Giving birth in a pandemic: women's birth experiences in England during COVID-19.
Giving birth in a pandemic: women's birth experiences in England during COVID-19.
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DOI：
10.1186/s12884-022-04637-8
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发表时间：
2022-04-10
影响因子：
3.1
通讯作者：
Lloyd-Fox S
中科院分区：
文献类型：
--
作者：
Aydin E;Glasgow KA;Weiss SM;Khan Z;Austin T;Johnson MH;Barlow J;Lloyd-Fox S
全球的准父母因COVID-19而经历了分娩方式的变化，包括与分娩单位和分娩期间分娩伴侣在场有关的限制，以及分娩计划的变化。这篇文章报道了英国妇女的经历。数据来自2020年7月15日至2021年3月29日期间作为全国COVID妊娠、婴儿和育儿背景下（CoCoPIP）研究在线调查（n = 477个家庭）的一部分收集的封闭式和开放式回复。频率数据与情绪分析的结果一起列出;开放式数据按主题进行分析。三分之二的孕妇报告通过自然阴道分娩（SVD）（66.1%），三分之一通过剖腹产（CS）（32.6%）或“其他”（1.3%）分娩。据报告，不到一半（49.7%）的CS是择期/计划的，47.7%是急诊。三分之一（37.4%）的参与者报告说他们的出生没有变化（如他们的分娩计划所示），另有25%的人报告了与COVID相关的变化，37.4%的人报告了与COVID无关的变化（例如，因分娩并发症引起的变化）。四分之一的样本报告了与COVID相关的生育计划变化，包括有限的分娩选择和控制感降低;难以获得疼痛缓解和援助，以及痛苦和焦虑的感觉。不到一半的受访者表示不知道分娩时是否有人在场（44.8%），2.3%的受访者表示由于COVID相关限制，没有分娩伴侣在场。父母在分娩前的沟通和医院提供的建议的经验是混合的，有显着的压力和焦虑被报告的波动的指导和缺乏确定性的存在分娩的合作伙伴。情绪分析显示，参与者对疫情期间分娩的体验主要是负面的（46. 9%），尤其是与第一次全国封锁有关的体验，正面的（33. 2%）和中性的（19. 9%）回答比例较小。报告分娩干预措施的父母比例（即，紧急CS）高于以前的报告，因为与出生有关的不确定性，以及沟通不畅，导致焦虑感增加和负面情绪水平高。这些研究结果的影响进行了讨论。
Expectant parents worldwide have experienced changes in the way they give birth as a result of COVID-19, including restrictions relating to access to birthing units and the presence of birthing partners during the birth, and changes to birth plans. This paper reports the experiences of women in England. Data were obtained from both closed- and open-ended responses collected as part of the national COVID in Context of Pregnancy, Infancy and Parenting (CoCoPIP) Study online survey (n = 477 families) between 15th July 2020 – 29th March 2021. Frequency data are presented alongside the results of a sentiment analysis; the open-ended data was analysed thematically. Two-thirds of expectant women reported giving birth via spontaneous vaginal delivery (SVD) (66.1%) and a third via caesarean section (CS) (32.6%) or ‘other’ (1.3%). Just under half (49.7%) of the CS were reported to have been elective/planned, with 47.7% being emergencies. A third (37.4%) of participants reported having no changes to their birth (as set out in their birthing plan), with a further 25% reporting COVID-related changes, and 37.4% reporting non-COVID related changes (e.g., changes as a result of birthing complications). One quarter of the sample reported COVID-related changes to their birth plan, including limited birthing options and reduced feelings of control; difficulties accessing pain-relief and assistance, and feelings of distress and anxiety. Under half of the respondents reported not knowing whether there could be someone present at the birth (44.8%), with 2.3% of respondents reporting no birthing partner being present due to COVID-related restrictions. Parental experiences of communication and advice provided by the hospital prior to delivery were mixed, with significant stress and anxiety being reported in relation to both the fluctuating guidance and lack of certainty regarding the presence of birthing partners at the birth. The sentiment analysis revealed that participant experiences of giving birth during the pandemic were predominately negative (46.9%) particularly in relation to the first national lockdown, with a smaller proportion of positive (33.2%) and neutral responses (19.9%). The proportion of parents reporting birthing interventions (i.e., emergency CS) was higher than previously reported, as were uncertainties related to the birth, and poor communication, leading to increased feelings of anxiety and high levels of negative emotions. The implications of these findings are discussed.
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DOI：
10.3389/fgwh.2020.00001
发表时间：
2020
期刊：
Frontiers in global women's health
影响因子：
--
作者：
Davenport MH;Meyer S;Meah VL;Strynadka MC;Khurana R
通讯作者：
Khurana R
影响因子：
3.8
作者：
Hernandez-Martinez, Antonio;Rodriguez-Almagro, Julian;Miguel Martinez-Galiano, Juan
通讯作者：
Miguel Martinez-Galiano, Juan
影响因子：
6.6
作者：
Lebel, Catherine;MacKinnon, Anna;Giesbrecht, Gerald
通讯作者：
Giesbrecht, Gerald
DOI：
10.1080/02646838.2015.1119260
发表时间：
2016-03-14
影响因子：
2.5
作者：
Hallam, Jenny L.;Howard, Cristopher D.;Thomas, Melissa
通讯作者：
Thomas, Melissa
DOI：
10.1007/s00737-017-0729-6
发表时间：
2017-08
期刊：
Archives of women's mental health
影响因子：
--
作者：
Hollander MH;van Hastenberg E;van Dillen J;van Pampus MG;de Miranda E;Stramrood CAI
通讯作者：
Stramrood CAI