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在新冠疫情第一波期间于澳大利亚“新”社会环境中成为母亲。

Becoming a mother in the 'new' social world in Australia during the first wave of the COVID-19 pandemic.

作者信息

Sweet Linda, Bradfield Zoe, Vasilevski Vidanka, Wynter Karen, Hauck Yvonne, Kuliukas Lesley, Homer Caroline S E, Szabo Rebecca A, Wilson Alyce N

机构信息

School of Nursing and Midwifery, Deakin University, Victoria, Australia; Centre for Quality and Patient Safety Research, Western Health Partnership, Victoria, Australia.

School of Nursing, Midwifery and Paramedicine, Curtin University, Western Australia, Australia; Department of Nursing, Midwifery Education and Research, King Edward Memorial Hospital, Western Australia, Australia.

出版信息

Midwifery. 2021 Jul;98:102996. doi: 10.1016/j.midw.2021.102996. Epub 2021 Mar 21.

Abstract

BACKGROUND

Substantial public health measures occurred in Australian society during the COVID-19 pandemic to reduce the risk of community transmission. Little was known about the impact of these changes on childbearing women.

AIM

To describe childbearing women's experiences of becoming a mother during the COVID-19 pandemic in Australia.

METHODS

A qualitative exploratory design using semi-structured interviews was used. Women were recruited through social media and self-nominated to participate in an interview. Maximum variation sampling was used. A total of 27 interviews were conducted with women across Australia. Data were analysed thematically.

FINDINGS

The thematic analysis resulted in four primary themes and ten sub-themes. The themes were 'going it alone - having a baby was an isolating experience' ('receiving maternity care alone', 'dealing with government restrictions', and 'desiring social support'), 'advocating for self or others' ('seeking reliable information', 'valuing peersupport', and 'having to be resourceful'), 'finding a way through' ('a changed experience for all', 'managing stress and anxiety', 'requiring constant adjustments', and 'managing fear mongering'), and 'keeping safe'.

CONCLUSION

Becoming a mother during the COVID-19 pandemic in Australia was a profound experience for the women. Following the public health initiatives which resulted in physical distancing restrictions, isolation, and the need to provide and receive social and peer support were common experiences. Whilst public health initiatives are implemented to keep people safe, the social and emotional toll on childbearing women should be considered by healthcare professionals. Childbearing women need to be safe but also require support and reassurance.

摘要

背景

在新冠疫情期间,澳大利亚社会采取了大量公共卫生措施以降低社区传播风险。对于这些变化对育龄妇女的影响,人们知之甚少。

目的

描述澳大利亚育龄妇女在新冠疫情期间成为母亲的经历。

方法

采用半结构式访谈的定性探索性设计。通过社交媒体招募妇女,她们自我提名参与访谈。采用最大差异抽样法。在澳大利亚各地共对27名妇女进行了访谈。对数据进行了主题分析。

结果

主题分析得出四个主要主题和十个子主题。这些主题分别是“独自面对——生孩子是一种孤立的经历”(“独自接受孕产护理”“应对政府限制”“渴望社会支持”)、“为自己或他人争取权益”(“寻求可靠信息”“重视同伴支持”“不得不足智多谋”)、“找到解决办法”(“所有人的经历都发生了变化”“应对压力和焦虑”“需要不断调整”“应对恐慌情绪”)以及“确保安全”。

结论

在澳大利亚新冠疫情期间成为母亲,对这些女性来说是一段深刻的经历。公共卫生举措导致了社交距离限制、孤立,以及提供和获得社会及同伴支持的需求,这些都是常见的经历。虽然实施公共卫生举措是为了保障人们的安全,但医护人员应考虑到这些举措对育龄妇女造成的社会和情感负担。育龄妇女需要安全,但也需要支持和安慰。

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