The experiences of childbearing women who tested positive to COVID-19 during the pandemic in northern Italy

Fumagalli, Simona; Ornaghi, Sara; Borrelli, Sara E.; Vergani, Patrizia; Nespoli, Antonella

doi:10.1016/j.wombi.2021.01.001

Cited by 46 publications

(68 citation statements)

References 24 publications

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“…In an effort to contain the spread of SARS-COV-2, many hospitals restricted the number of companions allowed during birth. These restrictions were some of the main concerns mentioned by pregnant women during the pandemic who feared they would give birth alone or without the persons they were expecting to accompany them [ 42 ]. For some women, these fears were realized, as in our study, 50 women had no companion, and 94% had no more than one.…”

Section: Discussionmentioning

confidence: 99%

“…In conclusion, some of these limitations may affect the generalisability of the findings and therefore, additional research in various cultural contexts and study designs is recommended. Finally, more research should be conducted to explore the birth experiences of COVID-19 positive women who likely experienced greater isolation, unmet expectations, and more stress during pregnancy and while giving birth [ 42 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

“…Support and council should be offered to women who had adverse events during birth or who had a different birth than preferred, especially since the negative effects of unplanned operative deliveries on birth satisfaction can linger for many years. A recent study found increased incidents of acute stress when comparing COVID-19 positive women who had visitor restrictions and those who did not [ 42 , 46 ]. Therefore, special attention should be given to women who have an infectious condition during birth and might be adversely affected by hospital restrictions.…”

Section: Discussionmentioning

confidence: 99%

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The impacts of the COVID-19 pandemic on birth satisfaction in a prospective cohort of 2,341 U.S. women

et al. 2022

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Problem Birth satisfaction is an important health outcome that is related to postpartum mood, infant caretaking, and future pregnancy intention. Background The COVID-19 pandemic profoundly affected antenatal care and intrapartum practices that may reduce birth satisfaction. Aim To investigate the extent to which pandemic-related factors predicted lower birth satisfaction. Methods 2,341 women who were recruited prenatally in April-May 2020 and reported a live birth between April-October 2020 were included in the current analysis. Hierarchical linear regression to predict birth satisfaction from well-established predictors of birth satisfaction (step 1) and from pandemic-related factors (step 2) was conducted. Additionally, the indirect associations of pandemic-related stress with birth satisfaction were investigated. Findings The first step of the regression explained 35% of variance in birth satisfaction. In the second step, pandemic-related factors explained an additional 3% of variance in birth satisfaction. Maternal stress about feeling unprepared for birth due to the pandemic and restrictions on companions during birth independently predicted lower birth satisfaction beyond the non-pandemic variables. Pandemic-related unpreparedness stress was associated with more medicalized birth and greater incongruence with birth preference, thus also indirectly influencing birth satisfaction through a mediation process. Discussion Well-established contributors to birth satisfaction remained potent during the pandemic. In addition, maternal stress and restriction on accompaniment to birth were associated with a small but significant reduction in birth satisfaction. Conclusion Study findings suggest that helping women set flexible and reasonable expectations for birth and allowing at least one intrapartum support person can improve birth satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The impacts of the COVID-19 pandemic on birth satisfaction in a prospective cohort of 2,341 U.S. women

et al. 2022

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“…During the pandemic's first wave, women with confirmed SARS-CoV-2 infection, suspected cases, and sometimes even women not affected by the virus too often gave birth alone in the name of "safety" and were separated from their babies in the name of "precaution". Instead, some Italian studies have successively suggested that the lack of presence of one's partner during labour and delivery might predict its impact on postpartum women's mental health well-being [5,20]. Even though definitive evidence showing that early separation improves neonatal outcomes is still lacking, the short-and long-term benefits of bonding and breastfeeding are universally recognised [2,3].…”

Section: Discussionmentioning

confidence: 99%

Childbirth Care among SARS-CoV-2 Positive Women in Italy

Donati

Corsi

Salvatore

et al. 2021

IJERPH

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The new coronavirus emergency spread to Italy when little was known about the infection’s impact on mothers and newborns. This study aims to describe the extent to which clinical practice has protected childbirth physiology and preserved the mother–child bond during the first wave of the pandemic in Italy. A national population-based prospective cohort study was performed enrolling women with confirmed SARS-CoV-2 infection admitted for childbirth to any Italian hospital from 25 February to 31 July 2020. All cases were prospectively notified, and information on peripartum care (mother–newborn separation, skin-to-skin contact, breastfeeding, and rooming-in) and maternal and perinatal outcomes were collected in a structured form and entered in a web-based secure system. The paper describes a cohort of 525 SARS-CoV-2 positive women who gave birth. At hospital admission, 44.8% of the cohort was asymptomatic. At delivery, 51.9% of the mothers had a birth support person in the delivery room; the average caesarean section rate of 33.7% remained stable compared to the national figure. On average, 39.0% of mothers were separated from their newborns at birth, 26.6% practised skin-to-skin, 72.1% roomed in with their babies, and 79.6% of the infants received their mother’s milk. The infants separated and not separated from their SARS-CoV-2 positive mothers both had good outcomes. At the beginning of the pandemic, childbirth raised awareness and concern due to limited available evidence and led to “better safe than sorry” care choices. An improvement of the peripartum care indicators was observed over time.

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“…Ängste scheinen dabei ausgeprägter im dritten Trimenon im Vergleich zum ersten Trimenon (p = 0,045) aufzutreten [252]. Isolation, Quarantäne [253] und Trennung vom Partner (auch unter der Geburt) [254] werden bisweilen als traumatisch empfunden. Frauen, die schwanger sind, eine Fehlgeburt haben oder Gewalt in der Partnerschaft erleben, haben ein besonders hohes Risiko, während der Pandemie psychische Probleme zu entwickeln.…”

Section: Psychosoziale Belastungen Durch Die Pandemie Und Containmentmaßnahmenunclassified

Empfehlungen zu SARS-CoV-2/COVID-19 in Schwangerschaft, Geburt und Wochenbett – Update November 2021 (Langfassung)

Zöllkau

Hagenbeck

Hecher

et al. 2021

Z Geburtshilfe Neonatol

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ZusammenfassungSeit Beginn der SARS-CoV-2-Pandemie haben die Deutsche Gesellschaft für Gynäkologie und Geburtshilfe und die Gesellschaft für Peri-/Neonatalmedizin Empfehlungen zum Umgang mit SARS-CoV-2-positiven Schwangerschaften und Neugeborenen veröffentlicht und wiederholt aktualisiert. Als Weiterführung der bestehenden Empfehlungen werden in dem aktuellen Update Schlüsselfragen zur prä-, peri- und postnatalen Versorgung von Schwangeren, Gebärenden, Wöchnerinnen, Stillenden mit SARS-CoV-2 und COVID-19 sowie deren Un- oder Neugeborenen auf der Grundlage von Veröffentlichungen bis zum September 2021 behandelt. Die Empfehlungen und Stellungnahmen wurden sorgfältig aus den aktuell verfügbaren wissenschaftlichen Daten abgeleitet und anschließend im Expertenkonsens verabschiedet. Dieser Leitfaden – hier in der Langfassung vorliegend – soll eine Hilfe für die klinische Entscheidungsfindung darstellen. Die Auslegung und therapeutische Verantwortung obliegen weiterhin dem betreuenden medizinischen Team vor Ort, dessen Entscheidungen durch diese Empfehlungen unterstützt werden sollen. Aufgrund der raschen Dynamik neuer Erkenntnisse kann eine Anpassung erforderlich sein. Die Empfehlungen werden durch die Zustimmung der Fachgesellschaften getragen: Deutsche Gesellschaft für Perinatale Medizin (DGPM), Deutsche Gesellschaft für Gynäkologie und Geburtshilfe (DGGG), Deutsche Gesellschaft für Pränatal- und Geburtsmedizin (DGPGM), Deutsche Gesellschaft für Pädiatrische Infektiologie (DGPI), Gesellschaft für Neonatologie und Pädiatrische Intensivmedizin (GNPI).

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The experiences of childbearing women who tested positive to COVID-19 during the pandemic in northern Italy

Cited by 46 publications

References 24 publications

The impacts of the COVID-19 pandemic on birth satisfaction in a prospective cohort of 2,341 U.S. women

The impacts of the COVID-19 pandemic on birth satisfaction in a prospective cohort of 2,341 U.S. women

Childbirth Care among SARS-CoV-2 Positive Women in Italy

Empfehlungen zu SARS-CoV-2/COVID-19 in Schwangerschaft, Geburt und Wochenbett – Update November 2021 (Langfassung)

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