Smith Valerie, Flaherty Sarah-Jane, Matvienko-Sikar Karen, Delaney Hannah
School of Nursing & Midwifery, University of Dublin, Trinity College, Dublin, D02 T283., Ireland.
School of Public Health, University College Cork, Cork, Ireland.
HRB Open Res. 2021 Feb 18;4:21. doi: 10.12688/hrbopenres.13233.1. eCollection 2021.
Considerable changes in maternity care provision internationally were implemented in response to COVID-19. Such changes, often occurring suddenly with little advance warning, have had the potential to affect women's and maternity care providers experience of maternity care, both positively and negatively. For this reason, to gain insight and understanding of personal and professional experiences, we will perform a synthesis of the available qualitative evidence on women and maternity care providers' views and experiences of maternity care during COVID-19. : A qualitative evidence synthesis will be conducted. Studies will be eligible if they include pregnant or postpartum women (up to six months) and maternity care providers who received or provided care during COVID-19. To retrieve relevant literature the electronic databases of CINAHL, EMBASE, MEDLINE, PsycINFO, and the Cochrane COVID study register ( https://covid-19.cochrane.org/) will be searched from 01-Jan-2020 to date of search. A combination of search terms based on COVID-19, pregnancy, childbirth and maternity care, and study design, will be used to guide the search. The methodological quality of the included studies will be assessed by at least two reviewers using the Evidence for Policy and Practice Information (EPPI)-Centre 12-criteria quality assessment tool. The Thomas and Harden approach to thematic synthesis will be used for data synthesis. This will involve line by line coding of extracted data, establishing descriptive themes, and determining analytical themes. Confidence in the findings of the review will be assessed by two reviewers independently using Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual). : The proposed synthesis of evidence will help identify maternity care needs during a global pandemic from the perspectives of those receiving and providing care. The evidence will inform and help enhance care provision into the future.
为应对新冠疫情，国际上的孕产妇护理服务发生了重大变化。这些变化往往毫无预警地突然出现，对女性及孕产妇护理提供者的孕产妇护理体验产生了积极和消极的影响。因此，为深入了解个人和专业经验，我们将对现有关于女性及孕产妇护理提供者在新冠疫情期间对孕产妇护理的看法和经历的定性证据进行综合分析。：将进行定性证据综合分析。若研究纳入了新冠疫情期间接受或提供护理的孕妇或产后女性（最长六个月）以及孕产妇护理提供者，则这些研究符合要求。为检索相关文献，将检索CINAHL、EMBASE、MEDLINE、PsycINFO电子数据库以及Cochrane新冠研究注册库（https://covid-19.cochrane.org/），检索时间从2020年1月1日至检索日期。将使用基于新冠疫情、妊娠、分娩和孕产妇护理以及研究设计的搜索词组合来指导搜索。至少两名评审员将使用政策与实践信息证据（EPPI）中心的12项标准质量评估工具对纳入研究的方法学质量进行评估。将采用托马斯和哈登的主题综合方法进行数据综合分析。这将涉及对提取数据逐行编码、确定描述性主题以及确定分析性主题。两名评审员将独立使用推荐分级评估、制定和评价——定性研究综述证据的可信度（GRADE-CERQual）来评估对综述结果的信心。：拟议的证据综合分析将有助于从接受护理者和提供护理者的角度确定全球大流行期间的孕产妇护理需求。这些证据将为未来的护理提供信息并有助于加强护理服务。
