Pandemic Birthing: Childbirth Satisfaction, Perceived Health Care Bias, and Postpartum Health During the COVID-19 Pandemic.
Pandemic Birthing: Childbirth Satisfaction, Perceived Health Care Bias, and Postpartum Health During the COVID-19 Pandemic.
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DOI：
10.1007/s10995-021-03158-8
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发表时间：
2021-06
影响因子：
2.3
通讯作者：
Howell EA
中科院分区：
文献类型：
--
作者：
Janevic T;Maru S;Nowlin S;McCarthy K;Bergink V;Stone J;Dias J;Wu S;Howell EA
旨在研究 COVID-19 大流行对分娩满意度和分娩期间感知的医疗保健歧视的影响，以及这些分娩经历对产后健康的影响。我们对在纽约市两家医院分娩的 237 名妇女进行了横断面双语网络调查，并评估了纽约地区第一波 SARS-CoV-2 感染后患者报告的经历和结果。我们使用参与者报告的姓名和出生日期从电子病历中确定了分娩时的 SARS-CoV-2 状态。我们将COVID-19大流行期间（2020年3月15日至2020年5月11日）的分娩经历与大流行前的应对期（2020年1月1日至2020年3月14日）进行了比较。我们估计了分娩经历与焦虑、抑郁症状、压力、出生相关创伤后应激障碍、急诊就诊、及时产后就诊和纯母乳喂养之间的关联风险比。多变量模型根据年龄、种族、保险、教育、胎次、体重指数、虐待/虐待经历和剖腹产进行调整。在疫情应对高峰期间分娩的女性、SARS-CoV-2 阳性女性、黑人和拉丁裔女性的生育满意度较低，且感知到的医疗保健歧视较高。分娩满意度较低的女性更有可能报告较高的产后焦虑、压力、抑郁症状和较低的纯母乳喂养率。经历一次或多次医疗保健歧视事件与较高水平的产后压力和与出生相关的创伤后应激障碍有关。医院和政策制定者应采取措施，防止在持续的 COVID-19 大流行期间出现负面的分娩经历，尤其是有色人种的分娩经历。
To examine the impact of the COVID-19 pandemic on birth satisfaction and perceived health care discrimination during childbirth, and in turn, the influence of these birth experiences on postpartum health. We conducted a cross-sectional, bilingual web survey of 237 women who gave birth at two hospitals in New York City and assessed patient-reported experience and outcomes following the first wave of SARS-CoV-2 infections in the New York region. We ascertained SARS-CoV-2 status at delivery from the electronic medical record using participant-reported name and date of birth. We compared birth experience during the COVID-19 pandemic (March 15, 2020–May 11, 2020) to a pre-pandemic response period (January 1, 2020–March 14, 2020). We estimated risk ratios for associations between birth experience and anxiety, depressive symptoms, stress, birth-related PTSD, emergency department visits, timely postpartum visit, and exclusive breastfeeding. Multivariable models adjusted for age, race-ethnicity, insurance, education, parity, BMI, previous experience of maltreatment/abuse and cesarean delivery. Women who gave birth during the peak of the pandemic response, and those that were SARS-CoV-2 positive, Black, and Latina, had lower birth satisfaction and higher perceived health care discrimination. Women with lower birth satisfaction were more likely to report higher postpartum anxiety, stress, depressive symptoms, and lower exclusive breastfeeding. Experiencing one or more incident of health care discrimination was associated with higher levels of postpartum stress and birth-related PTSD. Hospitals and policy-makers should institute measures to safeguard against a negative birth experience during the ongoing COVID-19 pandemic, particularly among birthing people of color.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
DOI：
10.15585/mmwr.mm6944e2
发表时间：
2020-11-06
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Woodworth KR;Olsen EO;Neelam V;Lewis EL;Galang RR;Oduyebo T;Aveni K;Yazdy MM;Harvey E;Longcore ND;Barton J;Fussman C;Siebman S;Lush M;Patrick PH;Halai UA;Valencia-Prado M;Orkis L;Sowunmi S;Schlosser L;Khuwaja S;Read JS;Hall AJ;Meaney-Delman D;Ellington SR;Gilboa SM;Tong VT;CDC COVID-19 Response Pregnancy and Infant Linked Outcomes Team;COVID-19 Pregnancy and Infant Linked Outcomes Team (PILOT)
通讯作者：
COVID-19 Pregnancy and Infant Linked Outcomes Team (PILOT)
影响因子：
2.3
作者：
Lemke, Michael Kenneth;Brown, Kyrah K.
通讯作者：
Brown, Kyrah K.
影响因子：
3
作者：
Earnshaw, Valerie A.;Brousseau, Natalie M.;Fox, Annie B.
通讯作者：
Fox, Annie B.
影响因子：
3.8
作者：
Marino-Narvaez, Carolina;Puertas-Gonzalez, Jose A.;Isabel Peralta-Ramirez, Maria
通讯作者：
Isabel Peralta-Ramirez, Maria