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多案例研究:探索新冠疫情期间医院访客限制对分娩支持的影响

Multiple Case Study Exploring the Impact of Visitor Restrictions in Hospitals on Childbirth Support during the COVID-19 Pandemic.

作者信息

Hicks Lauren E

机构信息

The University of North Carolina at Chapel Hill, North Carolina, 120 N. Medical Dr., #3601, Chapel Hill, North Carolina, 27514.

出版信息

Reprod Female Child Health. 2023 Dec;2(4):271-278. doi: 10.1002/rfc2.57. Epub 2023 Sep 25.

DOI:10.1002/rfc2.57
PMID:38188699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10768814/
Abstract

OBJECTIVE

Childbirth is a life-changing experience for new mothers, birth partners, and families. The COVID-19 pandemic restricted laboring mothers' access to support in hospitals through visitor restrictions. The goal of this research was to describe childbirth support in hospitals during the COVID-19 pandemic.

METHODS

A qualitative study using a multiple case study design describes childbirth support in hospitals during the COVID-19 pandemic from the perspectives of the new mother, birth partner, and obstetric hospital staff, including doulas, nurses, and obstetric providers. The setting was a large metropolitan area in South Texas. Sixteen participants were interviewed including four new mothers, three birth partners, three doulas, three obstetric nurses, and three obstetric providers.

RESULTS

Themes that emerged from the data include: under a spotlight, unmet expectations, discovering serenity, and quality childbirth support.

CONCLUSION

During the pandemic, new mothers and birth partners experienced fewer distractions, better communication with the hospital staff, and had better opportunities to bond with the newborn during labor and after birth, but did report missing the presence of their family and friends. Doulas, obstetric nurses, and obstetric providers found they were able to provide better quality and safer care to laboring mothers and birth partners.

摘要

目的

分娩对于新妈妈、分娩陪伴者和家庭来说是一次改变人生的经历。新冠疫情通过限制访客,使待产母亲在医院获得支持的机会减少。本研究的目的是描述新冠疫情期间医院内的分娩支持情况。

方法

一项采用多案例研究设计的定性研究,从新妈妈、分娩陪伴者以及产科医院工作人员(包括导乐、护士和产科医护人员)的角度,描述新冠疫情期间医院内的分娩支持情况。研究地点为南德克萨斯州的一个大都市地区。共采访了16名参与者,包括4名新妈妈、3名分 娩陪伴者、3名导乐、3名产科护士和3名产科医护人员。

结果

数据中出现的主题包括:备受关注、期望未达成、找到宁静以及高质量的分娩支持。

结论

在疫情期间,新妈妈和分娩陪伴者受到的干扰减少,与医院工作人员的沟通更好,并且在分娩期间和产后有更多机会与新生儿建立亲密关系,但她们确实表示想念家人和朋友的陪伴。导乐、产科护士和产科医护人员发现,他们能够为待产母亲和分娩陪伴者提供质量更高、更安全的护理。

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本文引用的文献

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Nurs Womens Health. 2022 Aug;26(4):278-287. doi: 10.1016/j.nwh.2022.05.002. Epub 2022 Jun 11.
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A qualitative exploratory interview study on birth companion support actions for women during childbirth.关于分娩时女性分娩伴侣支持行为的定性探索性访谈研究。
BMC Pregnancy Childbirth. 2022 Jan 22;22(1):63. doi: 10.1186/s12884-022-04398-4.
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The Impact of Visiting Restrictions During the COVID-19 Pandemic on Pediatric Patients.COVID-19 大流行期间探视限制对儿科患者的影响。
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Women Birth. 2022 May;35(3):298-306. doi: 10.1016/j.wombi.2021.04.012. Epub 2021 Apr 27.
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Pandemic Birthing: Childbirth Satisfaction, Perceived Health Care Bias, and Postpartum Health During the COVID-19 Pandemic.大流行分娩:COVID-19 大流行期间的分娩满意度、感知医疗保健偏见和产后健康。
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