Being pregnant and becoming a parent during the COVID-19 pandemic: a longitudinal qualitative study with women in the Born in Bradford COVID-19 research study.

Being pregnant and becoming a parent during the COVID-19 pandemic: a longitudinal qualitative study with women in the Born in Bradford COVID-19 research study.
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DOI:
10.1186/s12884-023-05774-4
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发表时间:
2023-07-04
影响因子:
3.1
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
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围绕COVID-19对孕妇及其婴儿风险的不确定性,促使人们在大流行期间对孕妇的健康和护理采取了预防性限制措施。产妇服务必须适应不断变化的政府指导。再加上英格兰实行全国封锁和限制日常活动,妇女的怀孕、分娩和产后经历以及获得服务的机会迅速发生了变化。这项研究旨在了解妇女在怀孕、分娩和照顾婴儿期间的经历。这是一项归纳纵向定性研究,通过电话对英国布拉德福德的妇女进行深入访谈,在她们的分娩过程中的三个时间点(18名妇女在时间点1,13名在时间点2,14名在时间点3)。探讨的主要主题是身心健康、保健服务经验、与合作伙伴的关系以及大流行的一般影响。使用框架方法分析数据。纵向综合确定了总体主题。三个纵向主题反映了对妇女来说重要的事情:(1)妇女害怕在生育旅程的关键时刻独自一人;(2)大流行为孕产妇服务和妇女护理创造了新的规范;(3)在怀孕和怀孕期间找到应对COVID-19大流行的方法。产妇服务的修改对妇女的经历产生了重大影响。这些调查结果为国家和地方决策提供了信息,说明如何最好地分配资源,以减少COVID-19限制措施的影响,以及对怀孕期间和产后妇女的长期心理影响。在线版本包含补充材料,可在10.1186/s12884-023-05774-4获得。
Uncertainty around the risk of COVID-19 to pregnant women and their babies prompted precautionary restrictions on their health and care during the pandemic. Maternity services had to adapt to changing Government guidance. Coupled with the imposition of national lockdowns in England and restrictions on daily activities, women’s experiences of pregnancy, childbirth and the postpartum period, and their access to services, changed rapidly. This study was designed to understand women’s experiences of pregnancy, labour and childbirth and caring for a baby during this time. This was an inductive longitudinal qualitative study, using in-depth interviews by telephone with women in Bradford, UK, at three timepoints during their maternity journey (18 women at timepoint one, 13 at timepoint two and 14 at timepoint three). Key topics explored were physical and mental wellbeing, experience of healthcare services, relationships with partners and general impact of the pandemic. Data were analysed using the Framework approach. A longitudinal synthesis identified over-arching themes. Three longitudinal themes captured what was important to women: (1) women feared being alone at critical points in their maternity journey, (2) the pandemic created new norms for maternity services and women’s care, and (3) finding ways to navigate the COVID-19 pandemic in pregnancy and with a baby. Modifications to maternity services impacted significantly on women’s experiences. The findings have informed national and local decisions about how best to direct resources to reduce the impact of COVID-19 restrictions and the longer-term psychological impact on women during pregnancy and postnatally. The online version contains supplementary material available at 10.1186/s12884-023-05774-4.
DOI: 10.1016/j.midw.2022.103291
发表时间: 2022-05
期刊: Midwifery
影响因子: 2.7
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DOI: 10.12688/wellcomeopenres.16129.1
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McEachan RRC;Dickerson J;Bridges S;Bryant M;Cartwright C;Islam S;Lockyer B;Rahman A;Sheard L;West J;Lawlor DA;Sheldon TA;Wright J;Pickett KE;Bradford Institute for Health Research COVID-19 Scientific Advisory Group
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