The impact of COVID-19 on the provision of respectful maternity care: Findings from a global survey of health workers.
The impact of COVID-19 on the provision of respectful maternity care: Findings from a global survey of health workers.
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DOI：
10.1016/j.wombi.2021.09.003
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发表时间：
2022-07
期刊：
影响因子：
3.8
通讯作者：
Benova, Lenka
中科院分区：
文献类型：
--
作者：
Asefa, Anteneh;Semaan, Aline;Delvaux, Therese;Huysmans, Elise;Galle, Anna;Sacks, Emma;Bohren, Meghan A.;Morgan, Alison;Sadler, Michelle;Vedam, Saraswathi;Benova, Lenka
关键词：
为应对COVID-19大流行和COVID-19的直接影响而对孕产妇保健作出重大调整，可能会损害孕产妇和新生儿保健的质量。探讨COVID-19大流行如何对一线卫生工作者在全球范围内提供尊重产妇护理的能力产生负面影响。我们对卫生工作者进行了一项全球在线调查，以评估COVID-19大流行期间孕产妇和新生儿卫生保健的提供情况。我们收集了2020年7月至12月期间一部分受访者的定性数据，并进行了定性内容分析，以探索开放式回答。来自71个国家的卫生工作者（n = 1127）参加了会议；来自33个国家的120名参与者提供了定性数据。2019冠状病毒病大流行以多种方式对尊重产妇护理的提供产生了负面影响。确定了六个中心主题：家庭参与减少、对妇女的情感和身体支持减少、护理标准降低、更多地接触医学上不合理的剖腹产，以及工作人员被迅速变化的指导方针和加强的感染预防措施搞得不知所措。此外，由于卫生工作者担心被感染，以及为尽量减少COVID-19传播而采取的措施，对疑似或确诊感染COVID-19的妇女和新生儿的尊重护理受到严重影响。迫切需要采取多层面和适应具体情况的行动，以减轻COVID-19大流行对全球提供和继续促进尊重产妇护理的长期影响。在2019冠状病毒病大流行期间采取的措施可能会扰乱提供尊重产妇的护理，从而影响产妇护理的质量。
Significant adjustments to maternity care in response to the COVID-19 pandemic and the direct impacts of COVID-19 can compromise the quality of maternal and newborn care. To explore how the COVID-19 pandemic negatively affected frontline health workers’ ability to provide respectful maternity care globally. We conducted a global online survey of health workers to assess the provision of maternal and newborn healthcare during the COVID-19 pandemic. We collected qualitative data between July and December 2020 among a subset of respondents and conducted a qualitative content analysis to explore open-ended responses. Health workers (n = 1127) from 71 countries participated; and 120 participants from 33 countries provided qualitative data. The COVID-19 pandemic negatively affected the provision of respectful maternity care in multiple ways. Six central themes were identified: less family involvement, reduced emotional and physical support for women, compromised standards of care, increased exposure to medically unjustified caesarean section, and staff overwhelmed by rapidly changing guidelines and enhanced infection prevention measures. Further, respectful care provided to women and newborns with suspected or confirmed COVID-19 infection was severely affected due to health workers’ fear of getting infected and measures taken to minimise COVID-19 transmission. Multidimensional and contextually-adapted actions are urgently needed to mitigate the impacts of the COVID-19 pandemic on the provision and continued promotion of respectful maternity care globally in the long-term. The measures taken during the COVID-19 pandemic had the capacity to disrupt the provision of respectful maternity care and therefore the quality of maternity care.
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DOI：
10.1016/s2214-109x(21)00079-6
发表时间：
2021-06
期刊：
The Lancet. Global health
影响因子：
--
作者：
Chmielewska B;Barratt I;Townsend R;Kalafat E;van der Meulen J;Gurol-Urganci I;O'Brien P;Morris E;Draycott T;Thangaratinam S;Le Doare K;Ladhani S;von Dadelszen P;Magee L;Khalil A
通讯作者：
Khalil A
影响因子：
3.4
作者：
Kotlar B;Gerson EM;Petrillo S;Langer A;Tiemeier H
通讯作者：
Tiemeier H
影响因子：
1.7
作者：
Duek, Irit;Fliss, Dan M.
通讯作者：
Fliss, Dan M.
影响因子：
168.9
作者：
Bohren, Meghan A.;Mehrtash, Hedieh;Tuncalp, Ozge
通讯作者：
Tuncalp, Ozge
影响因子：
7.4
作者：
O'Brien, Bridget C.;Harris, Ilene B.;Cook, David A.
通讯作者：
Cook, David A.