{"id":"https://openalex.org/W7130701104","doi":"https://doi.org/10.1097/md.0000000000047814","title":"Non-pharmacological postpartum interventions for management of maternal stress in postpartum period: A systematic review of clinical trials","display_name":"Non-pharmacological postpartum interventions for management of maternal stress in postpartum period: A systematic review of clinical trials","publication_year":2026,"publication_date":"2026-02-20","ids":{"openalex":"https://openalex.org/W7130701104","doi":"https://doi.org/10.1097/md.0000000000047814","pmid":"https://pubmed.ncbi.nlm.nih.gov/41731800","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12928928"},"language":"en","primary_location":{"id":"doi:10.1097/md.0000000000047814","doi":"https://doi.org/10.1097/md.0000000000047814","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000047814","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1097/md.0000000000047814","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071579173","display_name":"Khadije Rezaie Keikhaie","orcid":"https://orcid.org/0000-0001-5389-7040","observed_orcids":["https://orcid.org/0000-0001-5389-7040","https://orcid.org/0000-0001-9417-3997"]},"institutions":[{"id":"https://openalex.org/I310735636","display_name":"Zabol University of Medical Sciences","ror":"https://ror.org/037tr0b92","country_code":"IR","type":"education","lineage":["https://openalex.org/I310735636"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Khadije Rezaie Keikhaie","raw_affiliation_strings":["Zabol Medicinal Plants Research Center, Zabol University of Medical Sciences, Zabol, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Zabol Medicinal Plants Research Center, Zabol University of Medical Sciences, Zabol, Iran","institution_ids":["https://openalex.org/I310735636"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004630461","display_name":"Maryam Nakhaee Moghadam","orcid":"https://orcid.org/0000-0002-0080-862X","observed_orcids":["https://orcid.org/0000-0002-0080-862X"]},"institutions":[{"id":"https://openalex.org/I310735636","display_name":"Zabol University of Medical Sciences","ror":"https://ror.org/037tr0b92","country_code":"IR","type":"education","lineage":["https://openalex.org/I310735636"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Maryam Nakhaee Moghadam","raw_affiliation_strings":["Department of Obstetrics and Gynecology, School of Medicine, Amir al Momenin Hospital, Zabol University of Medical Sciences, Zabol, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, School of Medicine, Amir al Momenin Hospital, Zabol University of Medical Sciences, Zabol, Iran","institution_ids":["https://openalex.org/I310735636"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060457742","display_name":"Shahla Faal Siahkal","orcid":"https://orcid.org/0000-0001-6760-3138","observed_orcids":["https://orcid.org/0000-0001-6760-3138"]},"institutions":[{"id":"https://openalex.org/I4210151143","display_name":"Islamic Azad University of Marand","ror":"https://ror.org/04rfmre55","country_code":"IR","type":"education","lineage":["https://openalex.org/I110525433","https://openalex.org/I4210151143"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Shahla Faal Siahkal","raw_affiliation_strings":["Department of Midwifery, Mara.C., Islamic Azad University, Marand, Iran"],"raw_orcid":"https://orcid.org/0000-0001-6760-3138","affiliations":[{"raw_affiliation_string":"Department of Midwifery, Mara.C., Islamic Azad University, Marand, Iran","institution_ids":["https://openalex.org/I4210151143"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041043618","display_name":"Hayedeh Arbabi","orcid":"https://orcid.org/0000-0003-1471-2984","observed_orcids":["https://orcid.org/0000-0003-1471-2984"]},"institutions":[{"id":"https://openalex.org/I310735636","display_name":"Zabol University of Medical Sciences","ror":"https://ror.org/037tr0b92","country_code":"IR","type":"education","lineage":["https://openalex.org/I310735636"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Hayedeh Arbabi","raw_affiliation_strings":["Department of Midwifery, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Midwifery, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran","institution_ids":["https://openalex.org/I310735636"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5046147424","display_name":"Maryam Koochakzai","orcid":"https://orcid.org/0000-0002-1578-3808","observed_orcids":["https://orcid.org/0000-0002-1578-3808"]},"institutions":[{"id":"https://openalex.org/I310735636","display_name":"Zabol University of Medical Sciences","ror":"https://ror.org/037tr0b92","country_code":"IR","type":"education","lineage":["https://openalex.org/I310735636"]}],"countries":["IR"],"is_corresponding":true,"raw_author_name":"Maryam Koochakzai","raw_affiliation_strings":["Department of Midwifery, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Midwifery, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran","institution_ids":["https://openalex.org/I310735636"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5046147424"],"corresponding_institution_ids":["https://openalex.org/I310735636"],"apc_list":{"value":1950,"currency":"USD","value_usd":1950},"apc_paid":{"value":1950,"currency":"USD","value_usd":1950},"fwci":3.0928,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.88800105,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":97},"biblio":{"volume":"105","issue":"8","first_page":"e47814","last_page":"e47814"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10786","display_name":"Maternal Mental Health During Pregnancy and Postpartum","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10786","display_name":"Maternal Mental Health During Pregnancy and Postpartum","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/postpartum-stress","display_name":"postpartum stress","score":0.9850000143051147},{"id":"https://openalex.org/keywords/non-pharmacological-treatment","display_name":"non-pharmacological treatment","score":0.9200000166893005},{"id":"https://openalex.org/keywords/postpartum-women","display_name":"postpartum women","score":0.796999990940094},{"id":"https://openalex.org/keywords/maternal-mental-health","display_name":"maternal mental health","score":0.781000018119812},{"id":"https://openalex.org/keywords/support-groups","display_name":"support groups","score":0.8999999761581421},{"id":"https://openalex.org/keywords/home-visits","display_name":"home visits","score":0.9020000100135803},{"id":"https://openalex.org/keywords/music-listening","display_name":"music listening","score":0.6100000143051147},{"id":"https://openalex.org/keywords/heart-rate-variability-biofeedback","display_name":"heart rate variability biofeedback","score":0.9520000219345093},{"id":"https://openalex.org/keywords/telephone-support","display_name":"telephone support","score":0.9139999747276306},{"id":"https://openalex.org/keywords/skin-to-skin-contact","display_name":"skin-to-skin contact","score":0.9210000038146973},{"id":"https://openalex.org/keywords/aerobic-exercise","display_name":"aerobic exercise","score":0.527999997138977},{"id":"https://openalex.org/keywords/breastfeeding-mothers","display_name":"breastfeeding mothers","score":0.6539999842643738}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9819999933242798},{"id":"https://openalex.org/C2776283161","wikidata":"https://www.wikidata.org/wiki/Q174876","display_name":"Breastfeeding","level":2,"score":0.7247999906539917},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.7172999978065491},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.5982000231742859},{"id":"https://openalex.org/C3018745865","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postpartum period","level":3,"score":0.5467000007629395},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4456999897956848},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.41359999775886536},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.38370001316070557},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.3815000057220459},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.3418000042438507},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.2727999985218048},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.27140000462532043}],"mesh":[{"descriptor_ui":"D002986","descriptor_name":"Clinical Trials as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009035","descriptor_name":"Mothers","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D009147","descriptor_name":"Music Therapy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D049590","descriptor_name":"Postpartum Period","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1097/md.0000000000047814","doi":"https://doi.org/10.1097/md.0000000000047814","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000047814","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12928928","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12928928/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12928928/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine (Baltimore)","raw_type":"Text"},{"id":"pmid:41731800","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41731800","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"Systematic Review"}],"best_oa_location":{"id":"doi:10.1097/md.0000000000047814","doi":"https://doi.org/10.1097/md.0000000000047814","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000047814","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7130701104.pdf","grobid_xml":"https://content.openalex.org/works/W7130701104.grobid-xml"},"referenced_works_count":41,"referenced_works":["https://openalex.org/W158396757","https://openalex.org/W1698626838","https://openalex.org/W1839402198","https://openalex.org/W1857453158","https://openalex.org/W1969748614","https://openalex.org/W1982875722","https://openalex.org/W1986215651","https://openalex.org/W2005501262","https://openalex.org/W2006651096","https://openalex.org/W2028000216","https://openalex.org/W2032919141","https://openalex.org/W2061858840","https://openalex.org/W2071245968","https://openalex.org/W2080429758","https://openalex.org/W2089986475","https://openalex.org/W2109740745","https://openalex.org/W2162732991","https://openalex.org/W2383797722","https://openalex.org/W2521252630","https://openalex.org/W2555826931","https://openalex.org/W2560151242","https://openalex.org/W2596338372","https://openalex.org/W2612565440","https://openalex.org/W2745443785","https://openalex.org/W2755827503","https://openalex.org/W2787927462","https://openalex.org/W2790253027","https://openalex.org/W2943494044","https://openalex.org/W2951916003","https://openalex.org/W3008340118","https://openalex.org/W3093026214","https://openalex.org/W3197352505","https://openalex.org/W3217274229","https://openalex.org/W4210818301","https://openalex.org/W4220832577","https://openalex.org/W4225265854","https://openalex.org/W4283021174","https://openalex.org/W4283065595","https://openalex.org/W4318197059","https://openalex.org/W4321459703","https://openalex.org/W4391600003"],"related_works":["https://openalex.org/W1839402198","https://openalex.org/W7163058160","https://openalex.org/W4409555253","https://openalex.org/W4381278361","https://openalex.org/W4414727051","https://openalex.org/W3210628115","https://openalex.org/W4412589244","https://openalex.org/W4408026580","https://openalex.org/W2606197654","https://openalex.org/W7219703397"],"abstract_inverted_index":{"BACKGROUND:":[0],"In":[1,51],"the":[2,47,84,160,177,250,253,256],"crucial":[3],"postpartum":[4,29,48,101,109,262,268],"stage,":[5],"mothers":[6],"undergo":[7],"substantial":[8],"physiological":[9],"and":[10,24,72,146,152,175,244],"psychological":[11],"shifts,":[12],"with":[13],"many":[14],"experiencing":[15],"stresses.":[16],"Non-pharmacological":[17,265],"interventions":[18,40,91,187,266],"hold":[19],"potential":[20],"as":[21,168],"a":[22,55,169,217],"safe":[23,273],"effective":[25],"way":[26],"to":[27,32,37,198,275],"manage":[28],"stress":[30,45,99,110],"compared":[31],"medication.":[33],"The":[34,105,116,183],"aim":[35],"was":[36,59,108,121],"review":[38,167],"non-pharmacological":[39],"for":[41,96,126,279],"management":[42,97],"of":[43,70,86,98,118,137,171,180],"maternal":[44],"in":[46,79,165,173,261],"period.":[49],"METHODS:":[50],"this":[52,166],"systematic":[53],"review,":[54],"comprehensive":[56],"literature":[57],"search":[58],"conducted":[60],"on":[61,75,150],"March":[62],"1,":[63],"2024":[64],"across":[65],"databases":[66,174],"including":[67],"PubMed,":[68],"Web":[69],"Science,":[71],"CINAHL,":[73],"focusing":[74],"clinical":[76],"trials":[77,89],"published":[78],"English":[80],"from":[81],"inception":[82],"until":[83],"end":[85],"2023.":[87],"Clinical":[88],"utilizing":[90],"other":[92],"than":[93],"pharmacological":[94,276],"agents":[95],"among":[100],"women":[102],"were":[103,163],"included.":[104],"study":[106],"outcome":[107],"measured":[111],"by":[112],"any":[113],"standard":[114],"scale.":[115],"risk":[117],"bias":[119],"assessment":[120],"done":[122],"using":[123],"JADAD":[124],"scale":[125],"randomized":[127],"trials.":[128],"RESULTS:":[129],"Electronic":[130],"database":[131],"searches":[132],"initially":[133],"yielded":[134],"9129":[135],"records,":[136],"which":[138,270],"there":[139],"remained":[140],"42":[141],"studies":[142,157],"after":[143],"removing":[144],"duplicates":[145],"excluding":[147],"records":[148],"based":[149],"title":[151],"abstract":[153],"screening.":[154],"Finally,":[155],"15":[156],"that":[158],"met":[159],"inclusion":[161],"criteria":[162],"included":[164,254],"result":[170],"searching":[172],"reviewing":[176],"reference":[178],"list":[179],"related":[181],"reviews.":[182],"most":[184],"common":[185,214],"non-pharmacologic":[186],"were:":[188],"support":[189,219,223],"group;":[190],"home":[191,239],"visiting":[192],"program;":[193,196],"mother-infant":[194],"transaction":[195],"listening":[197],"music;":[199],"advanced":[200],"practice":[201],"nurses'":[202],"follow":[203],"up":[204],"through":[205],"telephone":[206,218,222],"calls;":[207],"heart":[208],"rate":[209],"variability":[210],"biofeedback;":[211],"film":[212],"addressing":[213],"stressors":[215],"or":[216,224,236],"hotline;":[220],"professionally-led":[221],"self-directed":[225],"written":[226],"support;":[227],"home-based":[228],"supportive-educational":[229],"counseling;":[230],"aerobic":[231],"gymnastic":[232],"exercise;":[233],"telephone-based":[234,237],"exercise":[235],"wellness/support;":[238],"midwifery":[240],"assistance;":[241],"skin-to-skin":[242],"contact;":[243],"social":[245],"media-based":[246],"parenting":[247],"program.":[248],"Despite":[249],"heterogeneity":[251],"between":[252],"studies,":[255],"majority":[257],"demonstrated":[258],"significant":[259],"reduction":[260],"stress.":[263],"CONCLUSION:":[264],"reduce":[267],"stress,":[269],"may":[271],"offer":[272],"alternatives":[274],"treatments,":[277],"particularly":[278],"breastfeeding":[280],"mothers.":[281]},"counts_by_year":[{"year":2026,"cited_by_count":3}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-02-21T00:00:00"}