METHODS: National on-line recruitment from across the United Kingdom resulted in sixteen mothers being invited to qualitative semi-structured interviews to understand the experiences of mothers who had been infected by COVID-19 during pregnancy, labour and birth, or the early postnatal period. Interviews were conducted, recorded, and transcribed using video-conferencing software. A Grounded Theory approach was used to analyse the data gathered pertaining to women\'s experiences of their positive COVID-19 diagnosis during pregnancy, labour and birth, or the early postnatal period.
RESULTS: The theory of \'Oscillating Autonomy - Losing and Seeking to Regain Control by Striving for Agency\' was developed, comprising three main themes: \'Anxious Anticipation: The fear of infection was worse than COVID-19 itself\'; \'Fluctuating Agency: What changed when COVID-19 took control\'; and \'Reclaiming Control: Seeking reassurance during COVID-19 positivity\'. Testing positive for COVID-19 whilst pregnant, during labour or birth, or in the early postnatal period was associated with a perceived loss of control. Those who were able to regain that control felt more secure in their situation.
CONCLUSIONS: Support was paramount to manage increased vulnerability, as was reassurance achieved by information seeking and positive action including increased health monitoring and COVID-19 vaccination.
方法:来自英国各地的全国在线招聘导致16位母亲被邀请参加定性半结构化面试,以了解怀孕期间感染COVID-19的母亲的经历,分娩和分娩,或产后早期。进行了访谈,记录,并使用视频会议软件转录。采用扎根理论方法分析了女性在怀孕期间对COVID-19诊断阳性的经历所收集的数据,分娩和分娩,或产后早期。
结果:提出了“振荡自治-通过争取代理失去并寻求重新获得控制权”的理论,包括三个主要主题:“焦虑的预期:对感染的恐惧比COVID-19本身更糟糕”;“波动机构:当COVID-19控制时发生了什么变化”;“回收控制:在COVID-19阳性期间寻求安慰”。怀孕期间COVID-19检测呈阳性,在分娩或分娩期间,或在产后早期与感知到的失控有关。那些能够重新获得控制权的人在他们的处境中感到更加安全。
结论:支持对于管理增加的漏洞至关重要,通过寻求信息和采取积极行动,包括增加健康监测和COVID-19疫苗接种,也获得了安慰。