Macdonald Danielle, Bigelow-Talbert Kristen, Ross-White Amanda, Snelgrove-Clarke Erna, Sookhoo Leah
School of Nursing, Queen's University, Kingston, Ontario, Canada.
Queen's Collaboration for Health Care Quality: A JBI Centre for Excellence, Kingston, Ontario, Canada.
Int J Nurs Stud Adv. 2025 Jan 15;8:100295. doi: 10.1016/j.ijnsa.2025.100295. eCollection 2025 Jun.
The Covid-19 pandemic was a challenging time for people who sought health care and for health care providers. Throughout the pandemic women and birthing people, families, and health care providers adapted to ongoing changes, restrictions, and new information to ensure that babies were born safely. There was a strong policy focus on safety and the reduction of infection, however this focus did not account for how the changes to birthing care practice would influence the experiences of the people most continuously sharing space during birth - women and birthing people, midwives, and nurses.
To explore and understand the birthing care experiences of women and birthing people, midwives, and nurses.
We used the JBI methodology and methods to conduct our qualitative review. We included studies with participants who were women or birthing people, nurses, and midwives who received or provided birthing care during the Covid-19 global pandemic. Studies published between January 2020 and February 2023 were included. Studies had to report qualitative data.
A total of 5694 studies were identified for this review. After duplications were removed, screening and critical appraisal, 26 studies were included. Following meta-aggregation, 3 synthesized findings and 9 categories were created. The synthesized findings are 1) Navigating a pandemic and the chaos of constant changes 2) Striving for business as usual during a pandemic and 3) Amplifying variations in birthing care experiences.
The experiences and needs of people who provide and receive birthing care must be prioritized in all spaces. Midwives, nurses, women, and birthing people must be included in decision making for changes to practices and policies at all levels, especially during uncertain times. Birth experiences must be respected and supported to ensure that health and wellness outcomes are optimized for families at all stages of the intrapartum, postpartum and early parenting journeys.
Registered with Prospero CRD42021292832. An a priori protocol published, Macdonald, D., Snelgrove-Clarke, E., Ross-White, A., & Bigelow-Talbert, K. (2022). The experiences of birthing care during Covid-19: A systematic review protocol. (5): 1353-1360https://doi.org/10.11124/JBIES-21-00300.
对于寻求医疗保健的人群以及医疗保健提供者而言，新冠疫情是一段充满挑战的时期。在整个疫情期间，产妇、家庭以及医疗保健提供者不断适应持续的变化、限制措施和新信息，以确保婴儿安全出生。政策重点强烈聚焦于安全和感染防控，然而这一重点并未考虑到分娩护理实践的改变会如何影响在分娩过程中最常共处空间的人群的体验，即产妇、助产士和护士。
探索并了解产妇、助产士和护士的分娩护理体验。
我们采用循证卫生保健国际协作网（JBI）的方法进行定性综述。纳入的研究对象为在新冠疫情全球大流行期间接受或提供分娩护理的产妇、护士和助产士。纳入2020年1月至2023年2月期间发表的研究。研究必须报告定性数据。
本次综述共识别出5694项研究。在去除重复项、进行筛选和严格评估后，纳入了26项研究。经过元聚合，生成了3个综合研究结果和9个类别。综合研究结果为：1）应对疫情及持续变化带来的混乱；2）在疫情期间努力维持正常运转；3）放大分娩护理体验的差异。
在所有领域，都必须优先考虑提供和接受分娩护理的人群的体验和需求。在各级实践和政策变革的决策过程中，必须纳入助产士、护士、产妇，尤其是在不确定时期。必须尊重和支持分娩体验，以确保在产时、产后及早期育儿的各个阶段，家庭的健康和福祉都能得到优化。
在国际前瞻性系统评价注册库（Prospero）注册，注册号为CRD42021292832。已发表预先制定的方案，麦克唐纳，D.，斯内尔格罗夫 - 克拉克，E.，罗斯 - 怀特，A.，& 比奇洛 - 塔尔伯特，K.（2022年）。新冠疫情期间的分娩护理体验：一项系统评价方案。（5）：1353 - 1360。https://doi.org/10.11124/JBIES - 21 - 00300
