Department of Nursing and Obstetrics, Wroclaw Medical University, 51-618 Wroclaw, Poland.
Department of Psychiatry, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Int J Environ Res Public Health. 2022 Dec 2;19(23):16117. doi: 10.3390/ijerph192316117.
Rooming-in is the WHO-recommended care system for mothers in the puerperium and their babies. This system allows the newborn to stay with the mother in the same room, 24 h a day. We aimed to investigate the need to entrust a newborn (NEN) in the care of maternity rooming-in staff during the COVID-19 pandemic, and its relationship to pain, anxiety, and blood loss after delivery. A prospective study of 200 adult women in the maternity ward operating in the rooming-in system focussed on NEN in the care of maternity rooming-in staff on the first (T1) and the second day of puerperium (T2). Women who declared having NEN were compared with women without NEN for anxiety, pain, and a drop in haemoglobin in the blood after delivery. In T1, 34% and in T2, 27% of women felt NEN in the care of maternity rooming-in staff. The NEN of women after a cesarean section was higher on both days than the NEN of women after vaginal delivery. Women with NEN had higher levels of pain, state anxiety, and higher levels of postpartum anxiety than women without NEN. Further research should be warranted to investigate whether women who give birth in hospitals that satisfy the NEN in the care of maternity rooming-in staff in their rooming-in units experience less pain and anxiety in comparison to those who give birth in hospital units without such a possibility and whether this factor is an important element in reducing anxiety and pain during puerperium.
母婴同室是世卫组织推荐的产褥期产妇和婴儿护理系统。该系统允许新生儿 24 小时与母亲待在同一房间内。我们旨在调查在 COVID-19 大流行期间是否需要将新生儿（NEN）托付给母婴同室工作人员照顾，以及其与分娩后疼痛、焦虑和失血的关系。对在母婴同室系统中运作的产科病房的 200 名成年女性进行了一项前瞻性研究，重点关注母婴同室工作人员对 NEN 的护理，分别在产后第 1 天（T1）和第 2 天（T2）。将有 NEN 的女性与没有 NEN 的女性进行比较，比较焦虑、疼痛和分娩后血红蛋白下降。在 T1，34%的女性和 T2，27%的女性认为 NEN 在母婴同室工作人员的照顾下。剖宫产术后的 NEN 在两天内均高于阴道分娩后的 NEN。有 NEN 的女性比没有 NEN 的女性疼痛更剧烈、状态焦虑更严重，产后焦虑程度更高。需要进一步研究，以调查在母婴同室单位满足 NEN 需求的医院分娩的女性与在不具备这种可能性的医院单位分娩的女性相比，是否在疼痛和焦虑方面经历更少，以及这一因素是否是减轻产褥期焦虑和疼痛的重要因素。
