Silverio, SA, De Backer, K, Easter, A, von Dadelszen, P, Magee, LA and Sandall, J (2021) Women's experiences of maternity service reconfiguration during the COVID-19 pandemic: A qualitative investigation. Midwifery, 102. ISSN 0266-6138

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Abstract

Objective: To explore women's experiences of maternity service reconfiguration during the first wave of the SARS-CoV-2 (COVID-19) pandemic. Design: Qualitative interview study. Setting: South London, United Kingdom. Participants: Women (N=23) who gave birth between March and August 2020 in one of the ten South London maternity hospitals. Methods: Semi-structured interviews were conducted (N=23), via video-conferencing software. Transcribed interviews were analysed ‘by hand’ using Microsoft Word. Template analysis was selected to code, analyse, and interpret data, according to the findings of a recently-published national survey of maternity service reconfiguration across the UK in response to COVID-19. Findings: Three main themes emerged through analysis: (i) Disruption to In-Person Care and Increased Virtual Care Provision, (ii) Changes to Labour and Birth Preferences and Plans, (iii) Advice for Navigating Maternity Services During a Pandemic. Key Conclusions: Women reported mixed views on the reduction in scheduled in-person appointments. The increase in remote care, especially via telephone, was not well endorsed by women. Furthermore, women reported an under-reliance on healthcare professionals for support, rather turning to family. Implications for Practice: We provide insight into the experiences of women who received antenatal, intrapartum, and postnatal care during the first wave of the COVID-19 pandemic. Our findings should inform healthcare policy to build back better maternity care services after the pandemic.

Item Type:	Article
Uncontrolled Keywords:	Humans; Telemedicine; Pregnancy; Qualitative Research; Adult; Pregnant Women; Maternal Health Services; Female; Interviews as Topic; Pandemics; United Kingdom; COVID-19; SARS-CoV-2; COVID-19; Maternity Care; Qualitative Research; Service Delivery; Women's Experiences; Adult; COVID-19; Female; Humans; Interviews as Topic; Maternal Health Services; Pandemics; Pregnancy; Pregnant Women; Qualitative Research; SARS-CoV-2; Telemedicine; United Kingdom; 1110 Nursing; 1114 Paediatrics and Reproductive Medicine; 1117 Public Health and Health Services; Nursing
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Psychology (from Sep 2019)
Publisher:	Elsevier
SWORD Depositor:	A Symplectic
Date Deposited:	06 Dec 2022 12:45
Last Modified:	06 Dec 2022 12:45
DOI or ID number:	10.1016/j.midw.2021.103116
URI:	https://researchonline.ljmu.ac.uk/id/eprint/18306

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