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Türkiye'deki Ebelerin COVİD-19'lu Kadınlara Doğum Bakımı Sağlama Konusunda Deneyimleri: Niteliksel Bir Çalışma

Year 2024, Volume: 7 Issue: 1, 60 - 70, 05.04.2024

Özlem Aşcı , Meltem Demirgöz Bal , Ayla Ergin

https://doi.org/10.5281/zenodo.10926618

Abstract

Amaç: Bu çalışmanın amacı, ebelerin COVID-19’lu kadınlara doğum bakımı sağlamaya yönelik deneyimlerini değerlendirmektir.
Yöntemler: Bu nitel çalışma, 15-30 Ocak 2021 tarihleri arasında bir devlet hastanesinde en az bir yıldır çalışan ve aktif olarak COVID-19'lu kadınlara doğum bakım sağlayan 25 ebe ile gerçekleştirilmiştir. Veriler, araştırmacılar tarafından hazırlanan yedi açık uçlu sorudan oluşan yarı yapılandırılmış görüşme formu kullanılarak birebir video konferans görüşmeleri yoluyla elde edilmiş ve tematik olarak analiz edilmiştir.
Bulgular: Dört ana tema tanımlanmıştır. Tema 1: ‘Ebelik bakım performansında değişim’, ebelerin COVID-19’lu kadınlara doğum bakımı sağlama performanslarını ve etkili faktörleri tanımlamıştır. Tema 2: ‘Olağandışı travay ve doğum’, ebelerin travay ve doğumdaki izolasyon süreçlerini, doğuma refakatçi kabul etme ile ilgili yaşadıkları değişimleri ve artan sezeryan kararlarını ele alma biçimlerini açıklamıştır. Tema 3: ‘Doğum sonu bakımı bozan katı politikalar’, ebelerin doğum sonu dönemde politik kararlarla değişen uygulamalarını tarif etmiştir. Tema 4: ‘Emosyonel sorunlar’, profesyonel ve insani bakış açısıyla doğrudan deneyimlenen emosyonel sorunları açıklamıştır.
Sonuç: Ebeler COVID-19 döneminde merhamet ve empatiyi elden bırakmasalarda kadın merkezli bakım sağlamada zorlanmışlardır. Ebeler doğal doğumu savunmuş, ancak değişimde söz alamamıştır. Anksiyete, korku, artan stres ve tükenmişlik onların profesyonel yaşam kalitesini belirgin şekilde etkilemiştir.

Keywords

doğum COVID-19 ebe nitel araştırma

References

  • Adnani, Q. E. S., O’Connell, M. A., & Homer, C. S. (2021). Advocating for midwives in low-to-middle income countries in the COVID-19 pandemic. Women and Birth, 34(6), 501-502. https://doi.org/10.1007/s10668-020-00801-2.
  • Asefa, A., Semaan, A., Delvaux, T., Huysmans, E., Galle, A., Sacks, E., Bohren, M.A., Morgan, A., Sadler, M., Vedami, S., & Benova, L. (2022). The impact of COVID-19 on the provision of respectful maternity care: Findings from a global survey of health workers. Women and Birth, 35(4), 378-386. https://doi.org/10.1016/j.wombi.2021.09.003
  • Bingöl, O. (2014). The fact of gender and womanhood in Turkey. Karamanoglu Mehmetbey University Journal of Social and Economic Research, 16(1), 108-114.
  • Bradfield, Z., Hauck, Y., Homer, C. S., Sweet, L., Wilson, A. N., Szabo, R. A., Wynter, K., Vasilevski, V., & Kuliukas, L. (2022). Midwives’ experiences of providing maternity care during the COVID-19 pandemic in Australia. Women and Birth, 35(3), 262-271. https://doi.org/10.1016/j.wombi.2021.02.007
  • Braun, V., & Clarke, V. (2006).Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101.
  • Centers for Disease Control and Prevention, CDC, 2019. Evaluation and management considerations for neonates at risk for COVID-19. [PDF Document]. Retrieved from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/caring-for-newborns.html
  • Chen, D., Yang, H., Cao, Y., Cheng, W., Duan, T., Fan, C., Fan, S., Feng, L., Gao, Y., He, F., He, J., Hu, Y., Jiang, Y., Li, Y., Li, J., Li, X., Li, X., Lin, K., Liu, C., …& Guan, X. (2020). Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID‐19) infection. International Journal of Gynecology & Obstetrics, 149(2), 130-136. https://doi.org/10.1002/ijgo.13146
  • Demirci, A.D., Kabukcuoglu, K., Haugan, G., & Aune, I. (2021). Turkish midwives’ experiences and opinions in promoting normal births: A grounded theory study. Midwifery, 99(3), 103006. https://doi.org/10.1016/j.midw.2021.103006
  • Fumagalli, S., Ornaghi, S., Borrelli, S., Vergani, P., & Nespoli, A. (2022). The experiences of childbearing women who tested positive to COVID-19 during the pandemic in northern Italy. Women and Birth, 35(3), 242-253. https://doi.org/10.1016/j.wombi.2021.01.001
  • Goberna-Tricas, J., Biurrun-Garrido, A., Perelló-Iñiguez, C., & Rodríguez-Garrido, P. (2021). The COVID-19 pandemic in Spain: Experiences of midwives on the healthcare frontline. International Journal of Environmental Research and Public Health, 18(12),6516. https://doi.org/10.3390/ijerph18126516
  • González-Timoneda, A., Hernández, V. H., Moya, S. P., & Blazquez, R. A. (2021). Experiences and attitudes of midwives during the birth of a pregnant woman with COVID-19 infection: A qualitative study. Women and Birth, 34(5), 465-472. https://doi.org/10.1016/j.wombi.2020.12.001
  • Guba, E. G., & Lincoln, Y. S. (1982). Epistemological and methodological bases of naturalistic inquiry. Educational Communication and Technology Journal, 30(4), 233-252.
  • Horsch, A., Lalor, J., & Downe, S. (2020). Moral and mental health challenges faced by maternity staff during the COVID-19 pandemic. Psychological Trauma: Theory, Research, Practice, and Policy, 12(1), 141-142. https://doi.org/10.1037/tra0000629
  • Kotlar, B., Gerson, E., Petrillo, S., Langer, A., & Tiemeier, H. (2021). The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review. Reproductive Health, 18(1), 1-39. https://doi.org/10.1186/s12978-021-01070-6
  • Küçüktürkmen, B., Baskaya, Y., & Özdemir, K. (2022). A qualitative study of Turkish midwives’ experience of providing care to pregnant women infected with COVID-19. Midwifery, 105(2022), 103206. https://doi.org/10.1016/j.midw.2021.103206
  • Lakshminrusimha, S., Sridhar, A., Guerra, A. A. H., Higgins, R. D., & Saade, G. (2020). Perinatal COVID-19 infection prevention: infographics for patients and providers. American Journal of Perinatology, 37(12), 1185-1188. https://doi.org/10.1055/s-0040-1714387
  • Parker, M.G., Gupta, A., Healy, H., Peaceman, A., Kerr, S.M., Heeren, T.C., Hudak, & Gupta, M. L. (2022). Variation in United States COVID-19 newborn care practices: results of an online physician survey. BMC pediatrics, 22(1), 1-12. https://doi.org/10.1186/s12887-022-03129-0
  • Renfrew, M.J., Cheyne, H., Craig, J., Duff, E., Dykes, F., Hunter, B., Lavender, T., Page, L., Ross-Davie, M., Spiby, H., & Downe, S. (2020). Sustaining quality midwifery care in a pandemic and beyond. Midwifery, 88(2020), 102759. https://doi.org/10.1016/j.midw.2020.102759.
  • Schmitt, N., Mattern, E., Cignacco, E., Seliger, G., König-Bachmann, M., Striebich, S., & Ayerle, G. M. (2021). Effects of the COVID-19 pandemic on maternity staff in 2020–a scoping review. BMC Health Services Research, 21(1), 1-25. https://doi.org/10.1186/s12913-021-07377-1
  • Semaan, A., Audet, C., Huysmans, E., Afolabi, B., Assarag, B., Banke-Thomas, A., Blencowe, H., Caluwaerts, S., Campbell, O.M.R., Cavallaro, F.L., Chavane, L., Day, L. D., Delamou, A., Delvaux, T., Graham, E.L., Gon, G., Kascak, P., Matsui, M., Moxon, S.... & Benova, L. (2020). Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic. BMJ Global Health, 5(6), e002967. https://doi.org/10.1136/bmjgh-2020-002967
  • Shorey, S., & Chan V. (2020). Lessons from past epidemics and pandemics and a way forward for pregnant women, midwives and nurses during COVID-19 and beyond: a meta-synthesis. Midwifery, 90, 102821. https://doi.org/10.1016/j.midw.2020.102821
  • Townsend, R., Chmielewska, B., Barratt, I., Kalafat, E., van der Meulen, J., Gurol-Urganci, I., O'Brien, P., Morris, E., Draycott, T., Thangaratinam, S., LeDoare, K., Ladhani, S., von Dadelszen, P., Magee, L.A., & Khalil, A. (2021). Global changes in maternity care provision during the COVID-19 pandemic: A systematic review and meta-analysis. eClinicalMedicine, 37(1), 100947. https://doi.org/10.1016/j.eclinm.2021.100947
  • Van Manen, E. L., Hollander, M., Feijen-de Jong, E., de Jonge, A., Verhoeven, C., & Gitsels, J. (2021). Experiences of Dutch maternity care professionals during the first wave of COVID-19 in a community-based maternity care system. PloS one, 16(6), e0252735. https://doi.org/10.1371/journal.pone.0252735
  • World Health Organization (WHO) 2022, Coronavirus disease (COVID-19): Pregnancy, childbirth and the postnatal period [WWW Document]. Retrieved from: https://www.who.int/news-room/questions-and-answers/item/coronavirus-disease-covid-19-pregnancy-and-childbirth

Experiences of Midwives in Turkey Regarding Providing Childbirth Care to Women With COVID-19: A Qualitative Study

Year 2024, Volume: 7 Issue: 1, 60 - 70, 05.04.2024

Özlem Aşcı , Meltem Demirgöz Bal , Ayla Ergin

https://doi.org/10.5281/zenodo.10926618

Abstract

Objective: The aim of the study was to assess the experiences of midwives in providing childbirth care to women with coronavirus disease 2019 (COVID-19).
Methods: This qualitative study was conducted with 25 midwives who worked in a public hospital for at least one year and actively provided childbirth care to women with COVID-19 between 15-30 January 2021.The data were obtained through one-to-one video conference interviews using a semi-structured interview form consisting of seven open-ended questions prepared by the researchers and analyzed thematically.
Results: Four main themes were identified. Theme 1: ‘Change in midwifery care performance’ describes the performance of midwives in providing childbirth care to women with COVID-19 and the influencing factors. Theme 2: ‘Unusual labour and delivery’ explained the isolation processes of midwives in labour and birth, the changes they experience regarding the acceptance of a birth partner during the birth, and the way they handle the increasing number of cesarean section decisions. Theme 3: ‘Strict policies that disrupt postpartum care’, explained the practices of midwives in the postpartum period, which changed with political decisions. Theme 4: ‘Emotional problems’ explain the emotional problems directly experienced from a professional and human perspective.
Conclusion: In the COVID-19 period, midwives preserved their compassion and empathy, but had difficulty providing woman-centered care. They defended natural birth, but could not have their say in the changes. Anxiety, fear, increased stress, and burnout significantly affected the professional quality of life.

Keywords

childbirth COVID-19 midwife qualitative research

References

  • Adnani, Q. E. S., O’Connell, M. A., & Homer, C. S. (2021). Advocating for midwives in low-to-middle income countries in the COVID-19 pandemic. Women and Birth, 34(6), 501-502. https://doi.org/10.1007/s10668-020-00801-2.
  • Asefa, A., Semaan, A., Delvaux, T., Huysmans, E., Galle, A., Sacks, E., Bohren, M.A., Morgan, A., Sadler, M., Vedami, S., & Benova, L. (2022). The impact of COVID-19 on the provision of respectful maternity care: Findings from a global survey of health workers. Women and Birth, 35(4), 378-386. https://doi.org/10.1016/j.wombi.2021.09.003
  • Bingöl, O. (2014). The fact of gender and womanhood in Turkey. Karamanoglu Mehmetbey University Journal of Social and Economic Research, 16(1), 108-114.
  • Bradfield, Z., Hauck, Y., Homer, C. S., Sweet, L., Wilson, A. N., Szabo, R. A., Wynter, K., Vasilevski, V., & Kuliukas, L. (2022). Midwives’ experiences of providing maternity care during the COVID-19 pandemic in Australia. Women and Birth, 35(3), 262-271. https://doi.org/10.1016/j.wombi.2021.02.007
  • Braun, V., & Clarke, V. (2006).Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101.
  • Centers for Disease Control and Prevention, CDC, 2019. Evaluation and management considerations for neonates at risk for COVID-19. [PDF Document]. Retrieved from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/caring-for-newborns.html
  • Chen, D., Yang, H., Cao, Y., Cheng, W., Duan, T., Fan, C., Fan, S., Feng, L., Gao, Y., He, F., He, J., Hu, Y., Jiang, Y., Li, Y., Li, J., Li, X., Li, X., Lin, K., Liu, C., …& Guan, X. (2020). Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID‐19) infection. International Journal of Gynecology & Obstetrics, 149(2), 130-136. https://doi.org/10.1002/ijgo.13146
  • Demirci, A.D., Kabukcuoglu, K., Haugan, G., & Aune, I. (2021). Turkish midwives’ experiences and opinions in promoting normal births: A grounded theory study. Midwifery, 99(3), 103006. https://doi.org/10.1016/j.midw.2021.103006
  • Fumagalli, S., Ornaghi, S., Borrelli, S., Vergani, P., & Nespoli, A. (2022). The experiences of childbearing women who tested positive to COVID-19 during the pandemic in northern Italy. Women and Birth, 35(3), 242-253. https://doi.org/10.1016/j.wombi.2021.01.001
  • Goberna-Tricas, J., Biurrun-Garrido, A., Perelló-Iñiguez, C., & Rodríguez-Garrido, P. (2021). The COVID-19 pandemic in Spain: Experiences of midwives on the healthcare frontline. International Journal of Environmental Research and Public Health, 18(12),6516. https://doi.org/10.3390/ijerph18126516
  • González-Timoneda, A., Hernández, V. H., Moya, S. P., & Blazquez, R. A. (2021). Experiences and attitudes of midwives during the birth of a pregnant woman with COVID-19 infection: A qualitative study. Women and Birth, 34(5), 465-472. https://doi.org/10.1016/j.wombi.2020.12.001
  • Guba, E. G., & Lincoln, Y. S. (1982). Epistemological and methodological bases of naturalistic inquiry. Educational Communication and Technology Journal, 30(4), 233-252.
  • Horsch, A., Lalor, J., & Downe, S. (2020). Moral and mental health challenges faced by maternity staff during the COVID-19 pandemic. Psychological Trauma: Theory, Research, Practice, and Policy, 12(1), 141-142. https://doi.org/10.1037/tra0000629
  • Kotlar, B., Gerson, E., Petrillo, S., Langer, A., & Tiemeier, H. (2021). The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review. Reproductive Health, 18(1), 1-39. https://doi.org/10.1186/s12978-021-01070-6
  • Küçüktürkmen, B., Baskaya, Y., & Özdemir, K. (2022). A qualitative study of Turkish midwives’ experience of providing care to pregnant women infected with COVID-19. Midwifery, 105(2022), 103206. https://doi.org/10.1016/j.midw.2021.103206
  • Lakshminrusimha, S., Sridhar, A., Guerra, A. A. H., Higgins, R. D., & Saade, G. (2020). Perinatal COVID-19 infection prevention: infographics for patients and providers. American Journal of Perinatology, 37(12), 1185-1188. https://doi.org/10.1055/s-0040-1714387
  • Parker, M.G., Gupta, A., Healy, H., Peaceman, A., Kerr, S.M., Heeren, T.C., Hudak, & Gupta, M. L. (2022). Variation in United States COVID-19 newborn care practices: results of an online physician survey. BMC pediatrics, 22(1), 1-12. https://doi.org/10.1186/s12887-022-03129-0
  • Renfrew, M.J., Cheyne, H., Craig, J., Duff, E., Dykes, F., Hunter, B., Lavender, T., Page, L., Ross-Davie, M., Spiby, H., & Downe, S. (2020). Sustaining quality midwifery care in a pandemic and beyond. Midwifery, 88(2020), 102759. https://doi.org/10.1016/j.midw.2020.102759.
  • Schmitt, N., Mattern, E., Cignacco, E., Seliger, G., König-Bachmann, M., Striebich, S., & Ayerle, G. M. (2021). Effects of the COVID-19 pandemic on maternity staff in 2020–a scoping review. BMC Health Services Research, 21(1), 1-25. https://doi.org/10.1186/s12913-021-07377-1
  • Semaan, A., Audet, C., Huysmans, E., Afolabi, B., Assarag, B., Banke-Thomas, A., Blencowe, H., Caluwaerts, S., Campbell, O.M.R., Cavallaro, F.L., Chavane, L., Day, L. D., Delamou, A., Delvaux, T., Graham, E.L., Gon, G., Kascak, P., Matsui, M., Moxon, S.... & Benova, L. (2020). Voices from the frontline: findings from a thematic analysis of a rapid online global survey of maternal and newborn health professionals facing the COVID-19 pandemic. BMJ Global Health, 5(6), e002967. https://doi.org/10.1136/bmjgh-2020-002967
  • Shorey, S., & Chan V. (2020). Lessons from past epidemics and pandemics and a way forward for pregnant women, midwives and nurses during COVID-19 and beyond: a meta-synthesis. Midwifery, 90, 102821. https://doi.org/10.1016/j.midw.2020.102821
  • Townsend, R., Chmielewska, B., Barratt, I., Kalafat, E., van der Meulen, J., Gurol-Urganci, I., O'Brien, P., Morris, E., Draycott, T., Thangaratinam, S., LeDoare, K., Ladhani, S., von Dadelszen, P., Magee, L.A., & Khalil, A. (2021). Global changes in maternity care provision during the COVID-19 pandemic: A systematic review and meta-analysis. eClinicalMedicine, 37(1), 100947. https://doi.org/10.1016/j.eclinm.2021.100947
  • Van Manen, E. L., Hollander, M., Feijen-de Jong, E., de Jonge, A., Verhoeven, C., & Gitsels, J. (2021). Experiences of Dutch maternity care professionals during the first wave of COVID-19 in a community-based maternity care system. PloS one, 16(6), e0252735. https://doi.org/10.1371/journal.pone.0252735
  • World Health Organization (WHO) 2022, Coronavirus disease (COVID-19): Pregnancy, childbirth and the postnatal period [WWW Document]. Retrieved from: https://www.who.int/news-room/questions-and-answers/item/coronavirus-disease-covid-19-pregnancy-and-childbirth
There are 24 citations in total.

Details

Primary Language English
Subjects Midwifery (Other)
Journal Section Articles
Authors

Özlem Aşcı

Meltem Demirgöz Bal

Ayla Ergin

Early Pub Date March 29, 2024
Publication Date April 5, 2024
Submission Date January 17, 2023
Acceptance Date January 18, 2024
Published in Issue Year 2024 Volume: 7 Issue: 1

Cite

APA Aşcı, Ö., Demirgöz Bal, M., & Ergin, A. (2024). Experiences of Midwives in Turkey Regarding Providing Childbirth Care to Women With COVID-19: A Qualitative Study. Ebelik Ve Sağlık Bilimleri Dergisi, 7(1), 60-70. https://doi.org/10.5281/zenodo.10926618
AMA Aşcı Ö, Demirgöz Bal M, Ergin A. Experiences of Midwives in Turkey Regarding Providing Childbirth Care to Women With COVID-19: A Qualitative Study. Journal of Midwifery and Health Sciences. April 2024;7(1):60-70. doi:10.5281/zenodo.10926618
Chicago Aşcı, Özlem, Meltem Demirgöz Bal, and Ayla Ergin. “Experiences of Midwives in Turkey Regarding Providing Childbirth Care to Women With COVID-19: A Qualitative Study”. Ebelik Ve Sağlık Bilimleri Dergisi 7, no. 1 (April 2024): 60-70. https://doi.org/10.5281/zenodo.10926618.
EndNote Aşcı Ö, Demirgöz Bal M, Ergin A (April 1, 2024) Experiences of Midwives in Turkey Regarding Providing Childbirth Care to Women With COVID-19: A Qualitative Study. Ebelik ve Sağlık Bilimleri Dergisi 7 1 60–70.
IEEE Ö. Aşcı, M. Demirgöz Bal, and A. Ergin, “Experiences of Midwives in Turkey Regarding Providing Childbirth Care to Women With COVID-19: A Qualitative Study”, Journal of Midwifery and Health Sciences, vol. 7, no. 1, pp. 60–70, 2024, doi: 10.5281/zenodo.10926618.
ISNAD Aşcı, Özlem et al. “Experiences of Midwives in Turkey Regarding Providing Childbirth Care to Women With COVID-19: A Qualitative Study”. Ebelik ve Sağlık Bilimleri Dergisi 7/1 (April 2024), 60-70. https://doi.org/10.5281/zenodo.10926618.
JAMA Aşcı Ö, Demirgöz Bal M, Ergin A. Experiences of Midwives in Turkey Regarding Providing Childbirth Care to Women With COVID-19: A Qualitative Study. Journal of Midwifery and Health Sciences. 2024;7:60–70.
MLA Aşcı, Özlem et al. “Experiences of Midwives in Turkey Regarding Providing Childbirth Care to Women With COVID-19: A Qualitative Study”. Ebelik Ve Sağlık Bilimleri Dergisi, vol. 7, no. 1, 2024, pp. 60-70, doi:10.5281/zenodo.10926618.
Vancouver Aşcı Ö, Demirgöz Bal M, Ergin A. Experiences of Midwives in Turkey Regarding Providing Childbirth Care to Women With COVID-19: A Qualitative Study. Journal of Midwifery and Health Sciences. 2024;7(1):60-7.
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