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一项关于 COVID-19 大流行期间黑人女性怀孕经历的混合方法研究。

A Mixed-Methods Study of Experiences During Pregnancy Among Black Women During the COVID-19 Pandemic.

机构信息

Center for Sexuality and Health Disparities, University of Michigan School of Nursing, Ann Arbor (Dr Dove-Medows); College of Nursing, University of Central Florida, Orlando (Drs Davis and Giurgescu and Ms Lebo); Department of Family Medicine, Wayne State University, Detroit, Michigan (Ms McCracken); Department of Epidemiology and Biostatistics, Michigan State University College of Human Medicine, East Lansing (Dr Misra); and Children's Hospital of Wisconsin, Milwaukee (Dr Kavanaugh).

出版信息

J Perinat Neonatal Nurs. 2022;36(2):161-172. doi: 10.1097/JPN.0000000000000622. Epub 2022 Feb 9.

DOI:10.1097/JPN.0000000000000622
PMID:35476770
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9060315/
Abstract

Pregnant women experienced disruptions in their prenatal care during the coronavirus disease-2019 (COVID-19) pandemic. While there is emerging research about the impact of COVID-19 on experiences of pregnancy, the majority of studies that have reported on prenatal care and birth during COVID-19 have not incorporated the first-person accounts of Black women. The purpose of this mixed-methods study was to explore the perspectives of Black women on prenatal care, labor, and birth during the pandemic. A total of 33 participants completed questionnaires. Fourteen of these 33 women and an additional 2 participated in qualitative interviews. Descriptive statistics and a mixed-methods analysis were employed. Participants expressed disappointment about disruptions in their experiences of pregnancy including the way their prenatal care was experienced, cancellation of planned "rites of passage," and visitor policy restrictions during and after the birth. Forty-five percent of participants reported being worried about getting COVID-19 and (61%) about their infant getting COVID-19. Many participants experienced a sense of loss that may permeate through other aspects of their lives. Providing extra support and points of contact can help lessen feelings of isolation during the pandemic and can also offer more explanation for rapidly changing policies and procedures.

摘要

孕妇在 2019 冠状病毒病(COVID-19)大流行期间经历了产前保健的中断。虽然关于 COVID-19 对妊娠体验影响的研究正在出现,但大多数报告 COVID-19 期间产前保健和分娩情况的研究都没有纳入黑人女性的第一人称叙述。本混合方法研究的目的是探讨黑人女性在大流行期间对产前保健、分娩和生育的看法。共有 33 名参与者完成了问卷调查。其中 14 名女性和另外 2 名女性参加了定性访谈。采用描述性统计和混合方法分析。参与者对妊娠体验的中断表示失望,包括他们体验产前保健的方式、计划中的“过渡仪式”取消以及分娩期间和之后的访客政策限制。45%的参与者表示担心感染 COVID-19,(61%)担心他们的婴儿感染 COVID-19。许多参与者感到失落,这种失落感可能会渗透到他们生活的其他方面。在大流行期间提供额外的支持和联系点可以帮助减轻孤立感,也可以为快速变化的政策和程序提供更多解释。

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BMC Pregnancy Childbirth. 2024 Apr 11;24(1):262. doi: 10.1186/s12884-024-06439-6.
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Pandemic stressors and vaccine hesitancy among young, pregnant Black people: A qualitative study of health disparities during a global pandemic.大流行压力因素和年轻、怀孕黑人对疫苗的犹豫:大流行期间全球健康差异的定性研究。
Birth Defects Res. 2023 Dec 1;115(20):1912-1922. doi: 10.1002/bdr2.2262. Epub 2023 Oct 8.
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Differences in delivery hospitalization experiences during the COVID-19 pandemic by maternal race and ethnicity, Pregnancy Risk Assessment Monitoring System, 2020.COVID-19 大流行期间孕产妇种族和民族差异对分娩住院经历的影响,妊娠风险评估监测系统,2020 年。
J Perinatol. 2024 Jan;44(1):20-27. doi: 10.1038/s41372-023-01763-9. Epub 2023 Sep 2.
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Womens Health Issues. 2023 May-Jun;33(3):235-241. doi: 10.1016/j.whi.2022.11.002. Epub 2022 Nov 8.