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在 COVID-19 大流行期间,使用 Voqual 实时应用程序在澳大利亚生孩子时感到焦虑——女性的体验。

Feeling anxious'- women's experiences of having a baby in Australia during the COVID-19 pandemic using the Voqual real time app.

机构信息

School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.

Molly Wardaguga Research Centre, School of Nursing and Midwifery, Charles Darwin University, Level 11, 410 Ann Street, Brisbane, QLD, 4000, Australia.

出版信息

BMC Pregnancy Childbirth. 2023 Sep 19;23(1):670. doi: 10.1186/s12884-023-05993-9.

DOI:10.1186/s12884-023-05993-9
PMID:37726659
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10507989/
Abstract

PURPOSE

Internationally, the COVID-19 pandemic impacted maternity services. In Australia, this included changes to antenatal appointments and the reduction of support people during labour and birth. For women pregnant during the pandemic there were increased stressors of infection in the community and in hospitals along with increased periods of isolation from friends and families during lockdown periods. The aim of this study was to explore the real-time experiences of women who were pregnant and had a baby during the first wave of the COVID-19 pandemic in Australia.

METHODS

This study followed seven women throughout their pregnancy and early parenthood. Women created audio or video recordings in real time using the Voqual app and were followed up by in-depth interviews after they gave birth.

RESULTS

Using narrative analysis their individual stories were compared and an overarching theme of 'feeling anxious' was found which was underpinned by the two themes 'model of care' and 'environment'.

CONCLUSIONS

These findings highlight the protective impact midwifery continuity of care has on reducing anxiety in women during the pandemic, and that the home environment can either be secure and safe or a place of isolation.

摘要

目的

在国际上,COVID-19 大流行对产妇服务产生了影响。在澳大利亚,这包括产前预约的改变以及分娩期间支持人员的减少。对于在大流行期间怀孕的妇女来说,社区和医院的感染压力增加,加上封锁期间与朋友和家人隔离的时间增加。本研究旨在探讨在澳大利亚 COVID-19 大流行第一波期间怀孕并生育的妇女的实时体验。

方法

本研究在整个怀孕期间和早期育儿期间对 7 名妇女进行了跟踪。妇女使用 Voqual 应用程序实时创建音频或视频记录,并在分娩后进行深入访谈。

结果

通过叙述性分析比较了她们的个人故事,发现了一个总体主题“感到焦虑”,其基础是两个主题“护理模式”和“环境”。

结论

这些发现强调了助产士连续性护理在减轻大流行期间妇女焦虑方面的保护作用,并且家庭环境既可以是安全的,也可以是隔离的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75d5/10507989/a6537616a06f/12884_2023_5993_Figa_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75d5/10507989/a6537616a06f/12884_2023_5993_Figa_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75d5/10507989/a6537616a06f/12884_2023_5993_Figa_HTML.jpg

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本文引用的文献

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Learning from a crisis: a qualitative study of the impact on mothers' emotional wellbeing of changes to maternity care during the COVID-19 pandemic in England, using the National Maternity Survey 2020.从危机中学习:利用 2020 年全国产妇调查,对英格兰 COVID-19 大流行期间产褥期护理变化对母亲情感健康的影响进行定性研究。
BMC Pregnancy Childbirth. 2022 Nov 23;22(1):868. doi: 10.1186/s12884-022-05208-7.
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Prenatal stress from the COVID-19 pandemic predicts maternal postpartum anxiety as moderated by psychological factors: The Australian BITTOC Study.COVID-19 大流行导致的产前压力预测了母亲产后焦虑,心理因素对此具有调节作用:澳大利亚 BITTOC 研究。
J Affect Disord. 2022 Oct 1;314:68-77. doi: 10.1016/j.jad.2022.06.055. Epub 2022 Jun 24.
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"Never let a good crisis go to waste": Positives from disrupted maternity care in Australia during COVID-19.“不要浪费一场好危机”:澳大利亚在 COVID-19 期间中断的产妇护理中发现的积极因素。
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Midwives providing woman-centred care during the COVID-19 pandemic in Australia: A national qualitative study.澳大利亚在新冠疫情期间提供以女性为中心护理的助产士:一项全国性定性研究。
Women Birth. 2022 Sep;35(5):475-483. doi: 10.1016/j.wombi.2021.10.006. Epub 2021 Oct 14.
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One Year Into the Pandemic: A Systematic Review of Perinatal Mental Health Outcomes During COVID-19.新冠疫情爆发一年之际:对 COVID-19 期间围产期心理健康结果的系统评价
Front Psychiatry. 2021 Jun 24;12:674194. doi: 10.3389/fpsyt.2021.674194. eCollection 2021.
6
Midwives' experiences of providing maternity care during the COVID-19 pandemic in Australia.澳大利亚助产士在 COVID-19 大流行期间提供产妇护理的体验。
Women Birth. 2022 May;35(3):262-271. doi: 10.1016/j.wombi.2021.02.007. Epub 2021 Mar 15.
7
Maternal-infant bonding and perceptions of infant temperament: The mediating role of maternal mental health.母婴结合与婴儿气质认知:心理健康在其中的中介作用。
J Affect Disord. 2021 Mar 1;282:1323-1329. doi: 10.1016/j.jad.2021.01.023. Epub 2021 Jan 13.
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