Sakarya University, Faculty of Health Sciences, Department of Midwifery, Sakarya, Turkey.
Sakarya University, Faculty of Health Sciences, Department of Midwifery, Sakarya, Turkey.
Midwifery. 2022 Feb;105:103206. doi: 10.1016/j.midw.2021.103206. Epub 2021 Nov 17.
To determine the experiences of Turkish midwives who provided care to pregnant women diagnosed with COVID-19 or suspected of having it, during labour and delivery.
A phenomenological approach was used. In-depth individual interviews were conducted with 15 midwives from 15 different hospitals in various Turkish cities through video-conferencing. Data analysis was based on Graneheim and Lundman's techniques for extracting themes from qualitative data.
Four themes emerged: "Measures against pandemic uncertainty," "Impairment in postpartum care," "Emotional burden of the pandemic," and "Adaptation to the results of the pandemic." Midwives stated that they tried to reduce the risk of contamination by taking self-protection measures and creating isolated areas. They carried out practices such as separating the mother and baby postpartum and not allowing breastfeeding. They experienced emotional confusion with the difficulties faced in this process, and they became professional in the management of the process.
The results of this study reveal the challenges faced by Turkish midwives during the COVID-19 pandemic and the importance of the publication of evidence-based guidelines. Provision of emotional support for midwives is essential in order to sustain the continuity of the quality maintenance of midwifery care.
了解在分娩期间为 COVID-19 确诊或疑似孕妇提供护理的土耳其助产士的经验。
采用现象学方法。通过视频会议，对来自土耳其各城市 15 家不同医院的 15 名助产士进行了深入的个人访谈。数据分析基于 Graneheim 和 Lundman 从定性数据中提取主题的技术。
出现了四个主题：“针对大流行不确定性的措施”、“产后护理受损”、“大流行带来的情绪负担”和“适应大流行的结果”。助产士表示，他们通过采取自我保护措施和创建隔离区来降低污染风险。他们实施了一些措施，如母婴产后分离，不允许母乳喂养。他们在这个过程中遇到了困难，感到情绪混乱，并且在处理这个过程方面变得专业。
本研究结果揭示了土耳其助产士在 COVID-19 大流行期间面临的挑战，以及发布基于证据的指南的重要性。为助产士提供情感支持对于维持助产护理质量的连续性至关重要。
