在SARS-CoV-2大流行的到来和持续时间内,对孕妇和产后(围产期)妇女的医疗保健服务进行了重大重新配置,尽管英国在2021年7月19日宣布“自由日”(此后所有与法律封锁相关的限制都被取消),对产妇的限制(产前,产时,和产后)服务仍然存在。这项研究提供了来自八名围产期妇女的数据,这些数据涉及她们在“自由日”之后的社会心理健康和产妇护理经历。
■虚拟地进行了半结构化访谈,记录数据,转录,用手分析。扎根理论分析与最终理论一起使用,评估大流行“自由日”的生殖不公正现象。
■迭代和归纳分析导致了四个紧急主题:\'失败的系统,失败的妇女\';\'由差异状态造成的伤害\';\'生殖自治的特权(而不是权利),Agency,和倡导;和“担心的妇女和边缘化的母亲”。一起,这些主题形成了一些人的自由理论,但不是为了妈妈。
■女性经历了关于这场大流行的高质量可靠信息的缺乏,针对病毒的疫苗接种,和变化,和决策周围,他们的围产期护理。妇女认识到医疗保健专业人员和产妇服务已经捉襟见肘,产妇服务正在失败,但经常报告工作人员的敌意和有时在他们不确定如何进行护理时被遗弃。最独特的不公正现象是妇女在接受产妇护理的同时不得不接受对其自由的持续限制与公众颁布的(鲁莽的)自由之间的差距。
UNASSIGNED: Healthcare services for pregnant and postpartum (\'perinatal\') women were reconfigured significantly at the advent and for the duration of the SARS-CoV-2 pandemic, and despite the United Kingdom announcing \'Freedom Day\' on 19 July 2021 (whereafter all legal lockdown-related restrictions were lifted), restrictions to maternity (antenatal, intrapartum, and postnatal) services remained. This study presents data from eight perinatal women about their experiences of psychosocial wellbeing and maternity care in the post-\'Freedom Day\' epoch.
UNASSIGNED: Semi-structured interviews were conducted virtually, with data recorded, transcribed, and analysed by hand. Grounded theory analysis was employed with the final theory assessing the reproductive injustice of the pandemic \'Freedom Day\'.
UNASSIGNED: Analysing iteratively and inductively led to four emergent themes: \'A Failing System, Failing Women\'; \'Harm Caused by a State of Difference\'; \'The Privileges (Not Rights) of Reproductive Autonomy, Agency, and Advocacy\'; and \'Worried Women and Marginalised Mothers\'. Together, these themes form the theory of \'Freedom for some, but not for Mum\'.
UNASSIGNED: Women experienced a lack of high-quality reliable information about the pandemic, vaccination against the virus, and the changes to, and decision-making surrounding, their perinatal care. Women recognised healthcare professionals and maternity services were stretched and that maternity services were failing but often reported hostility from staff and abandonment at times when they were unsure about how to navigate their care. The most singular injustice was the disparity between women having to accept continuing restrictions to their freedom whilst receiving maternity care and the (reckless) freedom being enacted by the general public.