PDF(Pubmed)
Abstract：
BACKGROUND: Pregnant and postpartum women\'s experiences of the COVID-19 pandemic, as well as the emotional and psychosocial impact of COVID-19 on perinatal health, has been well-documented across high-income countries. Increased anxiety and fear, isolation, as well as a disrupted pregnancy and postnatal period are widely described in many studies. The aim of this study was to explore, describe and synthesise studies that addressed the experiences of pregnant and postpartum women in high-income countries during the first two years of the pandemic.
METHODS: A qualitative evidence synthesis of studies relating to women\'s experiences in high-income countries during the pandemic were included. Two reviewers extracted the data using a thematic synthesis approach and NVivo 20 software. The GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research) was used to assess confidence in review findings.
RESULTS: Sixty-eight studies were eligible and subjected to a sampling framework to ensure data richness. In total, 36 sampled studies contributed to the development of themes, sub-themes and review findings. There were six over-arching themes: (1) dealing with public health restrictions; (2) navigating changing health policies; (3) adapting to alternative ways of receiving social support; (4) dealing with impacts on their own mental health; (5) managing the new and changing information; and (6) being resilient and optimistic. Seventeen review findings were developed under these themes with high to moderate confidence according to the GRADE-CERQual assessment.
CONCLUSIONS: The findings from this synthesis offer different strategies for practice and policy makers to better support women, babies and their families in future emergency responses. These strategies include optimising care delivery, enhancing communication, and supporting social and mental wellbeing.
METHODS: A qualitative evidence synthesis of studies relating to women\'s experiences in high-income countries during the pandemic were included. Two reviewers extracted the data using a thematic synthesis approach and NVivo 20 software. The GRADE-CERQual (Confidence in the Evidence from Reviews of Qualitative research) was used to assess confidence in review findings.
RESULTS: Sixty-eight studies were eligible and subjected to a sampling framework to ensure data richness. In total, 36 sampled studies contributed to the development of themes, sub-themes and review findings. There were six over-arching themes: (1) dealing with public health restrictions; (2) navigating changing health policies; (3) adapting to alternative ways of receiving social support; (4) dealing with impacts on their own mental health; (5) managing the new and changing information; and (6) being resilient and optimistic. Seventeen review findings were developed under these themes with high to moderate confidence according to the GRADE-CERQual assessment.
CONCLUSIONS: The findings from this synthesis offer different strategies for practice and policy makers to better support women, babies and their families in future emergency responses. These strategies include optimising care delivery, enhancing communication, and supporting social and mental wellbeing.
摘要：
背景：孕妇和产后妇女在COVID-19大流行中的经历，以及COVID-19对围产期健康的情感和社会心理影响，在高收入国家都有很好的记录。增加焦虑和恐惧，隔离,在许多研究中广泛描述了妊娠和产后中断。本研究的目的是探索,描述和综合研究，这些研究涉及高收入国家孕妇和产后妇女在大流行前两年的经历。
方法：纳入了与高收入国家妇女在大流行期间的经历有关的研究的定性证据综合。两名评审员使用主题综合方法和NVivo20软件提取数据。GRADE-CERQual（对定性研究评论证据的信心）用于评估对评论结果的信心。
结果：68项研究符合资格，并接受抽样框架以确保数据的丰富性。总的来说,36项抽样研究为主题的发展做出了贡献，次主题和审查结果。有六个主要主题：（1）处理公共卫生限制；（2）导航不断变化的卫生政策；（3）适应接受社会支持的替代方式；（4）处理对自己心理健康的影响；（5）管理新的和不断变化的信息；（6）有弹性和乐观。根据GRADE-CERQual评估，在这些主题下制定了17项审查结果，并具有高度至中等的信心。
结论：这份综合报告的结果为实践和政策制定者提供了不同的策略，以更好地支持妇女，婴儿和他们的家人在未来的紧急反应。这些策略包括优化护理交付，加强沟通,支持社会和心理健康。
方法：纳入了与高收入国家妇女在大流行期间的经历有关的研究的定性证据综合。两名评审员使用主题综合方法和NVivo20软件提取数据。GRADE-CERQual（对定性研究评论证据的信心）用于评估对评论结果的信心。
结果：68项研究符合资格，并接受抽样框架以确保数据的丰富性。总的来说,36项抽样研究为主题的发展做出了贡献，次主题和审查结果。有六个主要主题：（1）处理公共卫生限制；（2）导航不断变化的卫生政策；（3）适应接受社会支持的替代方式；（4）处理对自己心理健康的影响；（5）管理新的和不断变化的信息；（6）有弹性和乐观。根据GRADE-CERQual评估，在这些主题下制定了17项审查结果，并具有高度至中等的信心。
结论：这份综合报告的结果为实践和政策制定者提供了不同的策略，以更好地支持妇女，婴儿和他们的家人在未来的紧急反应。这些策略包括优化护理交付，加强沟通,支持社会和心理健康。
