title: Postpartum health promotion interventions: a systematic review.
abstract: BACKGROUND
  The postpartum period is a time of significant transition when women may discontinue positive health behaviors adopted during pregnancy. Little is known about the effectiveness of health promotion interventions targeting postpartum women.
  
  
  OBJECTIVE
  The aim of this study was to synthesize the published evidence from randomized controlled trials conducted in the United States on the effectiveness of interventions promoting maternal health in the first year after childbirth.
  
  
  METHODS
  Studies conducted in the United States and published from 1999 through May 2011 were identified in MEDLINE, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and PsycINFO and reviewed.
  
  
  RESULTS
  Eleven studies were identified measuring health promotion behaviors as an outcome. Nine of the 11 targeted at-risk groups. Methodological problems included incomplete description of the intervention, steps taken to ensure representativeness of the sample, and identification and control of potential confounders. Diverse aspects of health promotion were addressed, the length of participant involvement differed, and the effectiveness of the interventions varied.
  
  
  CONCLUSIONS
  Further research is needed to design interventions focused on promoting health in the general population of postpartum mothers.
authors.affiliation: School of Nursing, University of Texas at Austin, TX, USA. efowles@cox.net
authors.forename: Eileen R
authors.initials: ER
authors.lastname: Fowles
authors.forename: Hsiu-Rong
authors.initials: HR
authors.lastname: Cheng
authors.forename: Susan
authors.initials: S
authors.lastname: Mills
mesh_terms: D005260:Female; D006293:Health Promotion; D006801:Humans; D008429:Maternal Welfare; D011181:Postnatal Care; D016032:Randomized Controlled Trials as Topic; D014481:United States