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. 2023 Mar;36(2):e203-e212.
doi: 10.1016/j.wombi.2022.08.004. Epub 2022 Aug 10.

Parental experiences with changes in maternity care during the Covid-19 pandemic: A mixed-studies systematic review

Joan Gabrielle Lalor  1 , Greg Sheaf  2 , Andrea Mulligan  3 , Magdalena Ohaja  4 , Ashamole Clive  1 , Sylvia Murphy-Tighe  5 , Esperanza Debby Ng  6 , Shefaly Shorey  7
Affiliations

Parental experiences with changes in maternity care during the Covid-19 pandemic: A mixed-studies systematic review

Joan Gabrielle Lalor et al. Women Birth. 2023 Mar.

Abstract

Background: During the COVID-19 pandemic, pregnant women were identified as a high-risk and vulnerable group. To reduce risk of transmission, maternity healthcare services were modified to limit exposure but maintain services for pregnant women. However, the change in hospital practice may have compromised quality maternal care standards. Therefore, this review aims to explore parental experiences and views with maternity care received from healthcare institutions during the COVID-19 pandemic.

Methods: A mixed studies systematic review was conducted. Six electronic databases (Medline, CINAHL, Embase, PsycInfo, Web of Science, and Maternity and Infant Care) were searched for qualitative, observational, and mixed method studies from the year 2019 to February 2022. Study quality was appraised using the Mixed Methods Appraisal Tool. Quantitative findings were converted to narrative findings. Data was synthesised thematically using a convergent synthesis design.

Results: Fifty-eight articles were included. Four themes were generated: (1) Distress associated with COVID-19 regulations (perception of hospital restrictions, confusion with ever changing policies), (2) adaptability with maternity services (prenatal: changes in birth plans, prenatal: altered antenatal appointments, education, and care, intrapartum: medicalization of birth, postpartum: varied views on care received and Breastfeeding woes, postpartum: skin-to-skin contact and mother infant bonding) (3) importance of support persons, and (4) future direction for maternity services.

Conclusions: Parental experiences highlighted how maternity care during the COVID-19 pandemic did not adhere to WHO standards of quality maternity care. This calls for healthcare institutions to continuously appraise the implementation of restrictive practices that deviate from evidence-based frameworks underpinning quality care.

Keywords: Covid-19; Maternal health services; Mothers; Perinatal care; Quality of healthcare.

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Conflict of interest statement

Conflict of interest None.

Figures

Fig. 1
Fig. 1
PRISMA flow diagram.
Fig. 2
Fig. 2
Overview of themes and subthemes.
See this image and copyright information in PMC

References

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