新冠肺炎封锁对英国伦敦产后母亲的影响:一项在线焦点小组研究。

IF 1.9 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Public Health-Heidelberg Pub Date : 2023-05-15 DOI:10.1007/s10389-023-01922-4
Emily H Emmott, Anna Gilliland, Anjana Lakshmi Narasimhan, Sarah Myers
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引用次数: 0

摘要

目的:这项研究考察了新冠肺炎封锁对英国产后母亲的影响,目的是确定改善产妇体验和健康的机会。人们普遍认为,产后/产后是母亲需要多方面支持的时期。然而,在一些国家部署的限制新冠肺炎传播的居家令,通常被称为“封锁”,减少了获得支持的机会。在英国,许多产后母亲在强化育儿和专业育儿文化中度过了家庭隔离期。研究封锁的影响可能会揭示当前政策和实践的优势和劣势。主题和方法:我们进行了在线焦点小组,涉及20位居住在英国伦敦的母亲,她们都是“被封锁的婴儿”,这是我们早些时候关于社会支持和孕产妇健康的在线调查的后续结果。我们对焦点小组的记录进行了主题分析,并确定了围绕封锁体验和封锁体验的决定因素的关键主题。结果:参与者提出了封锁的一些积极因素,包括建立联系和保护免受外部期望,但也提出了许多消极因素,包括社会孤立、机构遗弃、,以及家庭内部紧张的关系。封锁体验变化背后的潜在原因包括物理环境、出生时间和孩子数量。我们的研究结果反映了当前的制度如何将一些家庭“困”在男性养家糊口者/女性照顾者的家庭模式中,而密集的育儿和专业的育儿文化可能会增加母亲的压力,破坏积极的育儿。结论:促进伴侣在产后期间呆在家里(例如,增加陪产假和弹性工作),并建立同伴/社区支持,以减少对专业育儿专家的依赖,可以促进积极的产后产妇体验和幸福感。补充信息:在线版本包含补充材料,请访问10.1007/s10389-023-01922-4。
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The impact of COVID-19 lockdown on postpartum mothers in London, England: An online focus group study.

Aims: This study examines the impact of COVID-19 lockdown on postpartum mothers in England, with the aim of identifying opportunities to improve maternal experience and wellbeing. The postpartum/postnatal period is widely acknowledged as a time when mothers require greater levels of support from multiple sources. However, stay-at-home orders, commonly known as "lockdown," deployed in some countries to limit COVID-19 transmission reduced access to support. In England, many postpartum mothers navigated household isolation within an intensive mothering and expert parenting culture. Examining the impact of lockdown may reveal strengths and weaknesses in current policy and practice.

Subject and methods: We conducted online focus groups involving 20 mothers living in London, England, with "lockdown babies," following up on our earlier online survey on social support and maternal wellbeing. We thematically analysed focus group transcripts, and identified key themes around Lockdown Experience and Determinants of Lockdown Experience.

Results: Participants raised some positives of lockdown, including fostering connections and protection from external expectations, but also raised many negatives, including social isolation, institutional abandonment, and intense relationships within the household. Potential reasons behind variations in lockdown experience include physical environments, timing of birth, and number of children. Our findings reflect how current systems may be "trapping" some families into the male-breadwinner/female-caregiver family model, while intensive mothering and expert parenting culture may be increasing maternal stress and undermining responsive mothering.

Conclusions: Facilitating partners to stay at home during the postpartum period (e.g., increasing paternity leave and flexible working) and establishing peer/community support to decentre reliance on professional parenting experts may promote positive postpartum maternal experience and wellbeing.

Supplementary information: The online version contains supplementary material available at 10.1007/s10389-023-01922-4.

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Journal of Public Health-Heidelberg
Journal of Public Health-Heidelberg PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
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