目的:了解在COVID-19大流行的早期,青少年的围产期护理体验如何受到影响。
方法:综合综述。
方法:我们在文献中进行了搜索,重点是关于大流行期间(2020-2023年)怀孕青少年的看法的定性研究。我们描述了在纳入的研究中观察到的最常见的主题轴,我们综合了结果。
结果:选择涉及69篇文章,导致来自7个国家的9项研究(印度尼西亚,肯尼亚,联合王国,南非,美国,马拉维,和印度)。这些研究突出了六个主要的主题轴:1。经济影响:大流行对个人和家庭状况产生了不利影响,导致早婚和暴力,加剧先前存在的经济不平等。2.心理健康:焦虑加剧,抑郁症,隔离,怀孕青少年的恐惧,重点关注与污染和围产期不确定性有关的问题。3.受损的围产期护理:产前和分娩护理期间的限制以及缺乏情感和专业支持导致对怀孕青少年的护理产生负面影响。4.家庭支持网络的崩溃:学校关闭,家庭损失,家庭暴力的增加影响了家庭动态,影响早孕的发生。5.对性教育的影响:学校关闭阻碍了获得避孕药具,导致意外怀孕。6.疫苗犹豫:错误信息导致孕妇犹豫,强调需要更好的沟通,以增加对疫苗接种的信心。
结论:该评论强调了研究的广泛地理多样性,并强调了经济,社会,和心理健康因素。大流行加剧了现有的挑战,强调全面支持怀孕青少年的重要性,包括情感和心理支持。COVID-19大流行加剧了社会和经济不平等,对怀孕青少年的围产期体验产生负面影响。重点是需要全面支持,考虑到社会心理因素,强调了更具包容性和敏感性的卫生政策在公共卫生危机期间满足这一群体的具体需求的重要性。确定的主题轴,跨越经济,心理健康,围产期保健,家庭支持网络,性教育,和疫苗犹豫,阐明青少年在大流行期间面临的复杂挑战。这些轴的识别提供了对青少年在COVID-19大流行期间所经历的各种后果的全面分析。它还允许提出量身定制的干预措施,以减轻对青少年福祉的不利影响,并为未来的流行病或危机提供公共卫生战略。
OBJECTIVE: To understand how the perinatal care experiences among adolescents were impacted during the early years of the COVID-19 pandemic.
METHODS: Integrative review.
METHODS: We performed a search in the literature focusing on qualitative studies regarding the perceptions of pregnant adolescents during the pandemic (2020-2023). We described the most frequent thematic axes observed in the included studies, and we synthesized the results.
RESULTS: The selection involved 69 articles, resulting in 9 studies from 7 countries (Indonesia, Kenya, the United Kingdom, South Africa, the United States, Malawi, and India). The studies highlight six main thematic axes: 1. Economic impact: the pandemic adversely influenced personal and family conditions, leading to early marriages and violence and exacerbating pre-existing economic inequalities. 2. Mental health: increased anxiety, depression, isolation, and fear among pregnant adolescents, with a focus on concerns related to contamination and perinatal uncertainties. 3. Compromised perinatal care: restrictions during prenatal and delivery care and lack of emotional and professional support lead to negative impacts on care for pregnant adolescents. 4. Breakdown of family Support network: school closures, family losses, and increased domestic violence affected family dynamics, influencing the occurrence of early pregnancies. 5. Impact on sexual education: school closures hindered access to contraceptives, contributing to unplanned pregnancies. 6. Vaccine hesitancy: misinformation led to hesitancy among pregnant women, highlighting the need for better communication to increase confidence in vaccination.
CONCLUSIONS: The review emphasizes the wide geographic variety of the studies and highlights the interconnection between economic, social, and mental health factors. The pandemic intensified preexisting challenges, underscoring the importance of comprehensive support for pregnant adolescents, including emotional and psychological support. The COVID-19 pandemic exacerbated social and economic inequalities, negatively impacting the perinatal experiences of pregnant adolescents. The emphasis is on the need for comprehensive support, considering psychosocial factors, highlights the importance of more inclusive and sensitive health policies addressing the specific needs of this group during public health crises. The identified thematic axes, spanning economic, mental health, perinatal care, family support networks, sexual education, and vaccine hesitancy, illuminate the intricate challenges faced by adolescents during the pandemic. The identification of these axes provided a comprehensive analysis of the diverse consequences experienced by adolescents during the COVID-19 pandemic. It also allows the proposition of tailored interventions to mitigate the adverse effects on adolescent well-being and inform public health strategies for future pandemics or crises.