cork
Cork, Cork, Ireland
Gillian M. Maher, BSc, MPH, PhD
University College Cork
Cork, Ireland
Elizabeth Bodunde, MPH
University College Cork
Cork, Ireland, Ireland
Richard Greene, BAGRSC, MB BCH BA
National Perinatal Epidemiology Centre, University College Cork
Cork, Ireland, Ireland
Ali S. Khashan, PhD
University College Cork
Cork, Ireland, Ireland
John Browne, PhD
University College Cork
Cork, Ireland, Ireland
Fergus P. McCarthy, PhD
University College Cork
Cork, Ireland, Ireland