Self-care and remote care during pregnancy: a new paradigm?

Gülmezoglu, A. Metin; Ammerdorffer, Anne; Narasimhan, Manjulaa; Wilson, Alyce N.; Vogel, Joshua P.; Say, Lale; Tunçalp, Özge

doi:10.1186/s12961-020-00627-4

Cited by 19 publications

(23 citation statements)

References 7 publications

(7 reference statements)

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“…As a result of the pandemic, telehealth, a form of remote care [ 24 ], was widely implemented, and was experienced by women in this study as impersonal and incomplete. The limitations of telehealth were of significant concern to women and left some women feeling unable to share difficult conversations and being unsure of what concerns they needed to raise with their care provider.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…When individuals assume responsibility for their own health and well-being with or without the support of a healthcare provider it is known as self-care [ 24 ]. Whilst self-care and remote care have been proposed as potential ways to improve overall quality of pregnancy care [ 24 ], these forms of care were implemented hastily during the pandemic in Australia without the provision of self-monitoring equipment to women. A study of antenatal care including a hybrid model of face-to-face appointments and remote care with self-monitoring showed favourable results, however the participants in this study were provided the requisite equipment for their self-monitoring [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

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Childbearing women’s experiences of the maternity care system in Australia during the first wave of the COVID-19 pandemic

et al. 2022

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Background Substantial changes occurred in Australian healthcare provision during the COVID-19 pandemic to reduce the risk of infection transmission. Little is known about the impact of these changes on childbearing women. Aim To explore and describe childbearing women’s experiences of receiving maternity care during the COVID-19 pandemic in Australia. Methods A qualitative exploratory design using semi-structured interviews was used. Women were recruited through social media and self-nominated to participate in an interview. Maximum variation sampling was used. Twenty-seven interviews were conducted with women from across Australia. Data was analysed thematically. Findings Three primary themes and nine sub-themes emerged: ‘navigating a changing health system’ (coping with constant change, altered access to care, dealing with physical distancing restrictions, and missing care), ‘desiring choice and control’ (experiencing poor communication, making hard decisions, and considering alternate models of care), and ‘experiencing infection prevention measures’ (minimising the risk of exposure and changing care plans to minimise infection risk). Discussion The substantial changes in care delivery for pregnant and postpartum women during the pandemic appear to have reduced woman-centred care. In most cases, care was perceived as impersonal and incomplete, resulting in a very different experience than expected; consequences included missing care. The presence of a known care provider improved women’s sense of communication, choice, and control. Conclusion This study provides unique insight into the experiences of childbearing women across Australia. The importance of respectful woman-centred care cannot be forgotten during a pandemic. The findings may inform future service planning during pandemics and disaster situations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Childbearing women’s experiences of the maternity care system in Australia during the first wave of the COVID-19 pandemic

et al. 2022

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“…During the COVID-19 pandemic, telehealth services for mental health treatment and prenatal care have expanded tremendously. Relevant technologies have been adapted to ensure high-quality, evidence-based, remote care [ 71 , 72 ]. The acceptability of online care delivery platforms by clients, providers, and insurers has opened-up new possibilities for treatment and care in the perinatal period.…”

Section: Discussionmentioning

confidence: 99%

Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset

Preis

Mahaffey

Pati

et al. 2021

Annals of Behavioral Medicine

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Background High stress prenatally contributes to poor maternal and infant well-being. The coronavirus disease 2019 (COVID-19) pandemic has created substantial stress for pregnant women. Purpose To understand whether stress experienced by women pregnant at the beginning of the pandemic was associated with a greater prevalence of adverse perinatal outcomes. Methods Pregnant women across the USA aged ≥18 years old enrolled in a prospective cohort study during the pandemic onset (T1) in April–May 2020. This report focuses on the 1,367 participants who gave birth prior to July–August 2020 (T2). Hierarchical logistic regression models predicted preterm birth, small for gestational age infants, and unplanned operative delivery from T1 stress, sociodemographic, and medical factors. Results After controlling for sociodemographic and medical factors, preterm birth was predicted by high prenatal maternal stress, delivering an infant small for gestational age was predicted by interpersonal violence and by stress related to being unprepared for birth due to the pandemic, and unplanned cesarean or operative vaginal delivery was predicted by prenatal appointment alterations, experiencing a major stressful life event, and by stress related to being unprepared for birth due to the pandemic. Independent of these associations, African American women were more likely than other groups to deliver preterm. Conclusion Pregnant women who are experiencing high stress during the COVID-19 pandemic are at risk of poorer perinatal outcomes. A longitudinal investigation is critical to determine whether prenatal maternal stress and resulting outcomes have longer-term consequences for the health and well-being of children born in the midst of the current pandemic.

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“…Tripp et al [17] investigated pregnancy-related applications and their impact on prenatal care; they showed that pregnancy-related applications can greatly help mothers in self-care while also improving mothers' and fetuses' health. Studies have also emphasized the significance of self-care during pregnancy [18,19] and/or during the outbreak of the COVID-19 pandemic [5,13]. e benefits of pregnancy self-care [12], the nature of pregnancy-related applications [17], the effects of education on improving pregnancy self-care processes [20], and the evaluation of self-care strategies for women with GDM during COVID-19 [11] have all been examined in studies on pregnancy during the COVID-19 pandemic; still, it seems that no study has been conducted to develop a COVID-19 self-care application for pregnant women.…”

Section: Introductionmentioning

confidence: 99%

The Development and Usability Assessment of an mHealth Application to Encourage Self-Care in Pregnant Women against COVID-19

Moulaei

Sheikhtaheri

Ghafaripour

et al. 2021

Journal of Healthcare Engineering

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The coronavirus disease 2019 (COVID-19) pandemic has caused serious concerns in pregnant women. Self-care mHealth applications can provide helpful guidelines for COVID-19 prevention or management in case of infection. This study aimed to develop and then assess a self-care smartphone-based application to provide self-care for pregnant women against COVID-19. The present study was conducted in two phases. First, a needs assessment was performed based on the opinions of 30 obstetricians and pregnant women. Then, relying on the results, a smartphone-based application was prototyped and assessed in terms of its usability and user satisfaction. To assess the application, 36 pregnant women (11 infected with COVID-19) were asked to use the application for a week. The QUIS questionnaire 5.5 was used for assessment, and the results were analyzed via descriptive statistics in SPSS 23. According to the obstetricians and pregnant women, of the 41 information requirements, 35 data elements were noted to be essential in the needs assessment. Features of the application were placed in four categories of User’s Profile, Lifestyle, Disease Management and Control, and Application Functions (e.g., introducing high-risk places in terms of COVID-19 prevalence in each city, introducing specialized COVID-19 medical centers to pregnant women to receive services, medication management, stress management and control, nutrition and diet management, sleep management, contacting physicians, doctor’s appointment reminder, searching the available educational materials, and making application adjustments such as text font, size, and color). With an average score of 7.94 (out of 9), pregnant women rated the application at a good level. The application can be used to reduce anxiety and stress about COVID-19 in mothers, provide access to reliable information to answer possible questions, identify high-risk locations, and provide pregnant women with instant access to healthcare facilities and information related to COVID-19 self-care processes.

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Self-care and remote care during pregnancy: a new paradigm?

Cited by 19 publications

References 7 publications

Childbearing women’s experiences of the maternity care system in Australia during the first wave of the COVID-19 pandemic

Childbearing women’s experiences of the maternity care system in Australia during the first wave of the COVID-19 pandemic

Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset

The Development and Usability Assessment of an mHealth Application to Encourage Self-Care in Pregnant Women against COVID-19

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