Maternal, Child and Adolescent Health Program, Burnet Institute, 85 Commercial Rd, Melbourne, VIC 3004, Australia; School of Population and Global Health, University of Melbourne, 207 Bouverie St, Carlton, VIC 3053, Australia.
Maternal, Child and Adolescent Health Program, Burnet Institute, 85 Commercial Rd, Melbourne, VIC 3004, Australia.
Midwifery. 2022 Jul;110:103340. doi: 10.1016/j.midw.2022.103340. Epub 2022 Apr 17.
Due to the COVID-19 pandemic, a number of changes to maternity care were rapidly introduced in all countries, including Australia, to reduce the risk of infection for pregnant women and their care providers. While many studies have reported on the negative effects of these changes, there is a paucity of evidence on factors which women and their providers perceived as positive and useful for future maternity care.
Data was analysed from the Birth in the time of COVID-19 (BITTOC 2020) study survey. Conventional content analysis and descriptive statistics were used to analyse the data and examine which aspects of COVID-amended care women experienced as positive. Data from women were compared to data from midwives.
This project took place in Australia in 2020-2021.
The survey was distributed to women who gave birth and midwives who worked in Australia during the COVID-19 pandemic (March 2020 onwards).
Women reported a variety of positives from their maternity care during COVID-19. These included both care-related factors as well as contextual factors. The most commonly mentioned positives for pregnant and postnatal women were care-related, namely fewer visitors in hospital, having increased access to telehealth services. These were also the most commonly reported positives by midwives. Having midwifery continuity of care models, giving birth at home and having their partner work from home were also highlighted by women as positives.
Despite the negative effect of COVID-19-related restrictions on maternity care, a variety of changes were viewed as positive by both women and midwives, with strong agreement between the two groups.
These findings provide evidence to support the inclusion of these positive elements of care and ensure that the lessons learned from the pandemic are utilised to improve maternity care in Australia going forward.
由于 COVID-19 大流行，所有国家都迅速对产妇护理进行了多项改变，包括澳大利亚，以降低孕妇及其护理人员感染的风险。尽管许多研究报告了这些变化的负面影响，但关于女性及其护理人员认为对未来产妇护理有益的积极因素的证据很少。
对 Birth in the time of COVID-19（BITTOC 2020）研究调查的数据进行了分析。使用常规内容分析和描述性统计对数据进行分析，并检查了 COVID 修正护理中女性体验到的积极方面。将女性的数据与助产士的数据进行了比较。
本项目于 2020 年至 2021 年在澳大利亚进行。
该调查分发给在 COVID-19 大流行期间（2020 年 3 月以后）在澳大利亚分娩的妇女和工作的助产士。
女性报告了 COVID-19 期间产妇护理的各种积极方面。这些包括与护理相关的因素以及背景因素。怀孕和产后妇女提到最多的积极因素与护理相关，即医院访客减少，获得更多远程医疗服务。这也是助产士报告最多的积极因素。助产士连续性护理模式、在家分娩和伴侣在家工作也被女性视为积极因素。
尽管 COVID-19 相关限制对产妇护理产生了负面影响，但妇女和助产士都认为各种变化是积极的，两组之间有强烈的一致性。
这些发现为支持纳入护理的这些积极因素提供了证据，并确保从大流行中吸取的经验教训用于改善澳大利亚未来的产妇护理。
