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搁置——瑞典 COVID-19 大流行期间伴侣对怀孕、分娩和产后护理的体验的定性研究。

Set aside-A qualitative study of partners' experiences of pregnancy, labour, and postnatal care in Sweden during the COVID-19 pandemic.

机构信息

Department of Nursing, Umeå University, Umeå, Sweden.

Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden.

出版信息

PLoS One. 2024 Sep 6;19(9):e0307208. doi: 10.1371/journal.pone.0307208. eCollection 2024.

Abstract

BACKGROUND

Due to changes in Swedish maternity care during the COVID-19 pandemic, partners were often excluded from antenatal and postnatal care.

AIM

To explore partners' experiences of pregnancy, labour, and postnatal care in relation to the COVID-19 pandemic restrictions.

METHODS

A descriptive qualitative interview study with 15 partners of women who gave birth from March 2020 to March 2022. Data was collected from April to November 2022, and analysed using inductive thematic analysis.

FINDINGS

Two themes and six subthemes were identified. The first theme, Feelings of loss and exclusion, emphasises the expectation and desire to share the journey of becoming a parent together with the pregnant partner. When excluded from maternity care, a feeling of missing out was described which could create a sense of distance from the unborn child. The second theme, Dealing with powerlessness, relates to the fear of infection and not being able to participate during the birth, and life being adapted to restrictions. Mixed feelings regarding the restrictions were described since the reasons behind were not always perceived as clear and logical.

DISCUSSION

Sweden prides itself on gender equality, where partners normally are a natural part of maternity care. This likely contributed to strong feelings of exclusion when partners were prevented from participating in maternity care during the COVID-19 pandemic.

CONCLUSION

Partners of women giving birth during the COVID-19 pandemic were substantially affected by the restrictions within maternity care. Partners wish to be involved in pregnancy and birth and want to receive clear information as part of their preparation for parenthood. Society-including maternity care-must decide how to address these needs.

摘要

背景

由于 COVID-19 大流行期间瑞典产妇护理的变化,伴侣经常被排除在产前和产后护理之外。

目的

探讨伴侣在 COVID-19 大流行限制下对妊娠、分娩和产后护理的体验。

方法

对 2020 年 3 月至 2022 年 3 月期间分娩的 15 名女性的伴侣进行描述性定性访谈研究。数据收集于 2022 年 4 月至 11 月进行,并使用归纳主题分析进行分析。

发现

确定了两个主题和六个子主题。第一个主题是“失落和排斥感”,强调了与怀孕伴侣共同分享成为父母之旅的期望和愿望。当被排除在产妇护理之外时,描述了一种错过的感觉,这可能会导致与未出生的孩子产生距离感。第二个主题是“无力感”,与感染的恐惧和无法在分娩时参与以及生活适应限制有关。描述了对限制的复杂感受,因为背后的原因并不总是被认为是清晰和合乎逻辑的。

讨论

瑞典以性别平等为荣,伴侣通常是产妇护理的自然组成部分。这可能导致在 COVID-19 大流行期间伴侣被阻止参与产妇护理时产生强烈的排斥感。

结论

在 COVID-19 大流行期间分娩的女性的伴侣受到产妇护理中限制的重大影响。伴侣希望参与妊娠和分娩,并希望作为其育儿准备的一部分获得明确的信息。社会——包括产妇护理——必须决定如何满足这些需求。

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本文引用的文献

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Experiences of Norwegian co-parents during COVID-19 pandemic restrictions: A qualitative study.
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2215578. doi: 10.1080/17482631.2023.2215578.
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How Sweden approached the COVID-19 pandemic: Summary and commentary on the National Commission Inquiry.
Acta Paediatr. 2023 Jan;112(1):19-33. doi: 10.1111/apa.16535. Epub 2022 Sep 15.
4
Parental experiences with changes in maternity care during the Covid-19 pandemic: A mixed-studies systematic review.
Women Birth. 2023 Mar;36(2):e203-e212. doi: 10.1016/j.wombi.2022.08.004. Epub 2022 Aug 10.
5
The experience of fathers during the covid-19 UK maternity care restrictions.
Midwifery. 2022 Oct;113:103434. doi: 10.1016/j.midw.2022.103434. Epub 2022 Jul 16.
7
A qualitative study of Swedish fathers' experiences of becoming a father during the COVID-19 pandemic.
Eur J Midwifery. 2022 Mar 25;6:15. doi: 10.18332/ejm/146082. eCollection 2022.

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