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Acad Med ; 96(6): 808-812, 2021 06 01.
Article in English | MEDLINE | ID: covidwho-1242112


COVID-19 is a worldwide pandemic, with frontlines that look drastically different than in past conflicts: that is, women now make up a sizeable majority of the health care workforce. American women have a long history of helping in times of hardship, filling positions on the home front vacated by men who enlisted as soldiers during World War I and similarly serving in crucial roles on U.S. military bases, on farms, and in factories during World War II. The COVID-19 pandemic has represented a novel battleground, as the first in which women have taken center stage, not only in their roles as physicians, respiratory therapists, nurses, and the like, but also by serving in leadership positions and facilitating innovations in science, technology, and policy. Yet, the pandemic has exacerbated multiple pain points that have disproportionally impacted women in health care, including shortages in correctly sized personal protective equipment and uniforms, inadequate support for pregnant and breastfeeding providers, and challenges associated with work-life balance and obtaining childcare. While the pandemic has facilitated several positive advancements in addressing these challenges, there is still much work to be done for women to achieve equity and optimal support in their roles on the frontlines.

COVID-19/prevention & control , Health Workforce/statistics & numerical data , Women, Working/history , Workforce/statistics & numerical data , COVID-19/diagnosis , COVID-19/epidemiology , COVID-19/virology , Empowerment , Female , Gender Equity , Health Personnel/trends , History, 20th Century , Humans , Leadership , Personal Protective Equipment/supply & distribution , SARS-CoV-2/isolation & purification , Women, Working/statistics & numerical data , World War I , World War II
Minerva Obstet Gynecol ; 73(2): 261-267, 2021 04.
Article in English | MEDLINE | ID: covidwho-1184117


BACKGROUND: Since COVID-19 was declared a pandemic, governments have taken actions to limit the transmission of the virus such as lockdown measures and reorganization of the local Health System. Quarantine measures have influenced pregnant women's daily lives. The aim of this study was to understand the impact of the changes imposed by COVID-19 emergency on the well-being of pregnant women and how the transformation of Schiavonia Hospital into a dedicated COVID hospital affected their pregnancy experience. METHODS: A cross-sectional survey was conducted. Pregnant women who gave birth in Schiavonia Hospital during the period May-September 2020 have been included. The assessment examined clinical characteristics, attitudes in relation to the pandemic and how it affected birth plans, perception of information received, and attitudes regards giving birth in a COVID hospital. RESULTS: One hundred four women responded to the survey, with an enrolment rate of 58%. About the influence of COVID-19 pandemic, 51% of respondents reported changing some aspect of their lifestyle. The identification of Schiavonia Hospital as COVID hospital did not modify the trust in the facility and in the obstetrics ward for the 90% of women, in fact for the 85.6% it was the planned Birth Center since the beginning of pregnancy. The communication was complete and exhaustive for 82.7% of the respondents. CONCLUSIONS: Despite the COVID hospital transformation, the women who came to give birth at Schiavonia Birth Center rated the healthcare assistance received at high level, evidencing high affection for the structure and the healthcare workers.

Attitude to Health , COVID-19/epidemiology , Delivery Rooms/organization & administration , Delivery, Obstetric , Pregnant Women/psychology , Adult , Cross-Sectional Studies , Female , Health Facility Closure , Hospitals, Isolation/organization & administration , Humans , Italy/epidemiology , Life Style , Pandemics , Parity , Pregnancy , Prenatal Care/statistics & numerical data , Surveys and Questionnaires/statistics & numerical data , Women, Working/statistics & numerical data , Young Adult
Sleep Health ; 7(1): 19-23, 2021 02.
Article in English | MEDLINE | ID: covidwho-1111852


OBJECTIVES: This study longitudinally compared the sleep of infants in the United States whose mothers were in home confinement to those whose mothers were working as usual throughout the COVID-19 pandemic. METHODS: Mothers of 572 infants (46% girls) aged 1-12 months (M = 5.9, standard deviation = 2.9) participated. Assessments were conducted on 4 occasions from late March to May 2020. Infant sleep was measured objectively using auto-videosomnography. Mothers reported their sheltering status, demographic characteristics, and infant sleep. RESULTS: Infants of mothers in home confinement had later sleep offset times and longer nighttime sleep durations, compared to infants of mothers who were working as usual. At the end of March, these infants also had earlier bedtimes, more nighttime awakenings, and more parental nighttime visits, but differences were not apparent during April and May. CONCLUSIONS: Living restrictions issued in the United States may have led to longer sleep durations and temporary delays in sleep consolidation for infants of mothers in home confinement.

COVID-19/prevention & control , Mothers/statistics & numerical data , Quarantine/statistics & numerical data , Sleep , Women, Working/statistics & numerical data , Adult , COVID-19/epidemiology , Female , Humans , Infant , Longitudinal Studies , Male , Time Factors , United States/epidemiology , Young Adult