Obstetric Department, Foch Hospital, Suresnes, F-92150, France.
Department of Midwifery, Paris-Saclay University, Montigny-le-Bretonneux, F-78180, France.
BMC Pregnancy Childbirth. 2024 Oct 21;24(1):686. doi: 10.1186/s12884-024-06854-9.
Transmission of SARS-CoV-2 highlighting the importance of social distancing guidelines. Following a series of lockdowns and the widespread vaccination of the European population, many countries began to lift these restrictions. During this period, while some parents yearned for emotional support and family presence, others found that the solitude facilitated by the restrictions was beneficial for bonding and breastfeeding. In France, postnatal stays are generally longer than in other countries, and the limited availability of home-based follow-up care, combined with pandemic isolation measures, further complicated perspectives on visitation restrictions. Therefore, the objective of this study was to assess the satisfaction of mothers and caregivers regarding these visit restrictions in French maternity settings during the COVID-19 pandemic.
We conducted two multicentre descriptives surveys across five French maternity wards (three in Paris and two in Lyon) from June 1st to July 15th, 2021. Participants included mothers, selected based on criteria such as French-speaking, at-term birth (≥ 37 weeks), and hospitalisation with their newborn, as well as caregivers working in the postpartum units. Satisfaction with visitation restrictions was assessed using a four-point Likert scale, which was then dichotomised into "mostly satisfied" versus "mostly dissatisfied" for the analysis. Multivariable logistic regression models were used to identify factors associated with satisfaction.
We analysed complete responses from 430 of the 2,142 mothers (20.1%) and 221 of the 385 caregivers (57.4%) who participated during the study period. The majority of mothers (68.8%, n = 296/430) and caregivers (90.5%, n = 200/221) declare themselves satisfied with the policy of restricting visits to maternity wards. The main source of mother's satisfaction came from a quieter stay, but they regretted the absence of their other children.
Maternity visit restriction policies were largely supported by mothers and caregivers, especially when partners and siblings were allowed. Revisiting these policies, along with the postpartum stay length, may improve care, though further evaluation in non-pandemic settings is needed.
SARS-CoV-2 的传播强调了保持社交距离指南的重要性。在一系列封锁和欧洲人口广泛接种疫苗之后，许多国家开始放宽这些限制。在此期间，虽然一些父母渴望得到情感支持和家人的陪伴，但另一些父母发现限制带来的独处对建立亲子关系和母乳喂养有益。在法国，产后住院时间通常比其他国家长，而家庭随访服务的有限可用性，加上大流行隔离措施，进一步使探视限制的前景变得复杂。因此，本研究的目的是评估在 COVID-19 大流行期间，法国产科病房中母亲和护理人员对这些探视限制的满意度。
我们于 2021 年 6 月 1 日至 7 月 15 日在法国五个产科病房（三个在巴黎，两个在里昂）进行了两项多中心描述性调查。参与者包括母亲，根据法语、足月分娩（≥37 周）和与新生儿住院以及在产后病房工作的护理人员等标准选择。使用四点 Likert 量表评估对探视限制的满意度，然后将其分为“主要满意”和“主要不满意”进行分析。使用多变量逻辑回归模型来确定与满意度相关的因素。
我们分析了在研究期间参与的 2142 名母亲中的 430 名（20.1%）和 385 名护理人员中的 221 名（57.4%）的完整回复。大多数母亲（68.8%，n=296/430）和护理人员（90.5%，n=200/221）表示对限制产科病房探视的政策满意。母亲满意度的主要来源是更安静的住院环境，但她们怀念自己的其他孩子。
限制产妇探视政策得到了母亲和护理人员的广泛支持，特别是当伴侣和兄弟姐妹被允许探视时。重新考虑这些政策以及产后住院时间可能会改善护理，但需要在非大流行环境中进一步评估。
