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Gebelerin Pandemide Prenatal Bakım Hizmetlerine Yönelik Görüş ve Deneyimleri ile COVID-19'dan Korunmak için Aldıkları Önlemler: Nitel Çalışma

Yıl 2023, Cilt: 6 Sayı: 1, 75 - 84, 17.04.2023
https://doi.org/10.38108/ouhcd.1097754

Öz

Amaç: COVID-19 dünya çapında yayılırken, gebelerin aldıkları önlemler ve prenatal bakım hizmetlerinin yürütülmesi konuları dikkat çekmiştir. Bu araştırmada, gebelerin pandemide prenatal bakım hizmetlerine yönelik görüş ve deneyimleri ile COVID-19'dan korunmak için aldıkları önlemlerin incelenmesi amaçlanmıştır.
Yöntem: Araştırmada tanımlayıcı nitel tasarım kullanıldı. Araştırma 21 gebe üzerinde fenomenolojik olarak yapıldı. Yarı yapılandırılmış görüşmeler ve amaçlı örnekleme yöntemi kullanıldı. İçerik analizinde, verbatim transkripsiyon kullanıldı.
Bulgular: Araştırmada iki ana tema ve yedi alt tema belirlendi. Gebelerin COVID-19’dan korunmak için alınması gereken temel önlemleri aldıkları, sosyal izolasyon uyguladıkları, prenatal bakım hizmetlerinin kullanımında kısıtlamaya gitmedikleri, doğum yapacakları kurumu değiştirmedikleri, nitelikli prenatal bakım aldıkları ve aldıkları bakımdan memnun kalmadıkları saptandı.
Sonuç: Pandemi devam ederken, sunulan prenatal bakım hizmetinde gebelerin fiziksel sağlığı yanı sıra sosyal ve psikolojik sağlığına da özen gösterilmesi önem arz etmektedir.

Destekleyen Kurum

Destek alınmadı

Proje Numarası

-

Teşekkür

Çalışmaya katılmaya gönüllü olan değerli deneyimlerini ve görüşlerini paylaşan gebelere teşekkür ederiz.

Kaynakça

  • Abdollahpour S, Khadivzadeh T. (2020). Improving the quality of care in pregnancy and childbirth with coronavirus (COVID-19): a systematic review. The Journal of Maternal-Fetal & Neonatal Medicine, 38 (8),1601-1609. https://doi.org/10.1080/14767058.2020.1759540
  • Burgess A, Breman RB, Bradley D, Dada S, Burcher P. (2021). Pregnant women's reports of the impact of COVID-19 on pregnancy, prenatal care, and infant feeding plans. MCN: The American Journal of Maternal/Child Nursing, 46 (1), 21-29. https://doi.org/10.1097/NMC.0000000000000673
  • Chaturvedi K, Vishwakarma DK, Singh N. (2021). COVID-19 and its impact on education, social life and mental health of students: A survey. Children and Youth Services Review, 121, 105866. https://doi.org/10.1016/j.childyouth.2020.105866
  • Chen Y, Li Z, Zhang YY, Zhao WH, Yu ZY. (2020). Maternal health care management during the outbreak of coronavirus disease 2019. Journal of Medical Virology, 92 (7), 731-739. https://doi.org/10.1002 /jmv.25787
  • Corbett GA, Milne SJ, Hehir MP, Lindow SW, O’connell MP. (2020). Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 249, 96-97. https://doi.org/ 10.1016/j.ejogrb.2020.04.022
  • De Figueiredo CS, Sandre PC, Portugal LCL, De Oliveira TM, Chagas LS, Raony I, ve ark. (2021). COVID-19 pandemic impact on children and adolescents' mental health: Biological, environmental, and social factors. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 106, 110171. https://doi.org/ 10.1016/j.pnpbp.2020.110171
  • Durankuş F, Aksu E. (2022). Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: A preliminary study. The Journal of Maternal-Fetal & Neonatal Medicine, 35 (2), 205-211. https://doi.org/10.1080/14767058.2020.1763946
  • Futterman I, Rosenfeld E, Toaff M, Boucher T, Golden-Espinal S, Evans K, ve ark. (2021). Addressing disparities in prenatal care via telehealth during COVID-19: prenatal satisfaction survey in East Harlem. American Journal of Perinatology, 38 (01), 088-092. https://doi.org/10.1055/s-0040-1718695
  • Gildner TE, Thayer ZM. (2020). Birth plan alterations among American women in response to COVID‐19. Health Expectations: an İnternational Journal of Public Participation in Health Care and Health Policy, 23 (4), 969. https://doi.org/10.1111/hex.13077
  • Graneheim UH, Lundman B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24 (2), 105-112. https://doi.org/10.1016 /j.nedt.2003.10.001
  • Groulx T, Bagshawe M, Giesbrecht G, Tomfohr-Madsen L, Hetherington E, Lebel CA. (2021). Prenatal care disruptions and associations with maternal mental health during the COVID-19 Pandemic. Frontiers in Global Women's Health, 2, 20. https://doi.org/ 10.3389/fgwh.2021.648428
  • Hales AH, Wood NR, Williams KD. (2021). Navigating COVID-19: Insights from research on social ostracism. Group Processes & Intergroup Relations, 24 (2), 306-310. https://doi.org/10.1177/ 1368430220981408
  • Hwang TJ, Rabheru K, Peisah C, Reichman W, Ikeda M. (2020). Loneliness and social isolation during the COVID-19 pandemic. International Psychogeriatrics, 32 (10), 1217-1220. https://doi.org/10.1017/S10416 10220000988
  • Javaid S, Barringer S, Compton SD, Kaselitz E, Muzik M, Moyer CA. (2021). The impact of COVID-19 on prenatal care in the United States: Qualitative analysis from a survey of 2519 pregnant women. Midwifery, 98, 102991. https://doi.org/10.1016/j.midw.2021 .102991
  • Jurblum M, NG CH, Castle DJ. (2020). Psychological consequences of social isolation and quarantine: Issues related to COVID-19 restrictions. Australian Journal of General Practice, 49 (12), 778-783.
  • Liu CH, Goyal D, Mittal L, Erdei C. (2021). Patient satisfaction with virtual-based prenatal care: implications after the COVID-19 Pandemic. Maternal and Child Health Journal, 25 (11), 1735-1743. https://search.informit.org/doi/10.3316/informit.638701007415032
  • Patton EW, Saia K, Stein MD. (2021). Integrated substance use and prenatal care delivery in the era of COVID-19. Journal of Substance Abuse Treatment, 124, 108273. https://doi.org/10.1016/j.jsat.2020.108 273
  • Pradhan D, Biswasroy P, Naik PK, Ghosh G, Rath G. (2020). A review of current interventions for COVID-19 prevention. Archives of Medical Research, 51 (5), 363-374. https://doi.org/10.1016/j.arcmed.202004. 020
  • Rasmussen SA, Kelley CF, Horton JP, Jamieson DJ. (2021). Coronavirus disease 2019 (COVID-19) vaccines and pregnancy: what obstetricians need to know. Obstetrics and Gynecology, 137 (3), 408. https://doi.org/10.1097/AOG.0000000000004290
  • Rasmussen SA, Smulian JC, Lednicky JA, Wen TS, Jamieson DJ. (2020). Coronavirus disease 2019 (COVID-19) and pregnancy: what obstetricians need to know. American Journal of Obstetrics and Gynecology, 222 (5), 415-26. https://doi.org/10.1016 /j.ajog.2020.02.017
  • Sahin BM, Kabakci EN. (2021). The experiences of pregnant women during the COVID-19 pandemic in Turkey: A qualitative study. Women and Birth, 34 (2), 162-169. https://doi.org/10.1016/j.wombi.2020.09. 022
  • Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, ve ark. (2018). Saturation in qualitative research: exploring its conceptualization and operationalization. Quality & Quantity, 52 (4), 1893-1907. https://doi.org/10.1007/s11135-017-0574-8
  • Shah JS, Revere FL, Toy EC. (2018). Improving rates of early entry prenatal care in an underserved population. Maternal and Child Health Journal, 22 (12), 1738-1742. https://doi.org/10.1007/s10995-018-2569-z
  • Sundler AJ, Lindberg E, Nilsson C, Palmér L. (2019). Qualitative thematic analysis based on descriptive phenomenology. Nursing Open, 6 (3), 733-739. https://doi.org/10.1002/nop2.275
  • The United Nations Population Fund (UNFPA). (2020). Statement on Novel Coronavirus (COVID-19) and Pregnancy. Erişim tarihi: 28.02.2022 https://www.unfpa.org/press/unfpa-statement-novel-coronavirus-covid-19-and-pregnancy
  • Turrentine M, Ramirez M, Monga M, Gandhi M, Swaim L, Tyer-Viola L, ve ark. (2021). Rapid deployment of a drive-through prenatal care model in response to the coronavirus disease 2019 (COVID-19) pandemic. Obstetrics and Gynecology, 136 (1), 1-4. https://doi.org/10.1097/AOG.0000000000003923
  • Türkiye Halk Sağlığı Kurumu Kadın ve Üreme Sağlığı Daire Başkanlığı. (2014). Doğum Öncesi Bakım Yönetim Rehberi. Erişim tarihi: 09.02.2022 https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/dogumonubakim.pdf UNICEF, (2022). Antenatal care. Erişim tarihi: 09.02.2022 https://data.unicef.org/topic/maternal-health/antenatal-care/
  • WHO. (2021). Advice for the public: Coronavirus disease (COVID-19). Erişim tarihi: 26.02.2022 https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
  • WHO. (2022a). Coronavirus disease (COVID-19). Erişim tarihi: 14.02.2022. https://www.who.int/ health-topics/coronavirus# tab=tab_1
  • WHO. (2022b). New guidelines on antenatal care for a positive pregnancy experience, 2016. Erişim tarihi: 02.03.2022. https://www.who.int/news/item/07-11-2016-new-guidelines-on-antenatal-care-for-a-positive-pregnancy-experience
  • World Health Organization. (2007). Provision of effective antenatal care: standards for maternal and neonatal care. Integrated Management of Pregnancy and Childbirth (IMPAC). Erişim tarihi: 04.03.2022 https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/effective_antenatal_care.pdf
  • World Health Organization. (2020). Coronavirus disease (COVID-19): situation report, 162. Erişim tarihi: 02.03.2022 https://apps.who.int/iris/bitstream/handle /10665/332970/nCoVsitrep30Jun2020-eng.pdf
  • Wu H, Sun W, Huang X, Yu S, Wang H, Bi X, ve ark. (2020). Online antenatal care during the COVID-19 pandemic: opportunities and challenges. Journal of Medical Internet Research, 22 (7), e19916. https://doi.org/10.2196/19916
  • Yue C, Liu C, Wang J, Zhang M, Wu H, Li C, ve ark. (2021). Association between social support and anxiety among pregnant women in the third trimester during the coronavirus disease 2019 (COVID-19) epidemic in Qingdao, China: The mediating effect of risk perception. International Journal of Social Psychiatry, 67 (2), 120-127. https://doi.org/10.1177/ 0020764020941567

Opinions and Experiences of Pregnant Women Regarding Prenatal Care Services in the Pandemic and Precautions Taken to Protect Against COVID-19: A Qualitative Study

Yıl 2023, Cilt: 6 Sayı: 1, 75 - 84, 17.04.2023
https://doi.org/10.38108/ouhcd.1097754

Öz

Objective: As COVID-19 spread around the world, the precautions taken by pregnant women and the conduct of prenatal care services attracted attention. In this study, it was aimed to examine the opinions and experiences of pregnant women regarding prenatal care services during the pandemic and the precautions they took to protect themselves from COVID-19.
Methods: Descriptive qualitative design was used in the research. The study was carried out phenomenologically on 21 pregnant women. Semi-structured interviews and purposive sampling method were used. Verbatim transcription was used for content analysis.
Results: Two main themes and seven sub-themes were determined in the study. It was determined that the pregnant women took the basic precautions to be protected from COVID-19, applied social isolation, did not limit the use of prenatal care services, did not change the institution where they would give birth, received qualified prenatal care and were not satisfied with the care they received.
Conclusion: While the pandemic continues, it is important to pay attention to the social and psychological health of pregnant women as well as their physical health in the prenatal care service provided.

Proje Numarası

-

Kaynakça

  • Abdollahpour S, Khadivzadeh T. (2020). Improving the quality of care in pregnancy and childbirth with coronavirus (COVID-19): a systematic review. The Journal of Maternal-Fetal & Neonatal Medicine, 38 (8),1601-1609. https://doi.org/10.1080/14767058.2020.1759540
  • Burgess A, Breman RB, Bradley D, Dada S, Burcher P. (2021). Pregnant women's reports of the impact of COVID-19 on pregnancy, prenatal care, and infant feeding plans. MCN: The American Journal of Maternal/Child Nursing, 46 (1), 21-29. https://doi.org/10.1097/NMC.0000000000000673
  • Chaturvedi K, Vishwakarma DK, Singh N. (2021). COVID-19 and its impact on education, social life and mental health of students: A survey. Children and Youth Services Review, 121, 105866. https://doi.org/10.1016/j.childyouth.2020.105866
  • Chen Y, Li Z, Zhang YY, Zhao WH, Yu ZY. (2020). Maternal health care management during the outbreak of coronavirus disease 2019. Journal of Medical Virology, 92 (7), 731-739. https://doi.org/10.1002 /jmv.25787
  • Corbett GA, Milne SJ, Hehir MP, Lindow SW, O’connell MP. (2020). Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 249, 96-97. https://doi.org/ 10.1016/j.ejogrb.2020.04.022
  • De Figueiredo CS, Sandre PC, Portugal LCL, De Oliveira TM, Chagas LS, Raony I, ve ark. (2021). COVID-19 pandemic impact on children and adolescents' mental health: Biological, environmental, and social factors. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 106, 110171. https://doi.org/ 10.1016/j.pnpbp.2020.110171
  • Durankuş F, Aksu E. (2022). Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: A preliminary study. The Journal of Maternal-Fetal & Neonatal Medicine, 35 (2), 205-211. https://doi.org/10.1080/14767058.2020.1763946
  • Futterman I, Rosenfeld E, Toaff M, Boucher T, Golden-Espinal S, Evans K, ve ark. (2021). Addressing disparities in prenatal care via telehealth during COVID-19: prenatal satisfaction survey in East Harlem. American Journal of Perinatology, 38 (01), 088-092. https://doi.org/10.1055/s-0040-1718695
  • Gildner TE, Thayer ZM. (2020). Birth plan alterations among American women in response to COVID‐19. Health Expectations: an İnternational Journal of Public Participation in Health Care and Health Policy, 23 (4), 969. https://doi.org/10.1111/hex.13077
  • Graneheim UH, Lundman B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24 (2), 105-112. https://doi.org/10.1016 /j.nedt.2003.10.001
  • Groulx T, Bagshawe M, Giesbrecht G, Tomfohr-Madsen L, Hetherington E, Lebel CA. (2021). Prenatal care disruptions and associations with maternal mental health during the COVID-19 Pandemic. Frontiers in Global Women's Health, 2, 20. https://doi.org/ 10.3389/fgwh.2021.648428
  • Hales AH, Wood NR, Williams KD. (2021). Navigating COVID-19: Insights from research on social ostracism. Group Processes & Intergroup Relations, 24 (2), 306-310. https://doi.org/10.1177/ 1368430220981408
  • Hwang TJ, Rabheru K, Peisah C, Reichman W, Ikeda M. (2020). Loneliness and social isolation during the COVID-19 pandemic. International Psychogeriatrics, 32 (10), 1217-1220. https://doi.org/10.1017/S10416 10220000988
  • Javaid S, Barringer S, Compton SD, Kaselitz E, Muzik M, Moyer CA. (2021). The impact of COVID-19 on prenatal care in the United States: Qualitative analysis from a survey of 2519 pregnant women. Midwifery, 98, 102991. https://doi.org/10.1016/j.midw.2021 .102991
  • Jurblum M, NG CH, Castle DJ. (2020). Psychological consequences of social isolation and quarantine: Issues related to COVID-19 restrictions. Australian Journal of General Practice, 49 (12), 778-783.
  • Liu CH, Goyal D, Mittal L, Erdei C. (2021). Patient satisfaction with virtual-based prenatal care: implications after the COVID-19 Pandemic. Maternal and Child Health Journal, 25 (11), 1735-1743. https://search.informit.org/doi/10.3316/informit.638701007415032
  • Patton EW, Saia K, Stein MD. (2021). Integrated substance use and prenatal care delivery in the era of COVID-19. Journal of Substance Abuse Treatment, 124, 108273. https://doi.org/10.1016/j.jsat.2020.108 273
  • Pradhan D, Biswasroy P, Naik PK, Ghosh G, Rath G. (2020). A review of current interventions for COVID-19 prevention. Archives of Medical Research, 51 (5), 363-374. https://doi.org/10.1016/j.arcmed.202004. 020
  • Rasmussen SA, Kelley CF, Horton JP, Jamieson DJ. (2021). Coronavirus disease 2019 (COVID-19) vaccines and pregnancy: what obstetricians need to know. Obstetrics and Gynecology, 137 (3), 408. https://doi.org/10.1097/AOG.0000000000004290
  • Rasmussen SA, Smulian JC, Lednicky JA, Wen TS, Jamieson DJ. (2020). Coronavirus disease 2019 (COVID-19) and pregnancy: what obstetricians need to know. American Journal of Obstetrics and Gynecology, 222 (5), 415-26. https://doi.org/10.1016 /j.ajog.2020.02.017
  • Sahin BM, Kabakci EN. (2021). The experiences of pregnant women during the COVID-19 pandemic in Turkey: A qualitative study. Women and Birth, 34 (2), 162-169. https://doi.org/10.1016/j.wombi.2020.09. 022
  • Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, ve ark. (2018). Saturation in qualitative research: exploring its conceptualization and operationalization. Quality & Quantity, 52 (4), 1893-1907. https://doi.org/10.1007/s11135-017-0574-8
  • Shah JS, Revere FL, Toy EC. (2018). Improving rates of early entry prenatal care in an underserved population. Maternal and Child Health Journal, 22 (12), 1738-1742. https://doi.org/10.1007/s10995-018-2569-z
  • Sundler AJ, Lindberg E, Nilsson C, Palmér L. (2019). Qualitative thematic analysis based on descriptive phenomenology. Nursing Open, 6 (3), 733-739. https://doi.org/10.1002/nop2.275
  • The United Nations Population Fund (UNFPA). (2020). Statement on Novel Coronavirus (COVID-19) and Pregnancy. Erişim tarihi: 28.02.2022 https://www.unfpa.org/press/unfpa-statement-novel-coronavirus-covid-19-and-pregnancy
  • Turrentine M, Ramirez M, Monga M, Gandhi M, Swaim L, Tyer-Viola L, ve ark. (2021). Rapid deployment of a drive-through prenatal care model in response to the coronavirus disease 2019 (COVID-19) pandemic. Obstetrics and Gynecology, 136 (1), 1-4. https://doi.org/10.1097/AOG.0000000000003923
  • Türkiye Halk Sağlığı Kurumu Kadın ve Üreme Sağlığı Daire Başkanlığı. (2014). Doğum Öncesi Bakım Yönetim Rehberi. Erişim tarihi: 09.02.2022 https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/dogumonubakim.pdf UNICEF, (2022). Antenatal care. Erişim tarihi: 09.02.2022 https://data.unicef.org/topic/maternal-health/antenatal-care/
  • WHO. (2021). Advice for the public: Coronavirus disease (COVID-19). Erişim tarihi: 26.02.2022 https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
  • WHO. (2022a). Coronavirus disease (COVID-19). Erişim tarihi: 14.02.2022. https://www.who.int/ health-topics/coronavirus# tab=tab_1
  • WHO. (2022b). New guidelines on antenatal care for a positive pregnancy experience, 2016. Erişim tarihi: 02.03.2022. https://www.who.int/news/item/07-11-2016-new-guidelines-on-antenatal-care-for-a-positive-pregnancy-experience
  • World Health Organization. (2007). Provision of effective antenatal care: standards for maternal and neonatal care. Integrated Management of Pregnancy and Childbirth (IMPAC). Erişim tarihi: 04.03.2022 https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/effective_antenatal_care.pdf
  • World Health Organization. (2020). Coronavirus disease (COVID-19): situation report, 162. Erişim tarihi: 02.03.2022 https://apps.who.int/iris/bitstream/handle /10665/332970/nCoVsitrep30Jun2020-eng.pdf
  • Wu H, Sun W, Huang X, Yu S, Wang H, Bi X, ve ark. (2020). Online antenatal care during the COVID-19 pandemic: opportunities and challenges. Journal of Medical Internet Research, 22 (7), e19916. https://doi.org/10.2196/19916
  • Yue C, Liu C, Wang J, Zhang M, Wu H, Li C, ve ark. (2021). Association between social support and anxiety among pregnant women in the third trimester during the coronavirus disease 2019 (COVID-19) epidemic in Qingdao, China: The mediating effect of risk perception. International Journal of Social Psychiatry, 67 (2), 120-127. https://doi.org/10.1177/ 0020764020941567
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelik
Bölüm Araştırma
Yazarlar

Ayşegül Durmaz 0000-0002-3092-8841

Nuran Kömürcü 0000-0003-1983-8287

Proje Numarası -
Erken Görünüm Tarihi 17 Nisan 2023
Yayımlanma Tarihi 17 Nisan 2023
Gönderilme Tarihi 3 Nisan 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 6 Sayı: 1

Kaynak Göster

APA Durmaz, A., & Kömürcü, N. (2023). Gebelerin Pandemide Prenatal Bakım Hizmetlerine Yönelik Görüş ve Deneyimleri ile COVID-19’dan Korunmak için Aldıkları Önlemler: Nitel Çalışma. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 6(1), 75-84. https://doi.org/10.38108/ouhcd.1097754