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Abdul-Fatah A, Bezanson M, Lopez Steven S, Tippins E, Jones S, MacDonald H, Ysseldyk R. COVID-19 Public Health Restrictions and New Mothers' Mental Health: A Qualitative Scoping Review. QUALITATIVE HEALTH RESEARCH 2024:10497323241251984. [PMID: 39030700 DOI: 10.1177/10497323241251984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/21/2024]
Abstract
Public health restrictions to protect physical health during the COVID-19 pandemic had unintended effects on mental health, which may have disproportionately affected some potentially vulnerable groups. This scoping review of qualitative research provides a narrative synthesis of new mothers' perspectives on their mental health during COVID-19 pandemic restrictions through pregnancy to the postpartum period. Database searches in PubMed, CINAHL, and PsycINFO sought primary research studies published until February 2023, which focused on new mothers' self-perceived mental health during the pandemic (N = 55). Our synthesis found that new mothers' mental health was impacted by general public health restrictions resulting in isolation from family and friends, a lack of community support, and impacts on the immediate family. However, public health restrictions specific to maternal and infant healthcare were most often found to negatively impact maternal mental health, namely, hospital policies prohibiting the presence of birthing partners and in-person care for their infants. This review of qualitative research adds depth to previous reviews that have solely examined the quantitative associations between COVID-19 public health restrictions and new mothers' mental health. Here, our review demonstrates the array of adverse impacts of COVID-19 public health restrictions on new mothers' mental health throughout pregnancy into the postpartum period, as reported by new mothers. These findings may be beneficial for policy makers in future public health emergency planning when evaluating the impacts and unintended consequences of public health restrictions on new mothers.
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Affiliation(s)
| | - Michelle Bezanson
- Department of Health Sciences, Carleton University, Ottawa, ON, Canada
| | | | - Emily Tippins
- Department of Health Sciences, Carleton University, Ottawa, ON, Canada
| | - Sarah Jones
- Department of Health Sciences, Carleton University, Ottawa, ON, Canada
| | | | - Renate Ysseldyk
- Department of Health Sciences, Carleton University, Ottawa, ON, Canada
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Loezar-Hernández M, Briones-Vozmediano E, Gea-Sánchez M, Robledo-Martin J, Otero-García L. Primary health care midwives' perceptions on the use of telemedicine during the COVID-19 pandemic in Spain. ENFERMERIA CLINICA (ENGLISH EDITION) 2023; 33:380-390. [PMID: 37898171 DOI: 10.1016/j.enfcle.2023.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 09/23/2023] [Indexed: 10/30/2023]
Abstract
OBJECTIVE To explore the experiences of primary healthcare (PHC) midwives with the implementation of telemedicine in pregnancy and puerperium care during the Covid-19 pandemic. METHOD Exploratory qualitative study based on an inductive content analysis of 15 semi-structured interviews with intentionally selected PHC midwives in four Spanish Autonomous Regions, during 2021-22. RESULTS Five categories were identified: (1) changes in the modality of care in pregnancy and puerperium: prioritization of pregnant women, unprotected puerperium, an increase of home visits and decline of parental education groups, (2) implementation of telemedicine in a changing scenario: the positive and negative side of telemedicine (3) reaction of women to telemedicine (4) strategies implemented by midwives for a humanized care, (5) learning for the future. CONCLUSIONS The use of telemedicine by primary healthcare midwives enabled the care of pregnant and postpartum women during the pandemic in Spain. The positive aspects of the implementation of this type of care raise possibilities for change towards a hybrid format of healthcare.
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Affiliation(s)
- Mariana Loezar-Hernández
- Departamento de Enfermería y Fisioterapia, Facultad de Enfermería y Fisioterapia, Universidad de Lleida, Lleida, Spain; Grupo de Estudios en Salud, Sociedad, Educación y Cultura de los Cuidados, Universidad de Lleida, Lleida, Spain; Grup de Recerca en Cures en Salut (GRECS), Institut de Recerca Biomèdica (IRB), Lleida, Spain
| | - Erica Briones-Vozmediano
- Departamento de Enfermería y Fisioterapia, Facultad de Enfermería y Fisioterapia, Universidad de Lleida, Lleida, Spain; Grupo de Estudios en Salud, Sociedad, Educación y Cultura de los Cuidados, Universidad de Lleida, Lleida, Spain; Grup de Recerca en Cures en Salut (GRECS), Institut de Recerca Biomèdica (IRB), Lleida, Spain.
| | - Montserrat Gea-Sánchez
- Departamento de Enfermería y Fisioterapia, Facultad de Enfermería y Fisioterapia, Universidad de Lleida, Lleida, Spain; Grupo de Estudios en Salud, Sociedad, Educación y Cultura de los Cuidados, Universidad de Lleida, Lleida, Spain; Grup de Recerca en Cures en Salut (GRECS), Institut de Recerca Biomèdica (IRB), Lleida, Spain; Centro de Investigación Biomédica en Red en Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Juana Robledo-Martin
- Departamento de Enfermería, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañon (IiSGM), Madrid, Spain
| | - Laura Otero-García
- Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
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Gómez-López ME, Aldrete-Cortez V, González-Carpinteiro A, Mendizábal-Espinosa R, Bobadilla L. The Emotional Experience of Mexican Women with SARS-CoV-2 during Pregnancy-A Qualitative Study. Healthcare (Basel) 2023; 11:2785. [PMID: 37893859 PMCID: PMC10606424 DOI: 10.3390/healthcare11202785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 10/16/2023] [Accepted: 10/19/2023] [Indexed: 10/29/2023] Open
Abstract
Pregnant women have been considered a high-risk group for SARS-CoV-2 infection; the impact of the disease on the health of a mother and her child is still being studied. The emotional impact of the pandemic on pregnant women has been extensively studied. Emotional distress is proposed as a perspective to explain the emotional manifestations in women during this stage as something common rather than pathological. The objective of this study was to explore the emotional experience of women who tested positive for SARS-CoV-2 towards the end of their pregnancy, during the first and second waves of COVID-19 in Mexico. A qualitative study was carried out: 18 pregnant women with COVID-19 were interviewed. A thematic analysis of the data was performed, resulting in 3 main themes and 14 subthemes. The COVID-19-infected mothers-to-be experienced mild to moderate emotional distress. It was more intense for those with comorbidities. This distress was aggravated during obstetrical complications and comorbidities, as well as during COVID-19 and postpartum. The emotional distress was appeased by both the perception of medical care and social support. The emotional distress of pregnant women with COVID-19 requires emotional support to reduce its impact.
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Affiliation(s)
| | - Vania Aldrete-Cortez
- Laboratory of Neuroscience and Cognitive Development, School of Psychology, Universidad Panamericana, Mexico City 03920, Mexico; (V.A.-C.); (A.G.-C.)
| | - Aline González-Carpinteiro
- Laboratory of Neuroscience and Cognitive Development, School of Psychology, Universidad Panamericana, Mexico City 03920, Mexico; (V.A.-C.); (A.G.-C.)
| | - Rosa Mendizábal-Espinosa
- Social Research Institute of London, University College London, London WC1E 6BT, UK;
- Nacer Temprano, Vivir en Grande, Civil Association, Tlalnepantla de Baz 54080, Mexico
| | - Liliana Bobadilla
- Hospital of Gynecology and Obstetrics “Dr. Luis Castelazo Ayala”, Instituto Mexicano del Seguro Social, Mexico City 01090, Mexico;
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Sedano-Ochoa SA, Álvarez Bañuelos MT, Saldaña-Ibarra SA, Arroyo Helguera O, Coutiño Rodríguez R. Sociodemographic Barriers to Physical Activity and Healthy Diet Through Social Networks in Mexican Breast Cancer Survivors. Cureus 2023; 15:e47678. [PMID: 38021734 PMCID: PMC10673632 DOI: 10.7759/cureus.47678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/25/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction Female breast cancer (BC) survivors are affected by poor eating habits and physical inactivity due to certain environmental, physical, and social barriers to healthy lifestyles. This study aimed to identify the sociodemographic, physical, and economic barriers hindering the adoption of physical activity (PA) and a healthy diet, as well as providing insights into how BC survivors cope with these barriers using social networks. Methods A cross-sectional mixed-methods study was conducted, with a self-administered questionnaire and open-ended questions to determine the barriers to PA and healthy eating, while in the second phase, an interpretive qualitative study was carried out with semi-structured interviews. Descriptive statistics, odds ratios (ORs), correspondence analysis, and multivariate analysis were used to estimate the association between moderate to vigorous PA and fruit and vegetable consumption and BC covariates. Results During the COVID-19 lockdown, 150 Mexican BC survivors were studied. The multivariate analysis showed that age (OR = 2.7, 95% CI: 1.0 to 7.03), socioeconomic level (OR = 3.2, 95% CI: 1.3 to 8.2), and overweight (OR = 3.6, 95% CI: 1.5 to 9.7) were significantly associated with low schooling. BC diagnosis of less than three years and age > 40 years were associated with lack of exercise. Survivors individually addressed the challenges associated with BC without the support of specialists. As a result, they sought information on social networks. Conclusions Regarding BC survivors, age > 40 years, low socioeconomic status, and being overweight were important gaps to PA and a healthy diet. In the testimonials, the primary obstacle to engaging in PA was lack of time, while the high cost of food was the most frequently cited reason for not following a healthy diet. Many of the individuals maintained a poor diet with a low intake of fruits and vegetables. Thus, appropriate information must be provided using technologies to develop skills to deal with BC.
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Komine-Aizawa S, Yamada N, Haruyama Y, Deguchi M, Fukuda M, Kawana K, Kobashi G, Miyagi E, Yamada H, Sugiyama T, Hayakawa S. The Factors Influencing Pregnant Women's Selection of Media Sources to Obtain Information on COVID-19 in Japan in 2021. Vaccines (Basel) 2023; 11:vaccines11040805. [PMID: 37112717 PMCID: PMC10143418 DOI: 10.3390/vaccines11040805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 03/30/2023] [Accepted: 04/04/2023] [Indexed: 04/29/2023] Open
Abstract
Pregnant women presumably gather information about the coronavirus disease 2019 (COVID-19) from various sources. However, it is difficult for pregnant women who are not medical professionals to source the appropriate information because of the infodemic related to the COVID-19 pandemic. Therefore, the objective of our study was to investigate how pregnant women gathered information about COVID-19 and COVID-19 vaccination. To address this issue, we conducted an online questionnaire survey between 5 October and 22 November 2021, which was approved by the Ethics Committee of Nihon University School of Medicine. We received 4962 responses after excluding 1179 insufficient answers. Our study found that age, occupation, and infection-risk anxiety influenced the selection of media for obtaining information. Pregnant women who were older, medical professionals, public servants, or educators tended to rely on specialized medical websites, whereas housewives tended to use mass media, social media, and sources with uncertain scientific evidence. Additionally, the number of weeks of gestation and the method of conception (natural or assisted reproductive conception) affected the selection of media. The accessibility of COVID-19 information for pregnant women was determined by their social background and pregnancy status. We need to continue making efforts to ensure that appropriate information is readily available to pregnant women and their families.
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Affiliation(s)
- Shihoko Komine-Aizawa
- Division of Microbiology, Department of Pathology and Microbiology, Nihon University School of Medicine, Tokyo 173-8610, Japan
| | - Naotake Yamada
- Institute of Journalism and Media, Nihon University, Tokyo 101-8375, Japan
| | - Yasuo Haruyama
- Integrated Research Faculty for Advanced Medical Sciences, Dokkyo Medical University, Tochigi 321-0293, Japan
| | - Masashi Deguchi
- Department of Obstetrics and Gynecology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan
| | - Mitsuru Fukuda
- College of Risk Management, Nihon University, Tokyo 154-8513, Japan
| | - Kei Kawana
- Division of Obstetrics and Gynecology, Nihon University School of Medicine, Tokyo 173-8610, Japan
| | - Gen Kobashi
- Department of Public Health, Dokkyo Medical University, Tochigi 321-0293, Japan
| | - Etsuko Miyagi
- Department of Obstetrics and Gynecology, Yokohama City University Hospital, Yokohama 236-0004, Japan
| | - Hideto Yamada
- Center for Recurrent Pregnancy Loss, Teine Keijinkai Hospital, Sapporo 006-8555, Japan
| | - Takashi Sugiyama
- Department of Obstetrics and Gynecology, Ehime University Graduate School of Medicine, Toon 791-0295, Japan
| | - Satoshi Hayakawa
- Division of Microbiology, Department of Pathology and Microbiology, Nihon University School of Medicine, Tokyo 173-8610, Japan
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