Abstract：
OBJECTIVE: The COVID-19 pandemic hindered access to routine healthcare globally, prompting concerns about possible increases in pregnancy loss and perinatal death.
BACKGROUND: PUDDLES is an international collaboration exploring the impact of the COVID-19 pandemic on parents who experience pregnancy loss and perinatal death in seven countries, including Aotearoa New Zealand.
OBJECTIVE: To explore parents\' experiences of access to healthcare services and support following baby loss during the COVID-19 pandemic in Aotearoa New Zealand.
METHODS: We conducted in-depth, semi-structured interviews with 26 bereaved parents, including 20 birthing mothers, and six non-birthing parents (one mother and five fathers). Types of loss included 15 stillbirths, four late miscarriages, and one neonatal death. Participant ethnicities were broadly representative of Aotearoa New Zealand\'s multi-ethnic society. Data were analysed using Template Analysis.
RESULTS: Analysis revealed five themes relating to pandemic impact on bereaved parent\'s experiences. These were: \'Distanced and Impersonal care\'; \'Navigating Hospital Rules\'; Exclusion of Non-birthing Parents; \'Hindered Access to Social Support\'; and \'Continuity of Relational Care\'.
CONCLUSIONS: The COVID-19 pandemic exacerbated isolation of bereaved parents through perceived impersonal care by healthcare professionals and restrictions on movement hindered access to social and cultural support. Compassionate bending of the rules by healthcare professionals and community postnatal visits by continuity of care midwives following the bereavement appeared to be mitigating factors.
CONCLUSIONS: Social isolation is an added challenge for parents experiencing baby loss during a pandemic, which may be mitigated by flexible and compassionate care from healthcare professionals, especially continuity of care midwives.
BACKGROUND: PUDDLES is an international collaboration exploring the impact of the COVID-19 pandemic on parents who experience pregnancy loss and perinatal death in seven countries, including Aotearoa New Zealand.
OBJECTIVE: To explore parents\' experiences of access to healthcare services and support following baby loss during the COVID-19 pandemic in Aotearoa New Zealand.
METHODS: We conducted in-depth, semi-structured interviews with 26 bereaved parents, including 20 birthing mothers, and six non-birthing parents (one mother and five fathers). Types of loss included 15 stillbirths, four late miscarriages, and one neonatal death. Participant ethnicities were broadly representative of Aotearoa New Zealand\'s multi-ethnic society. Data were analysed using Template Analysis.
RESULTS: Analysis revealed five themes relating to pandemic impact on bereaved parent\'s experiences. These were: \'Distanced and Impersonal care\'; \'Navigating Hospital Rules\'; Exclusion of Non-birthing Parents; \'Hindered Access to Social Support\'; and \'Continuity of Relational Care\'.
CONCLUSIONS: The COVID-19 pandemic exacerbated isolation of bereaved parents through perceived impersonal care by healthcare professionals and restrictions on movement hindered access to social and cultural support. Compassionate bending of the rules by healthcare professionals and community postnatal visits by continuity of care midwives following the bereavement appeared to be mitigating factors.
CONCLUSIONS: Social isolation is an added challenge for parents experiencing baby loss during a pandemic, which may be mitigated by flexible and compassionate care from healthcare professionals, especially continuity of care midwives.
摘要：
目标：COVID-19大流行阻碍了全球常规医疗保健的获取，引起人们对妊娠流产和围产期死亡可能增加的担忧。
背景：PUDDLES是一项国际合作，探讨COVID-19大流行对七个国家经历妊娠流产和围产期死亡的父母的影响，包括Aotearoa新西兰。
目的：探讨在新西兰奥特罗阿流感大流行期间失去婴儿后，父母获得医疗保健服务和支持的经验。
方法：我们进行了深入，对26名失去亲人的父母进行半结构化采访，包括20个分娩母亲，和六个未出生的父母（一个母亲和五个父亲）。损失的类型包括15例死胎，四次晚期流产,还有一个新生儿死亡.参与者种族广泛代表了Aotearoa新西兰的多种族社会。使用模板分析分析数据。
结果：分析揭示了与流行病对失去亲人的父母经历的影响有关的五个主题。这些是：“远离和非个人护理”；“指导医院规则”；排除非出生父母；“阻碍获得社会支持”；和“关系护理的连续性”。
结论：COVID-19大流行加剧了失去亲人的父母的孤立，因为医疗保健专业人员感知到了非个人护理，行动限制阻碍了获得社会和文化支持的机会。丧亲后，医疗保健专业人员对规则的同情弯曲和社区产后护理助产士的连续性访问似乎是缓解因素。
结论：社会隔离对于在大流行期间失去婴儿的父母来说是一个额外的挑战，这可以通过医疗保健专业人员的灵活和富有同情心的护理来缓解，尤其是接生婆的连续性护理。
背景：PUDDLES是一项国际合作，探讨COVID-19大流行对七个国家经历妊娠流产和围产期死亡的父母的影响，包括Aotearoa新西兰。
目的：探讨在新西兰奥特罗阿流感大流行期间失去婴儿后，父母获得医疗保健服务和支持的经验。
方法：我们进行了深入，对26名失去亲人的父母进行半结构化采访，包括20个分娩母亲，和六个未出生的父母（一个母亲和五个父亲）。损失的类型包括15例死胎，四次晚期流产,还有一个新生儿死亡.参与者种族广泛代表了Aotearoa新西兰的多种族社会。使用模板分析分析数据。
结果：分析揭示了与流行病对失去亲人的父母经历的影响有关的五个主题。这些是：“远离和非个人护理”；“指导医院规则”；排除非出生父母；“阻碍获得社会支持”；和“关系护理的连续性”。
结论：COVID-19大流行加剧了失去亲人的父母的孤立，因为医疗保健专业人员感知到了非个人护理，行动限制阻碍了获得社会和文化支持的机会。丧亲后，医疗保健专业人员对规则的同情弯曲和社区产后护理助产士的连续性访问似乎是缓解因素。
结论：社会隔离对于在大流行期间失去婴儿的父母来说是一个额外的挑战，这可以通过医疗保健专业人员的灵活和富有同情心的护理来缓解，尤其是接生婆的连续性护理。
