Experiences of birthing people during the COVID-19 pandemic: Analysis of comments from the 2020 Wisconsin Pregnancy Risk Assessment Monitoring System (PRAMS)

IF 2.8 3区医学 Q1 NURSING Birth-Issues in Perinatal Care Pub Date : 2024-05-27 DOI:10.1111/birt.12836

Trina C. Salm Ward PhD, MSW, Tuleen Abu Zahra BSN, RN, Chuthamas Payjapoh RN, BSN, MSN, Tinuola Oladebo MSP

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Abstract

Background

The COVID-19 pandemic has taken a significant toll on the US population, with birthing people having special clinical needs. The Pregnancy Risk Assessment Monitoring System (PRAMS) is a population-based surveillance system for monitoring birthing people's experiences. Comment data from the PRAMS survey can provide further insight into birthing people's experiences. This study aims to use PRAMS data to describe pandemic-related experiences in a representative sample of birthing people in Wisconsin to help inform future emergency preparedness planning.

Methods

This study analyzed 2020 Wisconsin PRAMS data for births in March or later. Content analysis of pandemic-related comment data was conducted, and quantitative data on demographic characteristics and pandemic-related experiences were examined.

Results

Findings from 1406 respondents indicated that many birthing people were affected by the pandemic, including changes in healthcare visits and employment. One hundred respondents commented on pandemic-related experiences; four interrelated themes emerged from content analysis: changed nature and quality of healthcare, limited social support, increased anxiety, stress, or fear, and employment or financial burden. Most comments discussed negative impacts; some expressed positive aspects.

Discussion

Findings suggest opportunities for improving support for birthing people during public health emergencies, for example, through developing healthcare policies and public health guidelines that prioritize the protective mechanisms of social support for birthing people, identifying additional and immediately accessible policy protections to support birthing and postpartum people (e.g., insurance and paid leave) during public health emergencies, and implementing additional screening and support to help address increased mental health needs during public health emergencies.

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COVID-19 大流行期间分娩者的经历：分析来自 2020 年威斯康星州妊娠风险评估监测系统 (PRAMS) 的意见。

背景：COVID-19 大流行给美国人口造成了巨大损失，其中分娩人群有特殊的临床需求。妊娠风险评估监测系统 (PRAMS) 是一个基于人群的监测系统，用于监测分娩者的经历。来自 PRAMS 调查的评论数据可以让人们进一步了解分娩者的经历。本研究旨在使用 PRAMS 数据来描述威斯康星州具有代表性的分娩者样本中与流行病相关的经历，以帮助为未来的应急准备规划提供信息：本研究分析了 2020 年威斯康星州 PRAMS 数据中 3 月或 3 月以后出生的婴儿。对大流行病相关评论数据进行了内容分析，并对人口特征和大流行病相关经历的定量数据进行了研究：来自 1406 名受访者的调查结果显示，许多分娩者受到了大流行病的影响，包括就医和就业方面的变化。100 名受访者就与大流行病相关的经历发表了评论；内容分析得出了四个相互关联的主题：医疗保健的性质和质量发生变化；社会支持有限；焦虑、压力或恐惧增加；以及就业或经济负担。大多数评论都讨论了负面影响，也有一些评论表达了积极的方面：讨论：研究结果表明，在公共卫生突发事件期间，有机会改善对分娩者的支持，例如，通过制定医疗保健政策和公共卫生指南，优先考虑对分娩者的社会支持保护机制，确定更多可立即获得的政策保护，以在公共卫生突发事件期间支持分娩者和产后妇女（例如，保险和带薪休假），以及实施额外的筛查和支持，以帮助解决公共卫生突发事件期间增加的心理健康需求。

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来源期刊

Birth-Issues in Perinatal Care 医学-妇产科学

CiteScore

4.10

自引率

4.00%

发文量

审稿时长

>12 weeks

期刊介绍： Birth: Issues in Perinatal Care is a multidisciplinary, refereed journal devoted to issues and practices in the care of childbearing women, infants, and families. It is written by and for professionals in maternal and neonatal health, nurses, midwives, physicians, public health workers, doulas, social scientists, childbirth educators, lactation counselors, epidemiologists, and other health caregivers and policymakers in perinatal care.