The experience of pregnant women and their families who were infected with covid-19 before vaccination: A qualitative approach within a multicenter study in Brazil.

Autor: Soeiro RE; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Souza RT; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil. Electronic address: rtsouza@unicamp.br., Bento SF; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Cecatti JG; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Surita FG; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Freitas-Jesus JV; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Pacagnella RC; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Ribeiro-Do-Valle CC; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Luz AG; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Lajos GJ; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Nobrega GM; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Griggio TB; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Charles CM; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Silveira C; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Miele MJ; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil., Tedesco RP; Jundiaí School of Medicine - HU/FMJ, Jundiaí, SP, Brazil., Fernandes KG; Jundiaí School of Medicine - HU/FMJ, Jundiaí, SP, Brazil., Martins-Costa SH; Clinics Hospital of Porto Alegre, Porto Alegre, RS, Brazil., Peret FJ; UNIMED Maternity - UNIMED/BH, Belo Horizonte, MG, Brazil., Feitosa FE; Federal University of Ceará - MEAC/UFC, Fortaleza, CE, Brazil., Traina E; Federal University of São Paulo - UNIFESP/EPM, São Paulo, SP, Brazil., Cunha Filho EV; Moinhos de Vento Hospital - HMV, Porto Alegre, RS, Brazil., Vettorazzi J; Clinics Hospital of Porto Alegre, Porto Alegre, RS, Brazil; Moinhos de Vento Hospital - HMV, Porto Alegre, RS, Brazil., Haddad SM; Jorge Rossmann Regional Hospital - Sócrates Guanaes Institute, Itanhaém, SP, Brazil., Andreucci CB; Federal University of São Carlos/UFSCAR, São Carlos, SP, Brazil., Guida JP; Sumaré State Hospital - HES, Sumaré, SP, Brazil., Correa Junior MD; Federal University of Minas Gerais - HC/UFMG, Belo Horizonte, MG, Brazil., Dias MA; Fernandes Figueira Institute - IFF/Fiocruz, Rio de Janeiro, RJ, Brazil., Oliveira LG; São Paulo State University School of Medicine, Botucatu, SP, Brazil., Melo Junior EF; Federal University of Pernambuco - HC/UFPE, Recife, PE, Brazil., Luz MGD; Santa Casa de Misericórdia of Pará, Belém, PA, Brazil., Costa ML; Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil.
Jazyk: angličtina
Zdroj: Midwifery [Midwifery] 2024 Aug; Vol. 135, pp. 104018. Date of Electronic Publication: 2024 Apr 23.
DOI: 10.1016/j.midw.2024.104018
Abstrakt: Background: Pregnant and postpartum women infected by COVID-19 are at increased risk of adverse outcomes, including negative effects on their mental health. Brazilian maternal mortality rate due to COVID-19 is 2.5 times higher than overall mortality rates. This study aimed to understand how pregnant/postpartum women experienced the COVID-19 suspicion/investigation or confirmed infection in different Brazilian cities, the pandemic's consequences to women and their families, and their needs to improve maternal health services during public health emergencies.
Methods: We conducted a qualitative study with 27 women with COVID-19 and 6 of their family members, as part of a multicenter study among 15 maternity hospitals in Brazil. We applied in-depth interviews through telephone calls when women received the diagnostic or had a suspect infection and after 60 days. Another semi-structured interview was applied to their close family members. The interviews were considered through thematic analysis.
Results: From the thematic content analysis three major themes emerged from the first and second interviews: (Cucinotta and Vanelli, 2020) assistance received by the woman and newborn in the medical services; (World Health Organization (WHO) 2021) stigma/fear of contamination from health workers and from family and friends reported by the women; (Allotey et al., 2020) the COVID-19 pandemic impact.
Conclusion: Before the availability of the COVID-19 vaccine, pregnant women experienced fear of death, hospitalization, quarantine, loss of family members, and financial repercussions, resulting in physical, psychological, and socioeconomic impacts on these women's lives.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. The author is an Editorial Board Member/Editor-in-Chief/Associate Editor/Guest Editor for [Biomed Research International and BMC Pregnancy and Childbirth] and was not involved in the editorial review or the decision to publish this article.
(Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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