Evidence map›Paper›PMID 38282515›Full record

ArticleWomen's health (London, England)

Birth setting decisions during COVID-19: A comparative qualitative study.

Sarah Holdren, Laura Crook, Anne Lyerly

Abstract read
In one paragraph

Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Sarah HoldrenDepartment of Social Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.ORCID 0000-0002-5246-4961
Laura CrookDepartment of English and Comparative Literature, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Anne LyerlyDepartment of Social Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.

Funding

The PHASES Project: Pregnancy and HIV/AIDS-Seeking Equitable StudyR01AI108368 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAY, SUZANNE LOUISE, LYERLY, ANNE DRAPKIN · 2015 to 2024
$6.4M
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic resulted in an increased number of out-of-hospital births in the United States and other nations. While many studies have sought to understand the experiences of pregnant and birthing people during this time, few have compared experiences across birth locations.

objectiveThe purpose of this study is to compare the narratives and decision-making processes of those who gave birth in and out of hospitals during the pandemic.

designWe conducted semi-structured narrative interviews with 24 women who gave birth during the COVID-19 pandemic.

methodsInterviews were transcribed and coded, and a thematic narrative analysis was employed. Final themes and exemplary quotes were determined in discussion among the research team.

resultsResults from narrative analysis revealed three themes that played into participants' birth location decisions: (1) birth efficacy and values, (2) diverse definitions of safety, and (3) childcare and other logistics. In each of these themes, participants who gave birth in birthing centers, at the hospital, and at home describe their individualized approach to achieving a supportive birth environment while mitigating the risk of labor complications and COVID-19 infection.

conclusionOur study suggests that for some childbearing people, the pandemic did not change birthing values or decisions but rather brought enhanced clarity to their individual needs during birth and perceived risks, benefits, and limitations of each birthing space. This study further highlights the need for improved structural support for birthing people to access a range of safe and supportive birthing environments.

Indexed as

COVID-19PandemicsBirth SettingFemaleHospitalsHumansParturitionPregnancyQualitative ResearchUnited Statesbirth settingCOVID-19experiencepregnancyqualitative

Identifiers

PMID38282515
PMCPMC10826375

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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.