Lived experiences of the partners of COVID-19 positive childbearing women: A qualitative study.


Journal

Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131

Informations de publication

Date de publication:
May 2022
Historique:
received: 24 06 2021
revised: 23 07 2021
accepted: 24 07 2021
pubmed: 7 8 2021
medline: 6 5 2022
entrez: 6 8 2021
Statut: ppublish

Résumé

Several maternity units worldwide have rapidly put in place changes to maternity care pathways and restrictive preventive measures in the attempt to limit the spread of COVID-19, resulting in birth companions often not being allowed to be present at birth and throughout hospital admission. The WHO strongly recommends that the emotional, practical, advocacy and health benefits of having a chosen birth companion are respected and accommodated, including women with suspected, likely or confirmed COVID-19. To explore the lived experiences of the partners of COVID-19 positive childbearing women who gave birth during the first pandemic wave (March and April 2020) in a Northern Italy maternity hospital. A qualitative study using an interpretive phenomenological approach was undertaken. Audio-recorded semi-structured interviews were conducted with 14 partners. Thematic data analysis was conducted using NVivo software. Ethical approval was obtained from the relevant Ethics Committee prior to commencing the study. The findings include five main themes: (1) emotional impact of the pandemic; (2) partner and parent: a dual role; (3) not being present at birth: a 'denied' experience; (4) returning to 'normality'; (5) feedback to 'pandemic' maternity services and policies. Key elements of good practice to promote positive childbirth experiences in the context of a pandemic were identified: presence of a birth companion; COVID-19 screening tests for support persons; timely, proactive and comprehensive communication of information to support persons; staggered hospital visiting times; follow-up of socio-psychological wellbeing; antenatal and postnatal home visiting; family-centred policies and services.

Sections du résumé

PROBLEM OBJECTIVE
Several maternity units worldwide have rapidly put in place changes to maternity care pathways and restrictive preventive measures in the attempt to limit the spread of COVID-19, resulting in birth companions often not being allowed to be present at birth and throughout hospital admission.
BACKGROUND BACKGROUND
The WHO strongly recommends that the emotional, practical, advocacy and health benefits of having a chosen birth companion are respected and accommodated, including women with suspected, likely or confirmed COVID-19.
AIM OBJECTIVE
To explore the lived experiences of the partners of COVID-19 positive childbearing women who gave birth during the first pandemic wave (March and April 2020) in a Northern Italy maternity hospital.
METHODS METHODS
A qualitative study using an interpretive phenomenological approach was undertaken. Audio-recorded semi-structured interviews were conducted with 14 partners. Thematic data analysis was conducted using NVivo software. Ethical approval was obtained from the relevant Ethics Committee prior to commencing the study.
FINDINGS RESULTS
The findings include five main themes: (1) emotional impact of the pandemic; (2) partner and parent: a dual role; (3) not being present at birth: a 'denied' experience; (4) returning to 'normality'; (5) feedback to 'pandemic' maternity services and policies.
DISCUSSION AND CONCLUSION CONCLUSIONS
Key elements of good practice to promote positive childbirth experiences in the context of a pandemic were identified: presence of a birth companion; COVID-19 screening tests for support persons; timely, proactive and comprehensive communication of information to support persons; staggered hospital visiting times; follow-up of socio-psychological wellbeing; antenatal and postnatal home visiting; family-centred policies and services.

Identifiants

pubmed: 34353766
pii: S1871-5192(21)00120-7
doi: 10.1016/j.wombi.2021.07.006
pmc: PMC9051041
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

289-297

Informations de copyright

Copyright © 2021 Australian College of Midwives. All rights reserved.

Références

Midwifery. 2015 Jan;31(1):9-18
pubmed: 24906562
Cochrane Database Syst Rev. 2019 Mar 18;3:CD012449
pubmed: 30883666
PLoS One. 2021 Mar 24;16(3):e0248488
pubmed: 33760851
Child Dev Perspect. 2019 Dec;13(4):247-253
pubmed: 31894183
Midwifery. 2021 Jul;98:102996
pubmed: 33813305
Women Birth. 2022 May;35(3):298-306
pubmed: 33941497
Dev Psychobiol. 2021 Jul;63(5):1384-1398
pubmed: 33860940
Cochrane Database Syst Rev. 2017 Jul 06;7:CD003766
pubmed: 28681500
Women Birth. 2022 May;35(3):242-253
pubmed: 33451929
Women Birth. 2021 Jul;34(4):335-343
pubmed: 32684343
Women Birth. 2021 May;34(3):206-209
pubmed: 32276778
JBI Libr Syst Rev. 2011;9(64 Suppl):1-13
pubmed: 27820175
Women Birth. 2022 Feb;35(1):e41-e48
pubmed: 33495131
Nurse Res. 2011;19(1):12-6
pubmed: 22128582
Int J Gynaecol Obstet. 2020 Aug;150(2):184-188
pubmed: 32474910
Int J Gynaecol Obstet. 2020 Jun;149(3):273-286
pubmed: 32248521

Auteurs

Antonella Nespoli (A)

School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.

Sara Ornaghi (S)

Department of Obstetrics and Gynecology, MBBM Foundation at San Gerardo Hospital, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.

Sara Borrelli (S)

Division of Midwifery, School of Health Sciences, The University of Nottingham, Nottingham, United Kingdom.

Patrizia Vergani (P)

Department of Obstetrics and Gynecology, MBBM Foundation at San Gerardo Hospital, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.

Simona Fumagalli (S)

School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy. Electronic address: simona.fumagalli@unimib.it.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH