Midwife. Department of Obstetrics and Gynaecology, University and Polytechnic Hospital "La Fe", Valencia, Spain; School of Nursing and Podiatry, University of Valencia, Spain.
Midwife. Department of Obstetrics and Gynaecology, Gregorio Marañón University Hospital, Madrid, Spain.
Women Birth. 2021 Sep;34(5):465-472. doi: 10.1016/j.wombi.2020.12.001. Epub 2020 Dec 9.
The COVID-19 pandemic has become one of the most important threats to global health. Midwives are at the core of the response to the pandemic. Women still need midwifery support and care. The work of midwives is acknowledged as emotionally demanding, and their welfare may be compromised by a range of workplace and personal stress factors.
To investigate the experiences and attitudes of midwives who have provided pregnancy and childbirth care to women with a confirmed or suspected COVID-19 infection.
A qualitative phenomenological study was carried out in two Spanish tertiary hospitals. Fourteen midwives were recruited by purposive sampling technique. Data were collected through individual in-depth interviews and analysed using Giorgi's descriptive method.
Three themes emerged: "challenges and differences when working in a pandemic", "emotional and mental health and wellbeing" and "women's emotional impact perceived by midwives". Midwives pointed to several factors tied to a safe, supportive and empowering work place: support from staff and managers, access to adequate personal protective equipment, and reliable guidelines. They also dealt with professional and personal challenges during the pandemic, showing feelings of fear, anxiety, uncertainty, discomfort, lack of support, and knowledge. Finally, midwives expressed their concerns about the feelings of pregnant women with COVID-19, such as fear, anxiety, and loneliness.
The results of this study show some of the challenges for midwives during the course of the COVID-19 pandemic, emphasizing the value of a good communication, emotional support, and stress management, to provide woman-centred care.
COVID-19 大流行已成为全球健康的最大威胁之一。助产士是应对大流行的核心力量。妇女仍然需要助产士的支持和护理。助产士的工作被认为是情绪要求很高的，他们的福利可能会因一系列工作场所和个人压力因素而受到影响。
调查为确诊或疑似 COVID-19 感染的妇女提供妊娠和分娩护理的助产士的经验和态度。
在两家西班牙三级医院进行了定性现象学研究。通过目的性抽样技术招募了 14 名助产士。通过个人深入访谈收集数据，并使用 Giorgi 的描述性方法进行分析。
出现了三个主题：“在大流行期间工作的挑战和差异”、“情绪和心理健康与福祉”以及“助产士感知到的妇女的情绪影响”。助产士指出了与安全、支持和赋权工作场所相关的几个因素：员工和管理人员的支持、获得足够的个人防护设备以及可靠的指南。他们还在大流行期间应对了专业和个人挑战，表现出恐惧、焦虑、不确定性、不适、缺乏支持和知识的感觉。最后，助产士表达了他们对 COVID-19 孕妇的担忧，例如恐惧、焦虑和孤独。
这项研究的结果显示了助产士在 COVID-19 大流行期间面临的一些挑战，强调了良好沟通、情感支持和压力管理的重要性，以提供以妇女为中心的护理。
