Understanding the impact of covid-19 on pregnant women and new parents: The Born in Bradford 2020 Families Study

了解 covid-19 对孕妇和新父母的影响：2020 年布拉德福德出生家庭研究

• 批准号: MR/V027905/1
• 负责人: Josie Dickerson
• 金额: $ 41.43万
• 依托单位: Bradford Teaching Hospitals NHS Foundation Trust
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FV027905%2F1
• 关键词: Understanding; impact; covid; 19; pregnant

The COVID19 pandemic has dramatically changed how health care is delivered. Pregnant women have been identified as a vulnerable group to COVID19 and as a consequence, women have received much of their essential health care over the phone, and partners have not been able to attend maternity appointments including baby scans. After birth the usual social support offered by friends and family has been restricted due to social distancing. For women and their partners who are having a baby during this time there is concern that this could have an impact on their physical and mental wellbeing and the health and development of their babies.The recovery from the COVID19 pandemic needs research information on the health, social and economic impacts on vulnerable populations to be made available quickly to key policy and decision makers so that they can develop and implement policies and interventions to reduce potential longer term impacts of the COVID19 pandemic. The Born in Bradford (BiB) research programme (www.borninbradford.nhs.uk) is in a unique position to be able to provide such information on a key vulnerable population: pregnant women living in a highly deprived and ethnically diverse city. BiB have two ongoing birth cohort studies: Born in Bradford's Better Start (BiBBS) focussed on women living in ethnically diverse and deprived communities and BiB4All - a routine data linkage birth cohort study aiming to recruit all pregnant women booked to give birth at Bradford Teaching Hospitals NHS Foundation Trust. Participants give permission for follow-up via routine data from multiple agencies (e.g. GPs, maternity, health visiting, social care) and agree to be contacted for additional research projects with bespoke data collection. The aim of our study is to understand the experiences of being pregnant, giving birth and caring for a baby during the COVID19 pandemic. We will adapt the data collection within our birth cohorts to collect additional quantitative survey data and qualitative interview data at 4 time points during pregnancy and during the first year after birth. This will allow us to:a) understand how COVID19 has affected pregnant women (e.g., being identified as high risk by government, having changes to care or birth plans), and the short- and long-term impact these changes have had, for example on their expectations and experiences of care, their mental wellbeing, worries and concerns, birth outcomes;(b) understand how the crisis is affecting wider aspects of pregnancy and the transition toparenthood, for example peer-to-peer social support, support for breastfeeding andparenting, family relationships and livelihoods;(c) explore how these changes affect the partners of pregnant women during pregnancyand in the postnatal period;(d) inform practitioners, service providers and policy makers where intervention is neededto reduce the adverse effects of the health and well being of women and their babies in theshort term and as part of recovery.We will combine the findings of our surveys and qualitative work and use expert groups of key stakeholders and local parents to co-produce recommendations for practice. This research will significantly contribute to understanding the impact of COVID19 onpregnant women and their partner's current and future health and the health and development of their children. It will also inform interventions to reduce the impacts of the pandemic. Bradford, like many other large UK cities, has high levels of deprivation and ethnic diversity, the findings from our study will therefore be scientifically valid and relevant to services and policy makers nationally. Our research team have connections to many other COVID19 research teams nationally and internationally as well as direct links into key national health organisations and policy makers. We will use these connections to ensure wide dissemination of our findings and ensure they are integrated in policy.

COVID 19大流行极大地改变了医疗保健的提供方式。孕妇已被确定为COVID 19的弱势群体，因此，妇女通过电话获得了大部分基本医疗保健，伴侣无法参加包括婴儿扫描在内的产科预约。出生后，由于社会距离的限制，朋友和家人提供的通常社会支持受到限制。对于在此期间生育的妇女及其伴侣来说，人们担心这可能会影响她们的身心健康以及婴儿的健康和发育。从COVID 19大流行中恢复需要有关健康的研究信息，迅速向主要政策制定者和决策者提供对弱势群体的社会和经济影响，以便他们能够制定和执行政策和干预措施，以减少COVID 19大流行的潜在长期影响。出生在布拉德福德的研究方案（www.borninbradford.nhs.uk）处于一个独特的地位，能够提供关于一个关键弱势群体的信息：生活在一个高度贫困和种族多样化城市的孕妇。BiB有两项正在进行的出生队列研究：出生在布拉德福德的更好的开始（BiBBS），重点是生活在种族多样化和贫困社区的妇女和BiB 4All-一项常规的数据链接出生队列研究，旨在招募所有预定在布拉德福德教学医院NHS基金会信托分娩的孕妇。参与者允许通过多个机构（例如，全科医生，产妇，健康访问，社会护理）的常规数据进行随访，并同意与定制数据收集的其他研究项目联系。我们研究的目的是了解在COVID 19大流行期间怀孕，分娩和照顾婴儿的经历。我们将调整出生队列中的数据收集，以在妊娠期间和出生后第一年的4个时间点收集额外的定量调查数据和定性访谈数据。这将使我们能够：a）了解COVID 19如何影响孕妇（例如，被政府确定为高风险，改变护理或生育计划），以及这些变化对她们的护理期望和经历、她们的心理健康、担忧和关切、生育结果等产生的短期和长期影响;（B）了解危机如何影响怀孕和向成人过渡的更广泛方面，例如同伴之间的社会支持，支持母乳喂养和养育子女、家庭关系和生计;（c）探讨这些变化如何影响孕妇在怀孕期间和产后期间的伴侣;（d）通知从业人员，服务提供者和政策制定者，在需要干预的情况下，在短期内减少对妇女及其婴儿的健康和福祉的不利影响，我们将联合收割机结合我们的调查结果和定性工作，并利用主要利益相关者和当地家长的专家小组共同提出实践建议。这项研究将大大有助于了解COVID 19对孕妇及其伴侣当前和未来健康以及子女健康和发育的影响。它还将为减少这一流行病影响的干预措施提供信息。布拉德福德，像许多其他英国大城市一样，具有高度的贫困和种族多样性，因此，我们的研究结果将是科学有效的，并与全国的服务和政策制定者相关。我们的研究团队与国内和国际上许多其他COVID 19研究团队有联系，并与主要的国家卫生组织和政策制定者有直接联系。我们将利用这些联系，确保广泛传播我们的调查结果，并确保将其纳入政策。

项目成果

'When will this end? Will it end?' The impact of the March-June 2020 UK COVID-19 lockdown response on mental health: a longitudinal survey of mothers in the Born in Bradford study.

• DOI: 10.1136/bmjopen-2020-047748
• 发表时间: 2022-01-11
• 期刊: BMJ open
• 影响因子: 2.9
• 作者: Dickerson J;Kelly B;Lockyer B;Bridges S;Cartwright C;Willan K;Shire K;Crossley K;Bryant M;Siddiqi N;Sheldon TA;Lawlor DA;Wright J;McEachan RR;Pickett KE;Bradford Institute for Health Research COVID-19 Scientific Advisory Group;Bradford Institute for Health Research Covid-19 Scientific Advisory Group
• 通讯作者: Bradford Institute for Health Research Covid-19 Scientific Advisory Group

"We lost a lot, but something good came out of it too:" Exploring the impact of the COVID-19 pandemic on the mental wellbeing of British Muslim Pakistani women with family responsibilities.

• DOI: 10.1371/journal.pone.0292614
• 发表时间: 2023
• 期刊: PloS one
• 影响因子: 3.7

Being pregnant and becoming a parent during the COVID-19 pandemic: a longitudinal qualitative study with women in the Born in Bradford COVID-19 research study.

• DOI: 10.1186/s12884-023-05774-4
• 发表时间: 2023-07-04
• 期刊: BMC pregnancy and childbirth
• 影响因子: 3.1

The Child of the North: Building a fairer future after COVID-19, the Northern Health Science Alliance and N8 Research Partnership

北方之子：在 COVID-19 之后建设更公平的未来、北方健康科学联盟和 N8 研究伙伴关系

• 发表时间: 2022
• 作者: Pickett K

The Impact of the Pandemic on Mental Health in Ethnically Diverse Mothers: Findings from the Born in Bradford, Tower Hamlets and Newham COVID-19 Research Programmes.

• DOI: 10.3390/ijerph192114316
• 发表时间: 2022-11-02
• 期刊: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
• 作者: McIvor, Claire;Vafai, Yassaman;Kelly, Brian;O'Toole, Sarah E.;Heys, Michelle;Badrick, Ellena;Iqbal, Halima;Pickett, Kate E.;Cameron, Claire;Dickerson, Josie
• 通讯作者: Dickerson, Josie