Greenfield Mari, Payne-Gifford Sophie, McKenzie Gemma
King's College London, London, United Kingdom.
University of Hertfordshire, Hatfield, United Kingdom.
Front Glob Womens Health. 2021 Feb 18;2:603744. doi: 10.3389/fgwh.2021.603744. eCollection 2021.
The global coronavirus (Covid-19) pandemic concerns all people, but has a specific effect on those who are expecting a baby during this time. The advice in the UK changed rapidly, with 14 different sets of national guidance issued within 1 month. Individual NHS Trusts released various guidance relating to the withdrawal of homebirth services, the closure of birth centers, restrictions on the number of birth partners (if any) allowed during labor, and whether any visitors were allowed to attend after birth. With the landscape of maternity care changing so rapidly, research was carried out to provide real-time data to capture the lived experiences of expectant families. A mixed methods online survey was carried out over 2 weeks between 10th and 24th April 2020. The survey was open to those in the third trimester of pregnancy, those who had given birth since the beginning of the "lockdown" period in the UK, and the partners of pregnant women and people who were in these circumstances. The survey asked questions about how respondents' holistic antenatal experiences had been affected, whether their plans for birth had changed, and the effect of these changes on respondents' emotional wellbeing. Of the 1,700 responses received, 72 mentioned that they had seriously considered "freebirthing" (giving birth without a healthcare professional present). An analysis of the respondents' reasons for considering freebirth was conducted, finding that reasons for considering freebirth were complex and multifaceted. Lesbian, bisexual, pansexual, and queer women were more likely to have considered freebirth than heterosexual people ( < 0.001). Considering giving birth without a healthcare professional present is unusual in the Global North and represents an emerging field of study. The literature examining the reasons that people consider freebirth shows a variety of underlying motivations. A global pandemic represents a new factor in such considerations. The findings from this research can help inform maternity service planning in future crises.
全球冠状病毒（新冠病毒-19）大流行关乎所有人，但对在此期间待产的孕妇有特殊影响。英国的相关建议迅速变化，在1个月内发布了14套不同的国家指导意见。各个国民保健服务信托机构发布了各种指导意见，涉及家庭分娩服务的取消、分娩中心的关闭、分娩时允许陪伴的分娩伴侣数量限制（如有），以及产后是否允许访客探视。由于产科护理情况变化如此迅速，开展了相关研究以提供实时数据，来了解待产家庭的实际经历。2020年4月10日至24日的两周内进行了一项混合方法在线调查。该调查面向怀孕晚期的孕妇、自英国“封锁”期开始后已分娩的产妇、孕妇伴侣以及处于这些情况的其他人。调查询问了受访者的整体产前经历受到了怎样的影响、她们的分娩计划是否改变，以及这些变化对受访者情绪健康的影响。在收到的1700份回复中，有72份提到她们曾认真考虑过“无医护人员陪伴分娩”（在没有医护专业人员在场的情况下分娩）。对受访者考虑无医护人员陪伴分娩的原因进行了分析，发现考虑无医护人员陪伴分娩的原因复杂且多方面。女同性恋、双性恋、泛性恋和酷儿女性比异性恋者更有可能考虑无医护人员陪伴分娩（<0.001）。在全球北方地区，考虑在没有医护专业人员在场的情况下分娩是不寻常的，这代表了一个新兴的研究领域。审视人们考虑无医护人员陪伴分娩原因的文献显示出多种潜在动机。全球大流行是此类考虑中的一个新因素。这项研究的结果有助于为未来危机中的产科服务规划提供参考。
