Labor and Delivery Visitor Policies During the COVID-19 Pandemic

Arora, Kavita Shah; Mauch, Jaclyn T.; Gibson, Kelly S.

doi:10.1001/jama.2020.7563

Cited by 74 publications

(76 citation statements)

References 4 publications

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“…5 A major challenge of these policies involves the need for explicit, easily interpreted rules, sensitive to the complexity of familial dynamics and contemporary care delivery across a variety of settings within a given institution. 9 Specification for which visitors are permitted, such as parents or immediate family, could overgeneralize familial structure, excluding individuals important to the patient arbitrarily and unnecessarily; inadvertently creating disparities and inequality for a multi-cultural society with complex family dynamics. 10 While this analysis benefits from a purposive sample representative of Michigan's inpatient hospitals, we recognize limitations including a modest sample size from a single state, and that a snapshot in time of policies does not reflect their likely evolution at each institution.…”

Section: Discussionmentioning

confidence: 99%

Hospital Visitation Policies During the SARS-CoV-2 Pandemic

Weiner

Firn

Hogikyan

et al. 2021

American Journal of Infection Control

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A significant change for patients and families during SARs-CoV-2 has been the restriction of visitors for hospitalized patients. We analyzed SARs-CoV-2 hospital visitation policies and found widespread variation in both development and content. This variation has the potential to engender inequity in access. We propose guidance for hospital visitation policies for this pandemic to protect, respect, and support patients, visitors, clinicians, and communities.

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Section: Discussionmentioning

confidence: 99%

Hospital Visitation Policies During the SARS-CoV-2 Pandemic

Weiner

Firn

Hogikyan

et al. 2021

American Journal of Infection Control

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“…Without clear communication about the full range of options available to them and support for their decisions, women may be dissuaded from accessing prenatal and postpartum services and in-hospital deliveries, even when medically indicated. 14 The right to equality and non-discrimination demands equal access to the same range, quality, and standard of maternity care services and special measures to overcome the discrimination that disproportionately affects women of color and women who are poor, 15,16 among other already marginalized and underserved groups. 12,13 These women are more likely to experience not only worse maternal health outcomes and pre-existing health conditions that are associated with COVID-19-and pregnancy-related complications, but also the potential harms associated with the abovementioned policies and practices.…”

Section: Human Rights Implicationsmentioning

confidence: 99%

Respectful maternity care in the context of COVID‐19: A human rights perspective

Reingold

Barbosa

Mishori

2020

Intl J Gynecology & Obste

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“…Corollary to what Arora with co-authors (9) and Rocca-Ihenacho and Alonso (23) argued in the face of the pandemic more broadly, Polish experts also wondered about the potential to challenge medicalization:…”

Section: Resultsmentioning

confidence: 99%

“…COVID-19 reinvigorated the debates on telemedicine, agility of healthcare systems, as well as overcrowding and under-nancing of healthcare workers, all having an impact on expectant and rst-time mothers as a particularly vulnerable group. This is because overlapping medical and social shortcomings affect pregnant women in particular ways, introducing a condition of uncertainty and hindering women's ability to receive medical or social support during pregnancy, childbirth and in terms of new-born care (8,9,10,11).…”

mentioning

confidence: 99%

Pregnancy and Childbirth During the Covid-19 Epidemic in Poland: Qualitative Evidence From Expert Interviews.

Pustułka

Buler

2020

Preprint

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BackgroundThe Covid-19 outbreak has significantly altered the provisions and shape of medical services for expecting mothers worldwide. In Poland, the country where pregnancy and childbirth are subject to comparably greater medicalization, those shifts are particularly tangible. This study aimed at capturing the responses of the maternal health professionals, highlighting possible long-term implications for the expecting and new mothers, as well as the reproductive health sector. MethodsThis is a qualitative and rapid-response study which addresses the themes around the emerging implications of the viral outbreak. Semi-structured expert interviews were conducted with 46 individuals, all highly-skilled, working in either medical or adjacent sectors connected with reproductive medicine, as well as varied antenatal and postpartum care services. In this analysis, 7 digital experts were excluded as observers rather than field practitioners Among 39 interviews, 5 have been conducted with OB-GYNs, 13 with midwives, 7 with doulas, 14 broadly-conceived category of maternal support experts including psychologists and physiotherapists. The recorded data were input into thematic grids and meticulously transcribed prior to being subject to an inductive, thematic analysis. ResultsThe findings revealed that the context of the heightened medicalization of pregnancy and hospital care during birth in Poland, resulted in strong restrictions and immediate fall back to a clinical care model. The majority also claimed that the Covid-19 pandemic exacerbated the implications of the decades of Polish maternal health recommendations contradicting the WHO regulations. Professionals’ anxieties concern limited access to services assisting women during pregnancies. While those linked to hospitals pointed out physiological risks, other maternal support experts drew attention to the effects of stress and uncertainty on maternal mental health. ConclusionsExperts believe that the pandemic will have multifaceted consequences. Negative impact on well-being of expecting and birthing mothers, as well as new-borns, is already observed and highly anticipated to increase further. The professionals underscore both the information chaos surrounding recommendations and procedures, and see the pandemic as a moment of reflection, mostly being vocal in their critiques of the over-medicalized Polish care model.

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Labor and Delivery Visitor Policies During the COVID-19 Pandemic

Abstract: This Viewpoint reviews the policies, challenges, and ethics of allowing visitors of women while laboring in a hospital from the perspective of the woman, the visitor, the hospital staff, the community, and the infant.

Cited by 74 publications

References 4 publications

Hospital Visitation Policies During the SARS-CoV-2 Pandemic

Hospital Visitation Policies During the SARS-CoV-2 Pandemic

Respectful maternity care in the context of COVID‐19: A human rights perspective

Pregnancy and Childbirth During the Covid-19 Epidemic in Poland: Qualitative Evidence From Expert Interviews.

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