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The impact of COVID-19 on prenatal care in the United States: Qualitative analysis from a survey of 2519 pregnant women

Objective: To explore if and how women perceived their prenatal care to have changed as a result of COVID-19 and the impact of those changes on pregnant women. Design: Qualitative analysis of open-ended prompts included as part of an anonymous, online, cross-sectional survey of pregnant women in the...

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Autores principales: Javaid, Sarah, Barringer, Sarah, Compton, Sarah D, Kaselitz, Elizabeth, Muzik, Maria, Moyer, Cheryl A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9756085/
https://www.ncbi.nlm.nih.gov/pubmed/33774388
http://dx.doi.org/10.1016/j.midw.2021.102991
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author Javaid, Sarah
Barringer, Sarah
Compton, Sarah D
Kaselitz, Elizabeth
Muzik, Maria
Moyer, Cheryl A.
author_facet Javaid, Sarah
Barringer, Sarah
Compton, Sarah D
Kaselitz, Elizabeth
Muzik, Maria
Moyer, Cheryl A.
author_sort Javaid, Sarah
collection PubMed
description Objective: To explore if and how women perceived their prenatal care to have changed as a result of COVID-19 and the impact of those changes on pregnant women. Design: Qualitative analysis of open-ended prompts included as part of an anonymous, online, cross-sectional survey of pregnant women in the United States. Setting: Online survey with participants from 47 states within the U.S. Participants: Self-identified pregnant women recruited through Facebook, Twitter, and other online sources. Measurements and findings: An anonymous, online survey of pregnant women (distributed April 3 - 24, 2020) included an open-ended prompt asking women to tell us how COVID-19 had affected their prenatal care. Open-ended narrative responses were downloaded into Excel and coded using the Attride-Sterling Framework. 2519 pregnant women from 47 states responded to the survey, 88.4% of whom had at least one previous birth. Mean age was 32.7 years, mean weeks pregnant was 24.3 weeks, and mean number of prenatal visits at the point of the survey was 6.5. Predominant themes of the open narratives included COVID-19’s role in creating structural changes within the healthcare system (reported spontaneously by 2075 respondents), behavioral changes among both pregnant women and their providers (reported by 429 respondents), and emotional consequences for women who were pregnant (reported by 503 respondents) during the pandemic. Changes resulting from COVID-19 varied widely by provider, and women's perceptions of the impact on quality of care ranged from perceiving care as extremely compromised to perceiving it to be improved as a result of the pandemic. Key conclusions and Implications for practice: Women who are pregnant during the COVID-19 pandemic have faced enormous upheaval as hospitals and healthcare providers have struggled to meet the simultaneous and often competing demands of infection prevention, pandemic preparedness, high patient volumes of extremely sick patients, and the needs of ‘non-urgent’ pregnant patients. In some settings, women described very few changes, whereas others reported radical changes implemented seemingly overnight. While infection rates may drive variable responses, these inconsistencies raise important questions regarding the need for local, state, national, or even global recommendations for the care of pregnant women during a global pandemic such as COVID-19.
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spelling pubmed-97560852022-12-16 The impact of COVID-19 on prenatal care in the United States: Qualitative analysis from a survey of 2519 pregnant women Javaid, Sarah Barringer, Sarah Compton, Sarah D Kaselitz, Elizabeth Muzik, Maria Moyer, Cheryl A. Midwifery Article Objective: To explore if and how women perceived their prenatal care to have changed as a result of COVID-19 and the impact of those changes on pregnant women. Design: Qualitative analysis of open-ended prompts included as part of an anonymous, online, cross-sectional survey of pregnant women in the United States. Setting: Online survey with participants from 47 states within the U.S. Participants: Self-identified pregnant women recruited through Facebook, Twitter, and other online sources. Measurements and findings: An anonymous, online survey of pregnant women (distributed April 3 - 24, 2020) included an open-ended prompt asking women to tell us how COVID-19 had affected their prenatal care. Open-ended narrative responses were downloaded into Excel and coded using the Attride-Sterling Framework. 2519 pregnant women from 47 states responded to the survey, 88.4% of whom had at least one previous birth. Mean age was 32.7 years, mean weeks pregnant was 24.3 weeks, and mean number of prenatal visits at the point of the survey was 6.5. Predominant themes of the open narratives included COVID-19’s role in creating structural changes within the healthcare system (reported spontaneously by 2075 respondents), behavioral changes among both pregnant women and their providers (reported by 429 respondents), and emotional consequences for women who were pregnant (reported by 503 respondents) during the pandemic. Changes resulting from COVID-19 varied widely by provider, and women's perceptions of the impact on quality of care ranged from perceiving care as extremely compromised to perceiving it to be improved as a result of the pandemic. Key conclusions and Implications for practice: Women who are pregnant during the COVID-19 pandemic have faced enormous upheaval as hospitals and healthcare providers have struggled to meet the simultaneous and often competing demands of infection prevention, pandemic preparedness, high patient volumes of extremely sick patients, and the needs of ‘non-urgent’ pregnant patients. In some settings, women described very few changes, whereas others reported radical changes implemented seemingly overnight. While infection rates may drive variable responses, these inconsistencies raise important questions regarding the need for local, state, national, or even global recommendations for the care of pregnant women during a global pandemic such as COVID-19. Elsevier Ltd. 2021-07 2021-03-16 /pmc/articles/PMC9756085/ /pubmed/33774388 http://dx.doi.org/10.1016/j.midw.2021.102991 Text en © 2021 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Javaid, Sarah
Barringer, Sarah
Compton, Sarah D
Kaselitz, Elizabeth
Muzik, Maria
Moyer, Cheryl A.
The impact of COVID-19 on prenatal care in the United States: Qualitative analysis from a survey of 2519 pregnant women
title The impact of COVID-19 on prenatal care in the United States: Qualitative analysis from a survey of 2519 pregnant women
title_full The impact of COVID-19 on prenatal care in the United States: Qualitative analysis from a survey of 2519 pregnant women
title_fullStr The impact of COVID-19 on prenatal care in the United States: Qualitative analysis from a survey of 2519 pregnant women
title_full_unstemmed The impact of COVID-19 on prenatal care in the United States: Qualitative analysis from a survey of 2519 pregnant women
title_short The impact of COVID-19 on prenatal care in the United States: Qualitative analysis from a survey of 2519 pregnant women
title_sort impact of covid-19 on prenatal care in the united states: qualitative analysis from a survey of 2519 pregnant women
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9756085/
https://www.ncbi.nlm.nih.gov/pubmed/33774388
http://dx.doi.org/10.1016/j.midw.2021.102991
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