Evidence map›Paper›PMID 35787675›Full record

ArticleBMC pregnancy and childbirth2022

"I had so many life-changing decisions I had to make without support": a qualitative analysis of women's pregnant and postpartum experiences during the COVID-19 pandemic.

Grayson B Ashby, Kirsten A Riggan, Lily Huang, Vanessa E Torbenson, Margaret E Long, Myra J Wick, Megan A Allyse, Enid Y Rivera-Chiauzzi

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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

8 authors at 2 institutions in 1 country.

Grayson B AshbyMayo Clinic Alix School of Medicine, Rochester, MN, USA.
Kirsten A RigganBiomedical Ethics Research Program, Mayo Clinic, Rochester, MN, USA.
Lily HuangDepartment of Quantitative Health Sciences, Mayo Clinic, Jacksonville, FL, USA.
Vanessa E TorbensonDepartment of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN, USA.
Margaret E LongDepartment of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN, USA.
Myra J WickDepartment of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN, USA.
Megan A AllyseBiomedical Ethics Research Program, Mayo Clinic, Rochester, MN, USA.
Enid Y Rivera-ChiauzziDepartment of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN, USA. rivera-chiauzzi.enid@mayo.edu.
Mayo Clinic in Arizona · USMayo Clinic in Florida · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
Factors Influencing Access and Utilization of Genetic Prenatal Care Services Among Women from Underserved PopulationsK01HG009542 · NHGRI · MAYO CLINIC ROCHESTER · PI ALLYSE, MEGAN A. · 2018 to 2022
$809k
NCATS NIH HHS UL1TR002377NHGRI NIH HHS K01 HG009542
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has posed profound challenges for pregnant patients and their families. Studies conducted early in the pandemic found that pregnant individuals reported increased mental health concerns in response to pandemic-related stress. Many obstetric practices changed their healthcare delivery models, further impacting the experiences of pregnant patients. We conducted a survey study to explore the ways in which COVID-19 impacted the lives of pregnant and newly postpartum people.

methodsA mixed-methods survey was distributed to all patients ≥18 years old who were pregnant between January 1st, 2020 - April 28, 2021 in a large Midwest health system. Open-ended survey responses were analyzed for common themes using standard qualitative methodology.

resultsAmong the 1182 survey respondents, 647 women provided an open-ended response. Of these, 77% were in the postpartum period. The majority of respondents identified as white, were partnered or married, and owned their own home. Respondents reported feeling greater uncertainty, social isolation, as though they had limited social and practical support, and negative mental health effects as a result of the pandemic. Many cited sudden or arbitrary changes to their medical care as a contributing factor. Though in the minority, some respondents also reported benefits from the changes to daily life, including perceived improvements to medical care, better work-life balance, and opportunities for new perspectives.

conclusionsThis large qualitative dataset provides insight into how healthcare policy and lifestyle changes impacted pregnant and postpartum people. Respondents expressed similar levels of uncertainty and mental health concerns compared to other cohorts but less overall positivity. Our findings suggest greater attention be given to the impact of pandemic-related stress on pregnant and postpartum women. As the pandemic continues, these data identify areas where investment in additional support may have the greatest impact.

Indexed as

COVID-19AdolescentFemaleHumansMenopauseMental HealthPandemicsPostpartum PeriodPregnancyMental healthPostpartumPregnancyQualitative researchSARS-Cov-2

Identifiers

PMID35787675
PMCPMC9251587
OpenAlexW4283792753

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.