Evidence map›Paper›PMID 34774447›Full record

ArticleWomen and birth : journal of the Australian College of Midwives2022

Exploring the COVID-19 pandemic experience of maternity clinicians in a high migrant population and low COVID-19 prevalence country: A qualitative study.

Sarah J Melov, Nelma Galas, Julie Swain, Thushari I Alahakoon, Vincent Lee, N Wah Cheung, Terry McGee, Dharmintra Pasupathy, Justin McNab

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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 29 citations in OpenAlex.

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  11. 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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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 2 institutions in 1 country.

Sarah J MelovReproduction and Perinatal Centre, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; Westmead Institute for Maternal and Fetal Medicine, Women's and Newborn Health, Westmead Hospital, New South Wales, Australia. Electronic address: Sarah.melov@Sydney.edu.au.
Nelma GalasWomen's and Newborn Health, Westmead Hospital, New South Wales, Australia.
Julie SwainWomen's and Newborn Health, Westmead Hospital, New South Wales, Australia.
Thushari I AlahakoonWestmead Institute for Maternal and Fetal Medicine, Women's and Newborn Health, Westmead Hospital, New South Wales, Australia; Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia.
Vincent LeeFaculty of Medicine and Health, The University of Sydney, New South Wales, Australia; Department of Renal Medicine, Westmead Hospital, Sydney, New South Wales, Australia.
N Wah CheungWestmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, Australia; Department of Diabetes & Endocrinology, Westmead Hospital, Sydney, Australia.
Terry McGeeWomen's and Newborn Health, Westmead Hospital, New South Wales, Australia; Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia.
Dharmintra PasupathyReproduction and Perinatal Centre, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; Westmead Institute for Maternal and Fetal Medicine, Women's and Newborn Health, Westmead Hospital, New South Wales, Australia.
Justin McNabReproduction and Perinatal Centre, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; Charles Perkins Centre, The University of Sydney, New South Wales, Australia.
The University of Sydney · AUWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAustralia experienced a low prevalence of COVID-19 in 2020 compared to many other countries. However, maternity care has been impacted with hospital policy driven changes in practice. Little qualitative research has investigated maternity clinicians' perception of the impact of COVID-19 in a high-migrant population.

aimTo investigate maternity clinicians' perceptions of patient experience, service delivery and personal experience in a high-migrant population.

methodsWe conducted semi-structured in-depth interviews with 14 maternity care clinicians in Sydney, New South Wales, Australia. Interviews were conducted from November to December 2020. A reflexive thematic approach was used for data analysis.

findingsA key theme in the data was 'COVID-19 related travel restrictions result in loss of valued family support for migrant families'. However, partners were often 'stepping-up' into the role of missing overseas relatives. The main theme in clinical care was a shift in healthcare delivery away from optimising patient care to a focus on preservation and safety of health staff. DISCUSSION: Clinicians were of the view migrant women were deeply affected by the loss of traditional support. However, the benefit may be the potential for greater gender equity and bonding opportunities for partners. Conflict with professional beneficence principles and values may result in bending rules when a disconnect exists between relaxed community health orders and restrictive hospital protocols during different phases of a pandemic.

conclusionThis research adds to the literature that migrant women require individualised culturally safe care because of the ongoing impact of loss of support during the COVID-19 pandemic.

Indexed as

COVID-19Maternal Health ServicesTransients and MigrantsFemaleHumansPandemicsPregnancyPrevalenceQualitative ResearchCOVID-19Maternity careMidwivesMigrantsPandemicsSocial support

Identifiers

PMID34774447
PMCPMC8570406
OpenAlexW3214098823

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.