Implications of the Covid-19 pandemic on hospital care for parturient women from nurses’ perspective

Keywords: COVID-19, Parturition, Perinatal Care, Nursing Care, Obstetric Nursing

Abstract

Objective: to know the implications of the COVID-19 pandemic on hospital care for parturient women from nurses’ perspective. Method: a descriptive and qualitative study, with 20 nurse-midwives from the state of Rio de Janeiro. Data were collected from May to July 2021, through a semi-structured interview carried out via videoconference, and subjected to thematic content analysis. Results: the implications included: parturient women were admitted to maternity wards in advanced labor and had little information about parturition; and increase in medical interventions, expressed in the indiscriminate adoption of practices that require clinical indications, are of judicious use or are proscribed. On the other hand, the implications for nurses’ care revealed adaptations in the offering of non-invasive technologies in light of COVID-19 control protocols, in order to preserve humanization and the rights of women in childbirth, even if they have hindered the manifestation of relational skills. Final considerations: it is considered that the pandemic interfered with the access and use of educational activities in prenatal care, and the measures implemented in hospital care for parturient women resulted in the erasure of good practices and the resurgence of medicalization. However, the potential of nurse-midwives is evident, as they respected health regulations and provided safe and respectful care.

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Author Biographies

Juliana Amaral Prata, State University of Rio de Janeiro

Nurse. Doctor in nursing. Professor. Nursing school. State University of Rio de Janeiro - UERJ. Rio de Janeiro, Brazil.

Karolayne Rosa Oliveira, State University of Rio de Janeiro

Nurse. Specialist in obstetric nursing. UERJ. Rio de Janeiro, Brazil.

Jane Márcia Progianti, State University of Rio de Janeiro

Nurse. Doctor in nursing. Professor. Nursing school. UERJ. Rio de Janeiro, Brazil.

Adriana Lenho de Figueiredo Pereira, State University of Rio de Janeiro

Nurse. Doctor in nursing. Professor. Nursing school. UERJ. Rio de Janeiro, Brazil.

Camilla Ribeiro Freitas da Silva, State University of Rio de Janeiro

Nurse. Specialist in obstetric nursing. Master's degree student. Postgraduate Program in Nursing. UERJ. Rio de Janeiro, Brazil.

Aline Camarez Costa, State University of Rio de Janeiro

Nurse. Specialist in obstetric nursing. Master's degree student. Postgraduate Program in Nursing. UERJ. Rio de Janeiro, Brazil.

Wanessa Candioto Barbalho de Souza, State University of Rio de Janeiro

Nurse. Specialist in obstetric nursing. Master's degree student. Postgraduate Program in Nursing. UERJ. Rio de Janeiro, Brazil.

References

Iobst SE, Breman, RB, Walker M, Wysong GBS, Natasha DNP, Edmonds JK. Challenges, job satisfiers, and self-Care among perinatal nurses in the United States during the COVID-19 pandemic. MCN: The American Journal of Maternal/Child Nursing. 2023;38(3):118-23. Doi: https://doi.org/10.1097/NMC.0000000000000912.

Rossetto M, Souza JB, Fonsêca GS, Kerkhoff VV, Moura JRA. Flowers and thorns in pregnancy: experiences during the COVID-19 pandemic. Rev. gaúch. enferm. 2021; 42:e20200468. Doi: https://doi.org/10.1590/1983-1447.2021.20200468.

Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de ações programáticas e estratégicas. Manual de recomendações para a assistência à gestante e puérpera frente à pandemia de COVID-19 [Internet]. 2ª ed. Brasília: Ministério da Saúde; 2021 [acesso em: 10 dez. 2022]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/manual_assistencia_gestante_puerpera_COVID-19_2ed.pdf.

Joaquim RHVT, Dittz ES, Leão A, Madalena CM, Costa PR, Azevedo L, et al. Maternity in times of the Covid-19 pandemic: what mothers admitted in a reference hospital have to tell us. Interface (Botucatu, Online). 2022;26:e210785. Doi: https://doi.org/10.1590/interface.210785

Sweet L. The impact of COVID-19 on women, babies, midwives, and midwifery care. Women and birth (Online). 2022;3(35):211-12. Doi: https://doi.org/10.1016/j.wombi.2022.03.0026.

Carvalho RHSBF, Alves MTSSB, Silva-Junior AG, Alexandre GC, Coimbra TRS, Moraes M, et al. Maternal health during the COVID-19 pandemic: experiences of health workers in three Brazilian municipalities. PLos ONE. 2023;18(8):e0290068. Doi: https://doi.org/10.1371/journal.pone.0290068.

Lamy ZC, Thomaz EBAF, Silva-Junior AGd, Alexandre GC, Alves MTSSdBe, Carvalho RHdSBFd, et al. Experiences of women in prenatal, childbirth, and postpartum care during the COVID-19 pandemic in selected cities in Brazil: the resignification of the experience of pregnancy and giving birth. PLos ONE. 2023;18(5):e0284773. Doi: https://doi.org/10.1371/journal.pone.0284773.

Banke-Thomas A, Yaya S. Looking ahead in the COVID-19 pandemic: emerging lessons learned for sexual and reproductive health services in low- and middle-income countries. Reprod Health. 2021;18(1):248. Doi: http://dx.doi.org/10.1186/s12978-021-01307-4.

Almeida RAAS, Carvalho RHSBF, Lamy ZC, Alves MTSSB, Poty NARC, Thomaz EBAF. From prenatal to postpartum care: changes in obstetric health services during the COVID-19 pandemic. Texto & contexto enferm. 2022;31:e20220206. Doi: https://doi.org/10.1590/1980-265X-TCE-2022-0206pt.

Pereira JTMO, Canario MASS, Zani AV, Bernardy CCF, Cardelli AAM, Ferrari RAP. Obstetric care in public maternity hospitals: comparative analysis of two cohort studies. Ciênc. cuid. saúde. 2021;20:e58622. Doi: https://doi.org/10.4025/ciencuidsaude.v20i0.58622.

Pasche DF, Pessatti MP, Silva LBRAA, Matão MEL, Soares DB, Caramachi APC. Transição do modelo de ambiência em hospitais que realizam partos na Rede Cegonha. Ciênc saúde coletiva. 2021;26(3):887-96. Doi: https://doi.org/10.1590/1413-81232021263.45262020.

Bittencourt SDA, Vilela MEA, Marques MCO, Santos AM, Silva CKRT, Domingues RMSM, et al. Atenção ao parto e nascimento em maternidades da Rede Cegonha/Brasil: avaliação do grau de implantação das ações. Ciênc saúde coletiva. 2021;26(3):801-21. Doi: https://doi.org/10.1590/1413-81232021263.08102020.

World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience. [Internet] 2018 [citado 2022 abril 10]. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf?sequence=.

Cruz-Ramos MC, Resurreccióna MD, Hernández-Albújar Y. Childbirth experience during the COVID-19 pandemic: a qualitative thematic analysis. Midwifery. 2023;121:103669. Doi: https://doi.org/10.1016/j.midw.2023.103669.

Mollard E, Wittmaack A. Experiences of women who gave birth in US hospitals during the COVID-19 pandemic. Journal of Patient Experience. 2021;8. Doi: https://doi.org/10.1177/2374373520981492.

Leal CA, Lima MM, Sonaglio BB, Costa R, Wilhelm LA, Drews MP. Care during childbirth and the puerperal period during the COVID-19 pandemic: implications for the humanization of care. Rev. Eletr. Enferm. 2023;25:73786. Doi: https://doi.org/10.5216/ree.v25.73786.

Almeida BCDS, Progianti JM, Prata JA, Araujo LM, Freitas JB, Silva RP. Nurse’s actions and attitudes in approaching parturient women on non-invasive care technologies. Rev. Enferm. UERJ. 2022;30:65999. Doi: http://dx.doi.org/10.12957/reuerj.2022.65999.

Vinuto J. A amostragem em bola de neve na pesquisa qualitativa: um debate em aberto. Temat. 2014;22(44):203-20. Doi: https://doi.org/10.20396/tematicas.v22i44.10977.

Minayo MCS. O desafio do conhecimento: Pesquisa qualitativa em saúde 14ª ed. São Paulo: Ed. Hucitec: 2014.

Klingenberg C, Tembulkar SK, Lavizzari A, Roehr CC, Ehret DEY, Vain NE, et al. International neonatal COVID-19 consortium. COVID-19 preparedness-a survey among neonatal care providers in low- and middle-income countries. J. perinatol. 2021;41(5):988-97. Doi: http://dx.doi.org/10.1038/s41372-021-01019-4.

Hailemariam S, Agegnehu W, Derese M. Exploring COVID-19 related factors influencing antenatal care services uptake: a qualitative study among women in a rural community in Southwest Ethiopia. J. prim. care community health. 2021;12:2150132721996892. Doi: https://doi.org/10.1177/2150132721996892.

Oliveira CS, Heck RM, Pereira GM, Galarça AMSS, Mendieta MC, Lima ARA, Dias N S.Information and communication technologies used by primary care nurses in the covid-19 pandemic. Cienc Cuid Saude. 2023;22:e65820. Doi: https://doi.org/10.4025/ciencuidsaude.v22i0.65820.

Boeck GA, Carvalho BLR, Back IR, Santos AL. Mental health and COVID-19: feelings experienced by pregnant women in pandemic times. CLIUM. 2022;22(3):665-83. Doi: https://doi.org/10.53660/CLM-257-258.

Hense TD, Milbrath VM, Gabatz RIB, Velasques PT, Rodrigues TJ, Vaz JC. Become a mother in times of pandemics: integrative literature review. Rev. Contexto & Saúde. 2023;23(47):e12844. Doi: http://dx.doi.org/10.21527/2176-7114.2023.47.12844.

Stampini V, Monzani A, Caristia S, Ferrante G, Gerbino M, Pedrini A, et al. The perception of Italian pregnant women and new mothers about their psychological well being, lifestyle, delivery, and neonatal management experience during the COVID-19 pandemic lockdown: a web-based survey. BMC Pregnancy Childbirth. 2021;21:473. Doi: https://doi.org/10.1186/s12884-021-03904-4.

Sadler M, Leiva G, Olza I. COVID-19 as a risk factor for obstetric violence. Sex Reprod Health Matters. 2020;28(1):1785379. Doi: https://doi.org/10.1080/26410397.2020.178537921.

Silva FL, Russo J, Nucci M. Pregnancy, childbirth and postpartum in the pandemic: the multiple meanings of risk. Horiz. antropol. 2021;27(59):245-65. Doi: http://dx.doi.org/10.1590/S0104-71832021000100013.

Rice K, Williams SA. Increased use of birth interventions during the COVID-19 pandemic?: An exploratory qualitative study. Ann. fam. med. 2022;20(supl.1):3041. Doi: https://doi.org/10.1370/afm.20.s1.3041.

Leitner MCh, Meurer V, Hutzler F, Schuster S, Hawelka S. The effect of masks on the recognition of facial expressions: A true-to-life study on the perception of basic emotions. Front. Psychol. 2022;13:933438. Doi: https://doi.org/10.3389/fpsyg.2022.933438.

Lander K, Saunders GH. Face coverings: considering the implications for face perception and speech communication. Cogn. Research. 2023;8:24. Doi: https://doi.org/10.1186/s41235-023-00479-w.

Published
2024-03-29
How to Cite
Prata, J. A., Oliveira, K. R., Progianti, J. M., Pereira, A. L. de F., Silva, C. R. F. da, Costa, A. C., & Souza, W. C. B. de. (2024). Implications of the Covid-19 pandemic on hospital care for parturient women from nurses’ perspective. Ciência, Cuidado E Saúde, 23. https://doi.org/10.4025/ciencuidsaude.v23i0.66780
Section
Original articles