Postnatal depression and anxiety during the COVID-19 pandemic: The needs and experiences of New Zealand mothers and health care providers.
Postnatal depression and anxiety during the COVID-19 pandemic: The needs and experiences of New Zealand mothers and health care providers.
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DOI：
10.1016/j.midw.2022.103491
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发表时间：
2022-12
期刊：
影响因子：
2.7
通讯作者：
Barber, Carol
中科院分区：
文献类型：
--
作者：
Ryan, Amelia;Barber, Carol
关键词：
产后时期是女性心理健康的脆弱时期，尤其是在COVID-19大流行的背景下。这项研究采访了奥克兰的母亲和医疗保健提供者，以了解他们对大流行背景下产后心理健康问题妇女的需求和经历的看法。通过视频会议进行了半结构化访谈。于2019冠状病毒病疫情期间，于2021年5月至7月期间进行了访谈。参与者包括8名在大流行第一年（2020年1月至12月）分娩的母亲，以及3名支持产后精神疾病妇女的医疗保健提供者。所有参与者都在新西兰的奥克兰工作。采用专题分析法对访谈进行了分析。五个主要主题包括（1）不确定性和焦虑，（2）经济和工作压力，（3）“村庄”的重要性，（4）内在弹性，（5）“没有人关心妈妈”。参与者的故事反映了一段不确定、焦虑和孤立的时期。在产后保健预约期间，显然缺乏对母亲心理健康的关注，而且如果妇女寻求帮助，也缺乏支持服务。这项研究的结果强调了在大流行封锁期间优先考虑安全、亲自接触医疗保健提供者和产后妇女社会支持来源的重要性，以帮助减少这一脆弱时期的隔离。改善轻度至中度精神疾病患者获得一系列治疗选择的机会也需要成为优先事项。一条专门的产后心理健康支助热线可能有助于扩大母亲在大流行病范围内和范围外可获得的支助选择。还建议更多地关注助产士和其他产后保健提供者（如儿童护士）的心理健康培训，以提高他们支持患有产后精神疾病的妇女的能力。
The postnatal period is a vulnerable time for women's mental health, particularly within the context of the COVID-19 pandemic. This study interviewed Auckland-based mothers and healthcare providers to find out their perspectives on the needs and experiences of women with postnatal mental health concerns within the pandemic context. Semi-structured interviews were conducted via video conferencing. Interviews were conducted between May and July 2021 during the COVID-19 pandemic. Participants included eight mothers who gave birth during the first year of the pandemic (between January and December 2020) and self-identified as experiencing postnatal depression and/or anxiety, and three healthcare providers who support women with postnatal mental illness. All participants were based in Auckland, New Zealand. Interviews were analysed using thematic analysis. Five main themes were identified including (1) uncertainty and anxiety, (2) financial and work stress, (3) importance of the “village”, (4) inner resilience, and (5) “no one cared for mum”. The participants’ stories reflected a period of uncertainty, anxiety, and isolation. A lack of focus on mothers’ mental health during postnatal healthcare appointments was evident, as well as a lack of support services to refer the women to should they reach out for help. The results of this study highlight the importance of prioritising safe, in-person access to healthcare providers and sources of social support for postnatal women during pandemic lockdowns to help reduce isolation during this vulnerable time. Improving accessibility to a range of treatment options for those with mild to moderate mental illness also needs to be a priority. A dedicated postnatal mental health support line could be beneficial to broaden the support options available to mothers, both within and outside the pandemic context. More focus on mental health training for midwives and other postnatal healthcare providers such as well child nurses is also recommended, to increase their ability to support women struggling with postnatal mental illness.
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DOI：
10.3389/fgwh.2020.577273
发表时间：
2020
期刊：
Frontiers in global women's health
影响因子：
--
作者：
Doyle FL;Klein L
通讯作者：
Klein L
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：
2.5
作者：
Campbell, Della;Scott, Kathryn D.;Falk, Michele
通讯作者：
Falk, Michele
影响因子：
1.9
作者：
Hagan TH;Rosenzweig M;Zorn K;van Londen J;Donovan H
通讯作者：
Donovan H
影响因子：
3.1
作者：
Harrison, Virginia;Moore, Donna;Lazard, Lisa
通讯作者：
Lazard, Lisa