Evidence map›Paper›PMID 37127586›Full record

ArticleBMC pregnancy and childbirth2023

The effect of COVID-19 on women's experiences of pregnancy, birth and postpartum in Indonesia: a rapid online survey.

Linda McGowan, Andari Astuti, Firdaus Hafidz, Cesa Pratiwi, Vinami Yulian, Elizabeth Hughes, Arum Pratiwi, Emi Nurjasmi Indomo, Yu Fu

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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 8 institutions in 2 countries.

Linda McGowanSchool of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, UK. l.mcgowan@leeds.ac.uk.
Andari AstutiMidwifery Department, Faculty of Health Sciences, Universitas 'Aisyiyah Yogyakarta, Yogyakarta, Indonesia.
Firdaus HafidzDepartment of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Cesa PratiwiMidwifery Department, Faculty of Health Sciences, Universitas 'Aisyiyah Yogyakarta, Yogyakarta, Indonesia.
Vinami YulianSchool of Nursing, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Jawa Tengah, Indonesia.
Elizabeth HughesSchool of Health and Social Care, Edinburgh Napier University, Edinburgh, UK.
Arum PratiwiSchool of Nursing, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Jawa Tengah, Indonesia.
Emi Nurjasmi IndomoCentral Board of the Indonesian Midwives Association, Jakarta, Indonesia.
Yu FuPrimary Care & Mental Health, University of Liverpool, Liverpool, UK.
Muhammadiyah University of Surakarta · IDEdinburgh Napier University · GBIndonesian Pediatric Society · IDMercu Buana University of Yogyakarta · IDUniversitas 'Aisyiyah YogyakartaUniversitas Gadjah Mada · IDUniversity of Leeds · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe interrelationship of psychological and social factors in the current COVID-19 pandemic has been highlighted in research mainly focused on the global north. The impact of lockdowns can exacerbate psychological distress and affect access to services. Less is known about the psychosocial impact on women in the context of lower-middle income countries (LMICs); the aim of this study was to capture the impact of COVID-19 on women's experiences of pregnancy, birth and postpartum in Indonesia.

methodsWe conducted a rapid cross-sectional online survey of women across all 34 provinces in Indonesia to capture participants' experiences. Data were collected between 10th July to 9th August 2020 including demographics, effects on general and mental health and impact on service use. Descriptive statistics and thematic analysis were used to analyse responses, including those women who self-identified with a pre-existing mental health problem.

resultsResponses were obtained from 1137 women, this included pregnant women (n = 842) and postpartum women (n = 295). The majority of women (97%) had accessed antenatal care during their pregnancy, but 84% of women reporting feeling fearful and anxious about attending visits, resulting in some women not attending or changing provider. A small number (13%) were denied the presence of a birth companion, with 28% of women reporting that their babies had been removed at birth due to protocols or baby's health. Feeling anxious was a common experience among women (62%) during their pregnancy, birth or postnatal period, with a small number (9%) feeling depressed. Lockdown measures led to tensions within personal and family relationships.

conclusionsWomen in Indonesia reported that the pandemic added an increased burden in pregnancy, birth and post-partum period: physically, psychologically, spiritually and financially. Maternity services were disrupted and health insurance cover lacked responsiveness, which either directly or indirectly impacted on women's choices, and equal access to care. Given the longevity of the current pandemic there is a need to develop tailored supportive interventions for women and their families and develop bespoke training for midwives and other relevant health professionals.

Indexed as

COVID-19PandemicsCommunicable Disease ControlCross-Sectional StudiesFemaleHumansIndonesiaInfant, NewbornParturitionPostpartum PeriodPregnancyCOVID-19IndonesiaPregnancySurveyWomen's experience

Identifiers

PMID37127586
PMCPMC10150340
OpenAlexW4367598096

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.