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COVID-19 公共卫生限制与新妈妈心理健康:定性范围综述。

COVID-19 Public Health Restrictions and New Mothers' Mental Health: A Qualitative Scoping Review.

机构信息

Department of Health Sciences, Carleton University, Ottawa, ON, Canada.

MacOdrum Library, Carleton University, Ottawa, ON, Canada.

出版信息

Qual Health Res. 2024 Dec;34(14):1456-1471. doi: 10.1177/10497323241251984. Epub 2024 Jul 20.

Abstract

Public health restrictions to protect physical health during the COVID-19 pandemic had unintended effects on mental health, which may have disproportionately affected some potentially vulnerable groups. This scoping review of qualitative research provides a narrative synthesis of new mothers' perspectives on their mental health during COVID-19 pandemic restrictions through pregnancy to the postpartum period. Database searches in PubMed, CINAHL, and PsycINFO sought primary research studies published until February 2023, which focused on new mothers' self-perceived mental health during the pandemic ( = 55). Our synthesis found that new mothers' mental health was impacted by general public health restrictions resulting in isolation from family and friends, a lack of community support, and impacts on the immediate family. However, public health restrictions specific to maternal and infant healthcare were most often found to negatively impact maternal mental health, namely, hospital policies prohibiting the presence of birthing partners and in-person care for their infants. This review of qualitative research adds depth to previous reviews that have solely examined the quantitative associations between COVID-19 public health restrictions and new mothers' mental health. Here, our review demonstrates the array of adverse impacts of COVID-19 public health restrictions on new mothers' mental health throughout pregnancy into the postpartum period, as reported by new mothers. These findings may be beneficial for policy makers in future public health emergency planning when evaluating the impacts and unintended consequences of public health restrictions on new mothers.

摘要

公共卫生限制措施在 COVID-19 大流行期间保护身体健康,但对心理健康产生了意外影响,这可能对一些潜在弱势群体产生了不成比例的影响。本范围综述对定性研究进行了综合分析,通过妊娠到产后期间,提供了新妈妈对 COVID-19 大流行限制期间心理健康的看法。在 PubMed、CINAHL 和 PsycINFO 数据库中进行了搜索,以寻找截至 2023 年 2 月发表的重点关注新妈妈在大流行期间自我感知心理健康的原始研究(=55)。我们的综合分析发现,新妈妈的心理健康受到一般公共卫生限制的影响,导致与家人和朋友隔离、缺乏社区支持以及对直系亲属的影响。然而,专门针对母婴保健的公共卫生限制通常被发现对产妇心理健康产生负面影响,即医院政策禁止分娩伴侣在场和对婴儿进行面对面护理。这项定性研究综述增加了之前仅检查 COVID-19 公共卫生限制与新妈妈心理健康之间定量关联的综述的深度。在这里,我们的综述展示了新妈妈报告的 COVID-19 公共卫生限制对整个妊娠到产后期间新妈妈心理健康的一系列不利影响。这些发现可能对未来公共卫生应急规划中的政策制定者有益,在评估公共卫生限制对新妈妈的影响和意外后果时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f3/11580325/7956c624b03a/10.1177_10497323241251984-fig1.jpg

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