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    Giving birth during the COVID-19 pandemic, perspectives from a sample of the United States birthing persons during the first wave: March-June 2020

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    Author
    Breman, Rachel Blankstein
    Neerland, Carrie
    Bradley, Dani
    Burgess, Adriane
    Barr, Erik
    Burcher, Paul
    Date
    2021-06-11
    Journal
    Birth (Berkeley, Calif.)
    Publisher
    Wiley-Blackwell
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1111/birt.12559
    Abstract
    Background: The COVID-19 pandemic forced hospitals in the United States to adjust policy and procedure in order to provide safe care and prevent the spread of disease. At the beginning of the pandemic, media and case reports described pressure for medical interventions, visitor restrictions, separation from newborns, and an increase in patient demand for community birth (home and birth center). The purpose of this study was to describe birth experiences during the COVID-19 pandemic centering the birthing person's perspective. Methods: A survey was e-mailed to users of the Ovia Pregnancy app reaching a national convenience sample who gave birth between March 1, 2020, and June 11, 2020. Survey topics included birth location, the Mothers on Respect index, and open-ended questions capturing patient perspectives on the pandemic's effect on their birth experiences. Differences were assessed based on state-level COVID rate and by race. Content analysis was performed to analyze open-ended responses. Results: Respondents from highly impacted COVID-19 states more frequently changed or considered changing their birth location. Racial differences were also found with Black respondents reporting significantly more preterm births and lower respect scores when compared to White respondents. Six themes emerged from the content analysis: Institutional Policies, Changes in Care, Hospital Staff Interactions, Sub-par Care, Issues of Support, and Mental Health. Discussion: The health care community must continue to adapt policies and procedures to best support birthing patients during the COVID-19 pandemic. The community must also continue to address the reality that Black patients receive less respectful care compared with White patients.
    Rights/Terms
    © 2021 Wiley Periodicals LLC.
    Keyword
    COVID-19
    birth
    survey
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/16032
    ae974a485f413a2113503eed53cd6c53
    10.1111/birt.12559
    Scopus Count
    Collections
    UMB Coronavirus Publications
    UMB Open Access Articles

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