PDF(Pubmed)
Abstract：
BACKGROUND: Testing positive for COVID-19 was associated with higher rates of detrimental psycho-social and physical health outcomes. The COVID-19 pandemic caused unprecedented disruption to everyday life. This included major reconfiguration of maternal, child, and perinatal mental health and care services and provision. This study aimed to investigate the experiences of those who tested positive for COVID-19 during pregnancy, labour and birth, or the early postnatal period.
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.
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.
摘要：
背景：COVID-19检测呈阳性与有害的心理社会和身体健康结局的发生率更高相关。COVID-19大流行对日常生活造成了前所未有的破坏。这包括孕产妇的重大重新配置，孩子,以及围产期心理健康和护理服务和提供。这项研究旨在调查那些在怀孕期间检测出COVID-19阳性的人的经历，分娩和分娩，或产后早期。
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。
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。
