感染新冠病毒的女性在分娩/生产及产后期间所经历的不确定性和矛盾情况。
Uncertainties and contradictions experienced by women with COVID-19 during childbirth/birth and the postpartum period.
作者信息
Baggio Maria Aparecida, Souza Amanda Martins de, Silva Rosane Meire Munhak da, Backes Marli Terezinha Stein, Zilly Adriana
机构信息
Universidade Estadual do Oeste do Paraná. Cascavel, Paraná, Brazil.
Universidade Estadual do Oeste do Paraná. Foz do Iguaçu, Paraná, Brazil.
出版信息
Rev Bras Enferm. 2025 Mar 14;78(1):e20240236. doi: 10.1590/0034-7167-2024-0236. eCollection 2025.
OBJECTIVES
to understand experiences and meanings attributed to childbirth/birth and postpartum by women affected by COVID-19.
METHODS
qualitative study in light of complexity, conducted through interviews with 15 women in university hospital reference for infected and high-risk pregnant women in tenth Health Region of Paraná, Brazil, between December 2021 and April 2022. Data were analyzed using thematic analysis.
RESULTS
childbirth/birth and postpartum experiences different from what was desired and planned, permeated by uncertainties, unpredictability and contradictions, especially regarding maternal and neonatal outcomes, were identified. Experiences full of meanings and emotions caused suffering and compromised mental health, particularly related to prematurity, newborn separation, absence of companion and isolation in COVID-19 unit. Mother-baby bond, self-care and breastfeeding damage, and antagonistic professional actions were observed, with a setback in obstetric practices.
FINAL CONSIDERATIONS
there is a need to respect the rights guaranteed by law and designate professionals trained for maternal and child care.
目的
了解感染新冠病毒的女性对分娩/生产及产后的体验和认知。
方法
基于复杂性进行定性研究，于2021年12月至2022年4月期间，对巴西巴拉那州第十卫生区域一家大学医院中15名感染新冠病毒的孕妇及高危孕妇进行访谈。采用主题分析法对数据进行分析。
结果
发现分娩/生产及产后体验与预期和计划不同，充满不确定性、不可预测性和矛盾性，尤其是在母婴结局方面。充满意义和情感的体验导致痛苦并损害心理健康，特别是与早产、新生儿分离、无陪伴以及在新冠病房隔离有关。观察到母婴联结、自我护理和母乳喂养受到损害，以及专业行为相互矛盾，产科实践出现倒退。
最终考量
有必要尊重法律保障的权利，并指定受过母婴护理培训的专业人员。
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