Mother and Infant Research Unit, School of Health Sciences, University of Dundee, DD1 4HN.
Professor of Maternal and Child Health Research & RCM (Scotland) Professor of Midwifery Research, NMAHP Research Unit, Faculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4NF.
Midwifery. 2020 Sep;88:102759. doi: 10.1016/j.midw.2020.102759. Epub 2020 May 25.
• Rapid development of COVID-19 has altered healthcare and services around the world; changes have affected women, newborn infants, families, and staff. • Restrictive practices have been introduced in maternal and newborn care that limit women's decisions and rights of women and newborn infants, including restrictions on the place of birth, continuity of care, and mother-baby contact. • An evidence-informed approach is now developing in some countries in which essential elements of quality can be maintained while also protecting and supporting staff. • To keep women, newborn infants, families, and staff safe, balance is needed between the public health, quality care, and human rights agendas. • A set of key principles is proposed to inform COVID-relevant quality care and service provision. • A pro-active strategy to inform longer-term planning for life during and after the pandemic should be grounded in evidence and co-created with women, families, and staff.
• COVID-19 的迅速发展改变了全球的医疗保健和服务;这些变化影响了妇女、新生儿、家庭和工作人员。• 在母婴保健方面引入了限制措施,限制了妇女和新生儿的决策和权利,包括限制分娩地点、护理连续性和母婴接触。• 一些国家正在制定循证方法,在保护和支持工作人员的同时,保持优质护理的基本要素。• 为了保障妇女、新生儿、家庭和工作人员的安全,需要在公共卫生、优质护理和人权议程之间取得平衡。• 提出了一套关键原则,为与 COVID 相关的优质护理和服务提供提供信息。• 一项积极主动的战略,旨在为大流行期间和之后的生活制定长期规划,应基于证据,并与妇女、家庭和工作人员共同制定。