Evidence map›Paper›PMID 34535423›Full record

ArticleWomen and birth : journal of the Australian College of Midwives2022

Childbearing women's experiences of the maternity care system in Australia during the first wave of the COVID-19 pandemic.

Linda Sweet, Alyce N Wilson, Zoe Bradfield, Yvonne Hauck, Lesley Kuliukas, Caroline S E Homer, Rebecca A Szabo, Karen Wynter, Vidanka Vasilevski

Open access · greenAbstract read
In one paragraph

Article in Women and birth : journal of the Australian College of Midwives, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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  6. Article
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  10. Experiences of Norwegian co-parents during COVID-19 pandemic restrictions: A qualitative study.International journal of qualitative studies on health and well-being · 2023
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  15. Mixed-Methods Study of the Experience of Pregnancy During the COVID-19 Pandemic.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2022
    Article
  16. COVID-19 Special Issue - The Impact of COVID-19 on women, babies, midwives, and midwifery care.Women and birth : journal of the Australian College of Midwives · 2022
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  17. Article
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  19. Birth Experience, Postpartum PTSD and Depression before and during the Pandemic of COVID-19 in Russia.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Linda SweetSchool of Nursing and Midwifery, Deakin University, Victoria, Australia; Centre for Quality and Patient Safety Research, Western Health Partnership, Victoria, Australia. Electronic address: l.sweet@deakin.edu.au.
Alyce N WilsonMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia. Electronic address: https://twitter.com/AlyceNWilson.
Zoe BradfieldSchool of Nursing, Midwifery and Paramedicine, Curtin University, Western Australia, Australia; Department of Nursing, Midwifery Education and Research, King Edward Memorial Hospital, Western Australia, Australia. Electronic address: https://twitter.com/BradfieldZoe.
Yvonne HauckSchool of Nursing, Midwifery and Paramedicine, Curtin University, Western Australia, Australia; Department of Nursing, Midwifery Education and Research, King Edward Memorial Hospital, Western Australia, Australia. Electronic address: https://twitter.com/YvonneHauck1.
Lesley KuliukasSchool of Nursing, Midwifery and Paramedicine, Curtin University, Western Australia, Australia. Electronic address: https://twitter.com/lkuliukas.
Caroline S E HomerMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia. Electronic address: https://twitter.com/CarolineHomer.
Rebecca A SzaboGandel Simulation Service, Royal Women's Hospital in Partnership with The University of Melbourne, Melbourne, Victoria, Australia; Melbourne Medical School, The University of Melbourne, Melbourne, Australia. Electronic address: https://twitter.com/inquisitiveGyn.
Karen WynterSchool of Nursing and Midwifery, Deakin University, Victoria, Australia; Centre for Quality and Patient Safety Research, Western Health Partnership, Victoria, Australia. Electronic address: https://twitter.com/karenwynter1.
Vidanka VasilevskiSchool of Nursing and Midwifery, Deakin University, Victoria, Australia; Centre for Quality and Patient Safety Research, Western Health Partnership, Victoria, Australia. Electronic address: https://twitter.com/Vidanka2.
Twitter (United States) · USDeakin University · AUKing Edward Memorial Hospital · AUThe Royal Melbourne Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubstantial changes occurred in Australian healthcare provision during the COVID-19 pandemic to reduce the risk of infection transmission. Little is known about the impact of these changes on childbearing women.

aimTo explore and describe childbearing women's experiences of receiving maternity care during the COVID-19 pandemic in Australia.

methodsA qualitative exploratory design using semi-structured interviews was used. Women were recruited through social media and self-nominated to participate in an interview. Maximum variation sampling was used. Twenty-seven interviews were conducted with women from across Australia. Data was analysed thematically.

findingsThree primary themes and nine sub-themes emerged: 'navigating a changing health system' (coping with constant change, altered access to care, dealing with physical distancing restrictions, and missing care), 'desiring choice and control' (experiencing poor communication, making hard decisions, and considering alternate models of care), and 'experiencing infection prevention measures' (minimising the risk of exposure and changing care plans to minimise infection risk). DISCUSSION: The substantial changes in care delivery for pregnant and postpartum women during the pandemic appear to have reduced woman-centred care. In most cases, care was perceived as impersonal and incomplete, resulting in a very different experience than expected; consequences included missing care. The presence of a known care provider improved women's sense of communication, choice, and control.

conclusionThis study provides unique insight into the experiences of childbearing women across Australia. The importance of respectful woman-centred care cannot be forgotten during a pandemic. The findings may inform future service planning during pandemics and disaster situations.

Indexed as

COVID-19Maternal Health ServicesAustraliaFemaleHumansPandemicsPregnancyQualitative ResearchSARS-CoV-2Continuity of careCOVID-19Health systemMaternity carePandemicsWomen’s experiences

Identifiers

PMID34535423
PMCPMC8435367
OpenAlexW3201485491

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.