Patient Experience of Obstetric Care During the COVID-19 Pandemic: Preliminary Results From a Recurring National Survey

Bradley, Danielle; Blaine, Arianna I.; Shah, Neel; Mehrotra, Ateev; Gupta, Rahul; Wolfberg, Adam

doi:10.1177/2374373520964045

Cited by 23 publications

(30 citation statements)

References 5 publications

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“…Many who had never considered community birth sought out the option for a home or birth center birth 20 . Similarly, recent results from a national survey demonstrated that nearly 1 in 4 pregnant respondents (24.5%) considered home birth as an option 3 . Those who opted for community birth in our study, often reflected that their birth experience felt transformative.…”

Section: Discussionsupporting

confidence: 67%

“…13 In addition to these validated measures, the questionnaire asked about demographics, choice of birth setting, anticipatory guidance related to COVID protocols, delivery mode, perceived stress, and birth experience. Participants rated on a Likert scale their levels of stress (1-10) and satisfaction (1-5) and how informed they felt during their experiences of pregnancy and birth (1)(2)(3)(4)(5)(6). Lower scores indicated more positive experiences (less stress, higher satisfaction, and feeling better informed).…”

Section: Methodsmentioning

confidence: 99%

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Birth during the Covid‐19 pandemic: What childbearing people in the United States needed to achieve a positive birth experience

Combellick

Ibrahim

Julien

et al. 2022

Birth

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Background The COVID pandemic exposed many inadequacies in the maternity care system in the United States. Maternity care protocols put in place during this crisis often did not include input from childbearing people or follow prepandemic guidelines for high‐quality care. Departure from standard maternity care practices led to unfavorable and traumatic experiences for childbearing people. This study aimed to identify what childbearing people needed to achieve a positive birth experience during the pandemic. Methods This mixed‐methods, cross‐sectional study was conducted among individuals who gave birth during the COVID pandemic from 3/1/2020 to 11/1/2020. Participants were sampled via a Web‐based questionnaire that was distributed nationally. Descriptive and bivariate statistics were analyzed. Thematic and content analyses of qualitative data were based on narrative information provided by participants. Qualitative and convergent quantitative data were reported. Results Participants (n = 707) from 46 states and the District of Columbia completed the questionnaire with 394 contributing qualitative data about their experiences. Qualitative findings reflected women's priorities for (a) the option of community birth, (b) access to midwives, (c) the right to an advocate at birth, and (d) the need for transparent and affirming communication. Quantitative data reinforced these findings. Participants with a midwife provider felt significantly better informed. Those who gave birth in a community setting (at home or in a freestanding birth center) also reported significantly higher satisfaction and felt better informed. Participants of color (BIPOC) were significantly less satisfied and more stressed while pregnant and giving birth during the pandemic. Conclusions High‐quality maternity care places childbearing people at the center of care. Prioritizing the needs of childbearing people, in COVID times or otherwise, is critical for improving their experiences and delivering efficacious and safe care.

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Section: Discussionsupporting

confidence: 67%

Section: Methodsmentioning

confidence: 99%

Birth during the Covid‐19 pandemic: What childbearing people in the United States needed to achieve a positive birth experience

Combellick

Ibrahim

Julien

et al. 2022

Birth

View full text Add to dashboard Cite

show abstract

“…Participants may have had to choose between caring for children (now home from school due to the pandemic) or other caregiving responsibilities and attending in-person appointments with limits to those accompanying them. A large study that included pregnant participants ( n = 1829) reported that 10% of that sample used telehealth at some point during the pregnancy, which is consistent with our findings (12%) 28. Changes to prenatal care delivery with telehealth and other remote modalities presented a problem for both personal and practical reasons.…”

Section: Discussionsupporting

confidence: 89%

A Mixed-Methods Study of Experiences During Pregnancy Among Black Women During the COVID-19 Pandemic

Dove‐Medows

Davis

McCracken

et al. 2022

Journal of Perinatal &Amp; Neonatal Nursing

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Pregnant women experienced disruptions in their prenatal care during the coronavirus disease-2019 (COVID-19) pandemic. While there is emerging research about the impact of COVID-19 on experiences of pregnancy, the majority of studies that have reported on prenatal care and birth during COVID-19 have not incorporated the first-person accounts of Black women. The purpose of this mixed-methods study was to explore the perspectives of Black women on prenatal care, labor, and birth during the pandemic. A total of 33 participants completed questionnaires. Fourteen of these 33 women and an additional 2 participated in qualitative

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“…However, such communication may have become more difficult given the spread of the pandemic, the strain it put on healthcare services, and the introduction of lockdown measures. In the United States, a survey conducted between mid-March and mid-May 2020 showed that almost one-third of pregnancy monitoring visits were changed, cancelled or postponed [ 13 ]. In France, half (48.9%) of the pregnant women included in the Covimater cross-sectional study reported at least one postponement or cancellation of a consultation or pregnancy check-up during the country’s first lockdown (from 17 March to 11 May 2020), whether on their own initiative (23.4%), or that of a hospital/health professional (36.3%) [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Pregnant women’s unmet need to communicate with a health professional during the SARS-CoV-2 pandemic lockdown in France: The Covimater cross-sectional study

et al. 2022

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During the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic lockdown, communication between pregnant women and health professionals may have become complicated due to restrictions on movement and saturated health services. This could have impacts on pregnancy monitoring and women’s wellbeing. We aimed to i) describe the unmet need of pregnant women living in France to communicate with health professionals about the pandemic and their pregnancy during the lockdown, ii) assess the socio-demographic, medical and contextual factors associated with this unmet need. The Covimater cross-sectional study, conducted in July 2020, includes data on 500 adult women’s experiences of pregnancy during the first lockdown period in France (i.e., from March to May 2020). The women, all residents in metropolitan France, answered a web-based questionnaire about their conversations with health professionals during the lockdown, as well as their social and medical characteristics. A robust variance Poisson regression model was used to estimate crude or adjusted prevalence ratios (aPRs) for their unmet need to communicate with health professionals about the pandemic and their pregnancy. Forty-one percent of participants reported an unmet need to communicate with a health professional during the lockdown, mainly about the risk of transmitting SARS-CoV-2 to their baby and the consequences for the latter. Factors associated were: i) being professionally inactive (aPR = 1.58,CI95%[(1.14–2.21]), ii) having an educational level below secondary school diploma (1.38,[1.05,-1.81]), iii) having experienced serious arguments/violence (2.12,[1.28–3.52]), iv) being very worried about the pandemic (1.41,[1.11–1.78]), v) being primiparous (1.36,[1.06–1.74]) and vi) having had pregnancy consultations postponed/cancelled by health professionals during the lockdown (1.35,[1.06–1.73]). These results can be used to develop targeted strategies that ensure pregnant women are able to i) communicate with health professionals about the potential impact of the SARS-CoV-2 pandemic on their pregnancy, and ii) access up-to-date and reliable information on the consequences of SARS-CoV-2 for themselves and their child.

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Patient Experience of Obstetric Care During the COVID-19 Pandemic: Preliminary Results From a Recurring National Survey

Cited by 23 publications

References 5 publications

Birth during the Covid‐19 pandemic: What childbearing people in the United States needed to achieve a positive birth experience

Birth during the Covid‐19 pandemic: What childbearing people in the United States needed to achieve a positive birth experience

A Mixed-Methods Study of Experiences During Pregnancy Among Black Women During the COVID-19 Pandemic

Pregnant women’s unmet need to communicate with a health professional during the SARS-CoV-2 pandemic lockdown in France: The Covimater cross-sectional study

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