Melo Eleonora Pereira, Mendes Esther Ferreira Dos Santos, Rodrigues Rita de Cássia Rebouças, Nogueira Denise Lima, Tabosa Tayná Albuquerque, Castro Marcia C, Machado Márcia Maria Tavares
Programa de Pós-graduação em Saúde Pública, Universidade Federal do Ceará, Fortaleza, Brasil.
Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Brasil.
Cad Saude Publica. 2025 Apr 11;41(3):e00134924. doi: 10.1590/0102-311XEN134924. eCollection 2025.
Preterm birth and hospitalization of the newborn are potentially traumatic events for mothers and children. The COVID-19 pandemic, along with its social impacts and additional concerns, has exacerbated maternal distress and anxiety, adversely impacting the development of premature babies. This study conducted a qualitative systematic review to understand maternal care for preterm infants during the COVID-19 pandemic. Following the Joanna Briggs Institute methodology and PRISMA guidelines, the databases CINAHL, Embase, PsycINFO, Scopus, Web of Science, and the portals Virtual Health Library and CAPES Periodicals were consulted. From the 1,449 identified publications, 14 articles were included in the review, resulting in 172 primary findings. The findings were grouped using the meta-aggregative approach, with confidence assessed via the ConQual approach, resulting in four meta-aggregated findings: (1) the impact of the pandemic on health services for preterm infants; (2) the impact of the pandemic and prematurity on maternal mental health; (3) challenges to the maternal care of preterm infants imposed by COVID-19; and (4) maternal coping strategies during the pandemic. The review revealed that the pandemic and associated sanitary measures negatively impacted maternal proximity to hospitalized premature infants, reduced the support networks, worsened financial situations, and increased mothers' emotional burden. Public policies are recommended to provide support to mothers, offer resources to deal with adverse experiences, and promote parental skills in caring for preterm infants.
早产和新生儿住院对母亲和孩子来说可能是创伤性事件。新冠疫情及其社会影响和其他问题加剧了母亲的痛苦和焦虑，对早产儿的发育产生了不利影响。本研究进行了一项定性系统综述，以了解新冠疫情期间母亲对早产儿的护理情况。按照乔安娜·布里格斯研究所的方法和PRISMA指南，查阅了CINAHL、Embase、PsycINFO、Scopus、Web of Science数据库以及虚拟健康图书馆和CAPES期刊门户。从1449篇已识别的出版物中，14篇文章被纳入综述，得出172项主要研究结果。采用元聚合方法对研究结果进行分组，并通过ConQual方法评估可信度，得出四项元聚合研究结果：（1）疫情对早产儿医疗服务的影响；（2）疫情和早产对母亲心理健康的影响；（3）新冠疫情给母亲护理早产儿带来的挑战；（4）疫情期间母亲的应对策略。综述显示，疫情及相关卫生措施对母亲与住院早产儿的亲近程度产生了负面影响，减少了支持网络，恶化了经济状况，并增加了母亲的情感负担。建议出台公共政策，为母亲提供支持，提供应对不良经历的资源，并提升父母护理早产儿的技能。
