ABSTRACT
Cíl: Studie hodnotila očekávání žen ohledně porodu a vnímané účinky protokolů COVID-19 na porod ve vybraných zdravotnických zařízeních v Umuahia, Abia, Nigérie. Metodika: Byla použita průřezová deskriptivní výzkumná metoda. Do studie bylo v období od března do prosince 2020 cíleně vybráno tři sta čtyři (304) žen z vybraných zdravotnických zařízení v Umuahii. Jako nástroj pro sběr dat byl použit validovaný dotazník vyvinutý výzkumnými pracovníky. Získaná data byla podrobena deskriptivní statistice četností, průměrů a směrodatných odchylek. Výsledky: Hlavní zjištění ukázala, že vysoce hodnocená očekávání žen během porodu byla zapojení žen do rozhodování o péči (3,69 ± 3,20), poskytování adekvátních informací o péči o miminko (3,65 ± 3,17) a pozitivní přístup poskytovatelů zdravotní péče (3,59 ± 3,11). Větší počet účastníků plně souhlasil s tím, že lockdown během pandemie vedl k vážným porodním závěrům (3,25 ± 2,98);a zpoždění při dodržování protokolů COVID-19 kvalifikovaným personálem během porodu představuje velkou hrozbu pro matku a dítě (3,58 ± 3,12). Na druhou stranu pozorování sociálního distancování porodními asistentkami (1,57 ± 1,28) a testování žen na covid-19 před přijetím (1,96 ± 1,58) nemělo na porod žádný negativní vliv. Závěr: Zapojení žen do rozhodování o jejich porodních plánech a péči představuje očekávání žen od jejich porodu. Poskytovatelé zdravotní péče musí těmto očekáváním plně porozumět a poskytovat péči, která je s nimi v souladu. Je také nezbytné, aby informace poskytované ženám v prenatálním období, zejména v době pandemie, byly komplexní a srozumitelné. To by mělo být použito k otevřené komunikaci o problémech, které mohou ovlivnit jejich porodní zkušenost, zejména během pandemie.Alternate :Aim: The study assessed women's childbirth expectations and perceived effects of COVID-19 protocols on delivery in selected healthcare facilities in Umuahia, Abia State, Nigeria. Methods: The study adopted a cross-sectional descriptive survey research design. 304 women were purposively recruited from March through December 2020 from selected healthcare facilities in Umuahia. A validated researcher-developed questionnaire was used as instrument for data collection. Data obtained were subjected to descriptive statistics of frequencies, means, and standard deviations. Results: Major findings showed highly rated expectations of women during childbirth were women's involvement in decision making about their care (3.69 ± 3.20), provision of adequate information on baby care (3.65 ± 3.17), and positive attitude of healthcare providers (3.59 ± 3.11). A greater number of the participants strongly agreed that COVID-19 lockdown led to severe labor outcomes (3.25 ± 2.98) and delays in observing COVID-19 protocols by skilled personnel during delivery pose a great threat to mother and baby (3.58 ± 3.12). On the other hand, observation of social distancing by midwives (1.57 ± 1.28) and testing women for COVID-19 before admission (1.96 ± 1.58) did not have any negative effect on the women's delivery. Conclusions: Women's involvement in decision making concerning their birth plans and care are among the women's expectations for their birth. Healthcare providers need to fully understand these expectations and provide care that is consistent with them. It is also essential that information provided to antenatal women, especially during pandemics, is comprehensive and comprehensible. This should be used to openly communicate issues that may impact their birth experience, particularly in pandemics.
ABSTRACT
Aim: The study assessed women’s childbirth expectations and perceived effects of COVID-19 protocols on delivery in selected healthcare facilities in Umuahia, Abia State, Nigeria. Methods: The study adopted a cross-sectional descriptive survey research design. 304 women were purposively recruited from March through December 2020 from selected healthcare facilities in Umuahia. A validated researcher-developed questionnaire was used as instrument for data collection. Data obtained were subjected to descriptive statistics of frequencies, means, and standard deviations. Results: Major findings showed highly rated expectations of women during childbirth were women’s involvement in decision making about their care (3.69 ± 3.20), provision of adequate information on baby care (3.65 ± 3.17), and positive attitude of healthcare providers (3.59 ± 3.11). A greater number of the participants strongly agreed that COVID-19 lockdown led to severe labor outcomes (3.25 ± 2.98) and delays in observing COVID-19 protocols by skilled personnel during delivery pose a great threat to mother and baby (3.58 ± 3.12). On the other hand, observation of social distancing by midwives (1.57 ± 1.28) and testing women for COVID-19 before admission (1.96 ± 1.58) did not have any negative effect on the women’s delivery. Conclusions: Women’s involvement in decision making concerning their birth plans and care are among the women’s expectations for their birth. Healthcare providers need to fully understand these expectations and provide care that is consistent with them. It is also essential that information provided to antenatal women, especially during pandemics, is comprehensive and comprehensible. This should be used to openly communicate issues that may impact their birth experience, particularly in pandemics. © 2022 The Authors.
ABSTRACT
The COVID-19 pandemic has transformed the health care landscape and shifted individuals' expectations for and interactions with essential health services, including pregnancy-related care. This study explores alterations to individuals' pregnancy and childbirth decisions during an infectious disease pandemic. A convenience sample of 380 pregnant individuals with an expected delivery date between April and December 2020 consented to enroll and complete an online questionnaire on their pregnancy and childbirth expectations during the COVID-19 pandemic; a subset of respondents (n = 18) participated in semi-structured phone interviews. Survey data were analyzed quantitatively while interview data were analyzed using a thematic content analysis until a consensus on key themes was achieved. Respondents reported substantial stressors related to shifting policies of health care facilities and rapidly changing information about COVID-19 disease risks. As a result, respondents considered modifying their prenatal and childbirth plans, including the location of their birth (25%), health care provider (19%), and delivery mode (13%). These findings illuminate the concerns and choices pregnant individuals face during the COVID-19 pandemic and offer recommendations to engage in compassionate, supportive, and person-centered care during a time of unprecedented risk and uncertainty.