Childbearing women's experiences of the maternity care system in Australia during the first wave of the COVID-19 pandemic.
Childbearing women's experiences of the maternity care system in Australia during the first wave of the COVID-19 pandemic.
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在澳大利亚，育种妇女对澳大利亚的孕产妇护理系统的经历，在19次大流行的第一波浪潮中。
DOI：
10.1016/j.wombi.2021.08.010
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发表时间：
2022-05
期刊：
影响因子：
--
通讯作者：
Vasilevski V
中科院分区：
文献类型：
--
作者：
Sweet L;Wilson AN;Bradfield Z;Hauck Y;Kuliukas L;Homer CSE;Szabo RA;Wynter K;Vasilevski V
COVID-19 大流行期间，澳大利亚的医疗保健服务发生了重大变化，以降低感染传播的风险。人们对这些变化对育龄妇女的影响知之甚少。探索和描述澳大利亚 COVID-19 大流行期间育龄妇女接受产妇护理的经历。使用半结构化访谈的定性探索性设计。通过社交媒体招募女性并自我提名参加面试。使用最大变异抽样。对来自澳大利亚各地的女性进行了二十七次采访。对数据进行了主题分析。出现了三个主要主题和九个副主题：“应对不断变化的卫生系统”（应对不断变化、获得护理的机会改变、处理身体距离限制和缺失护理）、“渴望选择和控制”（经历不良沟通、做出艰难的决定，并考虑替代护理模式）和“体验感染预防措施”（最大限度地降低暴露风险并改变护理计划以最大限度地降低感染风险）。大流行期间孕妇和产后妇女护理服务的重大变化似乎减少了以妇女为中心的护理。在大多数情况下，护理被认为是不人性化和不完整的，导致体验与预期截然不同；后果包括缺乏护理。知名护理人员的存在改善了女性的沟通、选择和控制感。这项研究为澳大利亚各地育龄妇女的经历提供了独特的见解。在大流行期间，不能忘记以尊重的妇女为中心的护理的重要性。研究结果可能会为未来大流行和灾难情况下的服务规划提供信息。
Substantial changes occurred in Australian healthcare provision during the COVID-19 pandemic to reduce the risk of infection transmission. Little is known about the impact of these changes on childbearing women. To explore and describe childbearing women’s experiences of receiving maternity care during the COVID-19 pandemic in Australia. A qualitative exploratory design using semi-structured interviews was used. Women were recruited through social media and self-nominated to participate in an interview. Maximum variation sampling was used. Twenty-seven interviews were conducted with women from across Australia. Data was analysed thematically. Three primary themes and nine sub-themes emerged: ‘navigating a changing health system’ (coping with constant change, altered access to care, dealing with physical distancing restrictions, and missing care), ‘desiring choice and control’ (experiencing poor communication, making hard decisions, and considering alternate models of care), and ‘experiencing infection prevention measures’ (minimising the risk of exposure and changing care plans to minimise infection risk). The substantial changes in care delivery for pregnant and postpartum women during the pandemic appear to have reduced woman-centred care. In most cases, care was perceived as impersonal and incomplete, resulting in a very different experience than expected; consequences included missing care. The presence of a known care provider improved women’s sense of communication, choice, and control. This study provides unique insight into the experiences of childbearing women across Australia. The importance of respectful woman-centred care cannot be forgotten during a pandemic. The findings may inform future service planning during pandemics and disaster situations.
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影响因子：
2.3
作者：
Fryer, Kimberly;Delgado, Arlin;Marshall, Jennifer
通讯作者：
Marshall, Jennifer
影响因子：
2.4
作者：
Mappa, Ilenia;Distefano, Flavia Adalgisa;Rizzo, Giuseppe
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Rizzo, Giuseppe
影响因子：
3.7
作者：
Bradfield Z;Wynter K;Hauck Y;Vasilevski V;Kuliukas L;Wilson AN;Szabo RA;Homer CSE;Sweet L
通讯作者：
Sweet L
影响因子：
3.8
作者：
Hildingsson, Ingegerd
通讯作者：
Hildingsson, Ingegerd
影响因子：
0.6
作者：
Cook, Katie;Loomis, Colleen
通讯作者：
Loomis, Colleen