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The Maternal Adaptation Framework
DOI:10.1097/ANS.0000000000000631.png)
Abstract
En 中文
The Great Obstetrical Syndromes (ie, preeclampsia and preterm labor) remain major contributors to maternal-fetal morbidity and mortality and are increasingly understood to involve complex, interacting pathways influenced by biological and contextual factors, rather than a single causal mechanism. A literature review revealed a lack of theoretical models capturing the multidimensional nature of pregnancy-related adaptation. Accordingly, theory-derivation methods were used to develop the Maternal Adaptation Framework as a domain-specific extension of the Roy Adaptation Model. The framework integrates contextual influences with adaptive processes to conceptualize pregnancy as a dynamic physio-logic state and to guide mechanism-informed prediction, prevention, and person-centered care.
Keywords:
adaptation
conceptual framework
Great Obstetrical Syndromes
maternal
placental insufficiency
preeclampsia
pregnancy
preterm birth
precision science
social determinants of health

