Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Womens Health (Lond). 2023 Jan-Dec;19:17455057231157480. doi: 10.1177/17455057231157480.
Most evidence on the impact of pandemic on perinatal population's experiences has reported such effects in a portion of the pandemic.
The aim of this study was to understand the postpartum people's experiences of and responses to the coronavirus disease 2019 pandemic during the first year and to identify their health care needs.
This is a descriptive qualitative study.
This study was conducted in British Columbia, Canada, between March 2020 and April 2021. Participants (N = 268) were at 4 months postpartum and were recruited as part of the Pregnancy Specific Anxiety Tool study through prenatal care clinics and classes, community laboratory services and social media. Qualitative data were obtained using six online open-ended questions and were analysed using thematic analysis.
Findings were grouped under five central themes: protecting baby (with three categories including hypervigilance, constant decision-making to find balance and developmental issues); psychological adjustments (with three categories including coping, anxiety and grief); experience of isolation and lack/loss of support (with two categories including isolation and loss of expected support); unexpected interruptions and life events (with four categories including interrupted maternity leave, unexpected changes/life events, positive impacts and interruption in health care services); and perceived postpartum care needs (with five categories including in-person visits, allowing support persons, providing information/education/support groups, mental health and social support and pro-active check-ins).
Several impacts of the pandemic persisted throughout the first year, particularly isolation and lack of support. These findings can inform responsive health care services to address the emerging needs of postpartum people throughout the pandemic.
大多数关于大流行对围产期人群经历影响的证据仅在大流行的一部分时间内报告了这些影响。
本研究旨在了解产后人群在大流行第一年期间对 2019 年冠状病毒病的体验和应对，并确定他们的医疗保健需求。
这是一项描述性定性研究。
本研究于 2020 年 3 月至 2021 年 4 月在加拿大不列颠哥伦比亚省进行。参与者（N=268）在产后 4 个月时被招募，作为产前护理诊所和课程、社区实验室服务和社交媒体中妊娠特异性焦虑工具研究的一部分。使用六个在线开放式问题获得定性数据，并使用主题分析进行分析。
研究结果分为五个中心主题：保护婴儿（包括三个类别：高度警惕、不断寻找平衡的决策和发育问题）；心理调整（包括三个类别：应对、焦虑和悲伤）；孤立和缺乏/丧失支持的体验（包括两个类别：孤立和预期支持的丧失）；意外中断和生活事件（包括四个类别：中断的产假、意外变化/生活事件、积极影响和中断医疗保健服务）；以及产后护理需求的感知（包括五个类别：亲自访问、允许支持人员、提供信息/教育/支持小组、心理健康和社会支持以及主动签到）。
大流行的一些影响在第一年持续存在，特别是孤立和缺乏支持。这些发现可以为响应性医疗保健服务提供信息，以满足整个大流行期间产后人群的新兴需求。
