Diamond Rachel M, Brown Kristina S, Miranda Jennifer
Department of Couple & Family Therapy, Adler University, 17 N. Dearborn Street, Chicago, IL 60602 USA.
Department of Counseling & Integrated Programs, Adler University, Chicago, IL USA.
Contemp Fam Ther. 2020;42(3):205-216. doi: 10.1007/s10591-020-09544-8. Epub 2020 Jul 20.
The perinatal period involves major developmental transitions which can be conceptualized through a biopsychosocial (BPS; Engel in Science 196:129-136, 1977, 10.1126/science.847460, in The American Journal of Psychiatry 137:535-544, 1980, 10.1176/ajp.137.5.535), systemic (von Bertalanffy, General system theory: Foundations, development, applications, George Braziller, New York, 1968) framework. Thus, no one domain of health in the perinatal period can be understood without exploring how the other domains are both impacted by and impacting the others. As a result of COVID-19, popular media is paying special attention to the biomedical domain of women in the perinatal period as it relates to health outcomes and changes in perinatal healthcare policies; however, considerably less attention is being paid to the other BPS health domains and systemic impacts. This paper will outline U.S. changes in healthcare as a result of the COVID-19 pandemic for individuals, couples, and families within the perinatal period (i.e., family planning and conception, prenatal, labor and delivery, and postpartum) and explore the unique psychosocial, systemic impacts. Recommendations for care, including telehealth and virtual support options, and future directions for research will be provided.
围产期涉及重大的发育转变，这些转变可以通过生物心理社会（BPS；恩格尔，《科学》，196卷，第129 - 136页，1977年，doi:10.1126/science.847460；《美国精神病学杂志》，137卷，第535 - 544页，1980年，doi:10.1176/ajp.137.5.535）、系统（冯·贝塔朗菲，《一般系统理论：基础、发展与应用》，乔治·布雷齐纳出版社，纽约，1968年）框架来进行概念化理解。因此，如果不探究其他健康领域如何相互影响以及被其他领域所影响，就无法理解围产期的任何一个健康领域。由于新冠疫情，大众媒体特别关注围产期女性的生物医学领域，因为它与健康结果以及围产期医疗政策的变化有关；然而，对于其他生物心理社会健康领域及其系统影响的关注则少得多。本文将概述新冠疫情给美国围产期（即计划生育与受孕、产前、分娩及产后）的个人、夫妻和家庭带来的医疗保健变化，并探讨其独特的心理社会、系统影响。还将提供包括远程医疗和虚拟支持选项在内的护理建议以及未来的研究方向。
