Doula Support Challenges and Coping Strategies during the COVID-19 Pandemic: Implications for Maternal Health Inequities.

Doula Support Challenges and Coping Strategies during the COVID-19 Pandemic: Implications for Maternal Health Inequities.
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DOI:
10.1080/10410236.2021.2012898
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发表时间:
2022-11
影响因子:
3.9
通讯作者:
Wright, Michelle L.
Wright, Michelle L.
中科院分区:
医学3区
文献类型:
--
作者:
Nguyen, Tien C.;Donovan, Erin E.;Wright, Michelle L.

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COVID-19 大流行使分娩变得更加紧张和孤立,这引起了受孕产妇健康不平等影响的分娩人群的特别关注。导乐被认为是通过在分娩前、分娩过程中或分娩后向患者及其家人提供情感、身体和信息支持来改善健康结果的一种手段。然而,COVID-19 大流行的社会和经济状况给导乐护理带来了新的挑战。我们对美国执业导乐师进行了 25 次半结构化访谈,进行了主题分析,以探讨大流行期间导乐护理的变化。尽管导乐师在大流行期间提供虚拟和社交距离支持方面面临许多挑战,但导乐师越来越多地使用远程医疗,揭示了新的应对策略和与导乐社区进行虚拟交流的机会。我们的研究结果表明,大流行期间的导乐经历可以为未来的导乐护理实践提供参考,特别是对于有色人种和低收入分娩者的分娩。
The COVID-19 pandemic has made birthing more stressful and isolating, which has raised particular concern for populations of birthing people affected by maternal health inequities. Doulas have been proposed as one means of improving health outcomes by providing emotional, physical, and informational support to patients and their families before, during, or after labor. However, the social and economic conditions of the COVID-19 pandemic have posed new challenges for doula care. We conducted thematic analysis on 25 semi-structured interviews with practicing doulas in the United States to explore changes to doula care during the pandemic. Although doulas have faced many challenges in providing virtual and socially-distanced support during the pandemic, the rising use of telehealth among doulas has revealed new coping strategies and opportunities for virtual communication with the doula community. Our findings indicate that doula experiences during the pandemic can inform future doula care practices, particularly for birthing people of color and low-income birthing people.
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