Women's experiences of maternity care in the United Kingdom during the COVID-19 pandemic: A follow-up systematic review and qualitative evidence synthesis.

Journal: Women and birth : journal of the Australian College of Midwives

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Affiliated Institutions:  Department of Women & Children's Health, School of Life Course & Population Sciences, King's College London, London, United Kingdom. Department of Women & Children's Health, School of Life Course & Population Sciences, King's College London, London, United Kingdom; Department of Population Health Sciences, School of Life Course & Population Sciences, King's College London, London, United Kingdom. The RESILIENT Study Patient & Public Involvement & Engagement Advisory Group, United Kingdom. School of Nursing & Midwifery, Faculty of Health Sciences, Trinity College Dublin, Dublin, Republic of Ireland; School of Nursing, Midwifery and Health Systems, College of Health and Agricultural Sciences, University College Dublin, Dublin, Ireland. The Policy Institute, Faculty of Social Science & Public Policy, King's College London, London, United Kingdom. Department of Social Sciences, College of Health, Science and Society, University of the West of England Bristol, Bristol, United Kingdom; The RESILIENT Study Technical Advisory Group, United Kingdom. The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine, Dartmouth College, NH, United States. Department of Twin Research & Genetic Epidemiology, School of Life Course & Population Sciences, King's College London, London, United Kingdom. The RESILIENT Study Group, United Kingdom. Department of Women & Children's Health, School of Life Course & Population Sciences, King's College London, London, United Kingdom; School of Psychology, Faculty of Health, Liverpool John Moores University, Liverpool, United Kingdom. Department of Women & Children's Health, School of Life Course & Population Sciences, King's College London, London, United Kingdom. Electronic address: Laura.A.Magee@kcl.ac.uk.

Abstract summary 

Maternity care services in the United Kingdom have undergone drastic changes due to pandemic-related restrictions. Prior research has shown maternity care during the pandemic was negatively experienced by women and led to poor physical and mental health outcomes in pregnancy. A synthesis is required of published research on women's experiences of maternity care during the latter half of the COVID-19 pandemic.To update a previous systematic review of maternity care experiences during the pandemic to June 2021, exploring experiences of maternity care specifically within the United Kingdom and how they may have changed, in order to inform future maternity services.A systematic review of qualitative literature was conducted using comprehensive searches of five electronic databases and the Cochrane COVID Study Register, published between 1 June 2021 and 13 October 2022, and further updated to 30 September 2023. Thematic Synthesis was utilised for data synthesis.Of 21,860 records identified, 27 studies were identified for inclusion. Findings included 14 descriptive themes across the five core concepts: (1)Care-seeking and experience; (2)Virtual care; (3)Self-monitoring; (4)COVID-19 vaccination; (5)Ethical future of maternity care.Our findings in the UK are consistent with those globally, and extend those of the previous systematic review, particularly about women's perceptions of the COVID-19 vaccine during pregnancy.Our findings suggest the following are important to women for future maternity care: personalisation and inclusiveness; clear and evidence-based communication to facilitate informed decision-making; and achieving balance between social commitments and time spent settling into motherhood.

Authors & Co-authors:  Dasgupta Horgan Peterson Mistry Balls Wilson Smith Boulding Sheen Van Citters Nelson Duncan Dadelszen Rayment-Jones Silverio Magee

Study Outcome 

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Statistics
Citations : 
Authors :  17
Identifiers
Doi : 10.1016/j.wombi.2024.02.004
SSN : 1878-1799
Study Population
Women
Mesh Terms
Other Terms
COVID-19;Childbirth;Maternity care;Postnatal;Pregnancy;Qualitative research;Systematic review;Women
Study Design
Study Approach
Qualitative
Country of Study
Publication Country
Netherlands