Parental Postnatal Depression in the Time of the COVID-19 Pandemic: A Systematic Review of Its Effects on the Parent–Child Relationship and the Child’s Developmental Outcomes

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(3), P. 2018 - 2018

Published: Jan. 21, 2023

The international literature has shown that maternal and paternal postnatal depression (PND) is one of the most common mental illnesses in perinatal period, with significant consequences for parent–infant relationships infant development. COVID-19 pandemic increased rates prevalence PND, exacerbating health risk new families. This systematic review aims to examine effect PND on children’s development first 36 months after childbirth during outbreak. Eligible studies were identified using following databases: Medline, CINAHL, SCOPUS, PsycINFO, PsycARTICLES, ScienceDirect, Web Science. Of 1252 considered, 10 met inclusion criteria. Results showed significantly affected quality early mother–infant relationship infant’s motor, self-regulation, socio-emotional In addition, detrimental impact seems become stronger as concerns increase. No included fathers. These findings strengthened importance planning targeted prevention treatment strategies prevent its short- long-term consequences, especially case stressful traumatic events. They also suggested urgent need further exploration

Language: Английский

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SDG5 “Gender Equality” and the COVID-19 pandemic: A rapid assessment of health system responses in selected upper-middle and high-income countries

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Feb. 3, 2023

Introduction The COVID-19 pandemic disrupted healthcare and societies, exacerbating existing inequalities for women girls across every sphere. Our study explores health system responses to gender equality goals during the inclusion in future policies. Methods We apply a qualitative comparative approach, drawing on secondary sources expert information; data was collected from March–July 2022. Australia, Brazil, Germany, United Kingdom, USA were selected, reflecting upper-middle high-income countries with established public policies but different types of systems epidemiological geo-political conditions. Three sub-goals SDG5 analyzed: maternity care/reproductive health, gender-based violence, equality/women's leadership. Results found similar trends countries. Pandemic strongly cut into women's constrained prevention support services, weakened reproductive rights, while essential care services kept open. Intersecting reinforced, sexual violence increased leadership weak. All failed protect targets. Yet there relevant differences ranging some measures Australia an abortion ban US. Conclusions highlights need revising through feminist lens.

Language: Английский

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Exploring the influence of medical staffing and birth volume on observed-to-expected cesarean deliveries: a panel data analysis of integrated obstetric and gynecological departments in Germany

The European Journal of Health Economics, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 21, 2025

Abstract Introduction Cesarean deliveries account for approximately one-third of all births in Germany, prompting ongoing discussions on cesarean section rates and their connection to medical staffing birth volume. In the majority departments integrate obstetric gynecological care within a single department. Methods The analysis utilized quality reports from German hospitals spanning 2015 2019. outcome variable was annual risk-adjusted ratio—a metric comparing expected observed sections. Explanatory variables included counts physicians, midwives, births. To case number-related variations, full-time equivalent midwife physician staff positions were normalized by number deliveries. Uni- multivariate panel models applied, complemented multiple instrument analyses, including two-stage least square generalized method moments models. Results Incorporating data 509 integrated 2089 observations, representing 2,335,839 with 720,795 sections (over 60% inpatient Germany), model fixed effects revealed statistically significant positive association between physicians per ratio (0.004, p = 0.004). Two-stage (0.020, < 0.001) system GMM estimator validated these results, providing compelling evidence causal relationship. Conclusion study established robust Germany. While cause effect remains unclear, one possible explanation is lack specialization due combined provision both care.

Language: Английский

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Home birth in Iran during the COVID-19 pandemic: a qualitative study

British Journal of Midwifery, Journal Year: 2025, Volume and Issue: 33(4), P. 200 - 207

Published: April 1, 2025

Background/Aims Various factors can influence a woman's decision on where to give birth, and the COVID-19 pandemic led reported increase in home births. This study aimed explore Iranian couples' experiences of birth at during pandemic. Methods qualitative gathered data from purposive sample six women four men via in-depth semi-structured interviews. Conventional content analysis was used. Results The main theme, ‘linking dread joy’, had two subthemes describing that influenced participants' experiences: subjective factors, such as faith, motivation curiosity, objective having an experienced midwife suitable equipment. Conclusions Home planning could be included safe guidelines for Iran. would need consider all aspects health (physical psychological) needs preferences with low-risk pregnancies. Implications practice It is recommended further efforts made examine status across

Language: Английский

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Psychosocial Processes in Healthcare Workers: How Individuals’ Perceptions of Interpersonal Communication Is Related to Patient Safety Threats and Higher-Quality Care

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(9), P. 5698 - 5698

Published: May 1, 2023

Interpersonal communication, as a central form of social resource derived from relations, is crucial for individuals coping with threats in the workplace, especially hospitals that provide high-quality care and patient safety. Using system mentalization theoretical background, we applied psychosocial processes psychodynamic approach to get insights on how healthcare workers interact team members patients. The goal was test following hypotheses: H1: Better communication associated fewer safety (H1a) higher-quality (H1b). H2: associations between (H2a) (H2b) are mediated by psychological In this two-studies design, conducted cross-sectional hospital survey (N = 129) obstetric 138) Germany. Simple mediation analyses were run. Results revealed performance. Further, mediating effect performance demonstrated. These findings contribute an understanding relation representations, individuals’ interrelates complement public health strategies. With better safety, tools, routines, concrete trainings can be designed.

Language: Английский

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Experiences of giving birth during the COVID-19 pandemic: a qualitative analysis of social media comments through the lens of birth integrity

BMC Pregnancy and Childbirth, Journal Year: 2023, Volume and Issue: 23(1)

Published: Jan. 16, 2023

Social media offer women a space to discuss birth-related fears and experiences. This is particularly the case during COVID-19 pandemic when measures contain spread of virus high rates infection have had an impact on delivery care, potentially restricting women's rights increasing risk experiencing different forms mistreatment or violence. Through lens birth integrity, we focused experiences giving in Germany as shared social media, what may sheltered violated their integrity birth.

Language: Английский

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Impact of the COVID-19 Pandemic on CSR Activities of Healthcare Providers

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 20(1), P. 368 - 368

Published: Dec. 26, 2022

(1) Background: Corporate social responsibility (CSR) is important for every company that cares sustainable structures. Healthcare providers especially have made their goal. However, crises such as the COVID-19 pandemic impacted different activities within healthcare sector including CSR and its monitoring. theory-driven research scarce monitoring requires a structured understanding of processes. Therefore, objective this study was to investigate practices which implemented in an exemplified country namely Germany effect process. (2) Methods: Participants were sampled based on field care (general, psychiatric, or rehabilitation), type organization (public, private, non-profit), group membership. A total 18 initially recruited, out nine participated interviews. They represent companies with yearly revenue between EUR 110 million 6 billion, 900 73,000 employees. (3) Results: CSR-related postponed due times crisis. There necessity rapidly digitalize Frequent precise communication turned be keeping employees’ well-being, motivation, satisfaction levels high. Environmental efforts counteracted by new hygienic requirements shift priorities. Many participants expressed hope after pandemic, newly established methods, processes, structures (e.g., digital meetings, quicker more inclusive communication) would maintained developed further. (4) Conclusions: The has been challenging at same time, these challenges also created opportunities strike path using learnings overcome future health-related economic crises.

Language: Английский

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The socioemotional impact of the COVID-19 pandemic on pregnant and postpartum people: a qualitative study

CMAJ Open, Journal Year: 2023, Volume and Issue: 11(4), P. E716 - E724

Published: July 1, 2023

The social isolation and safety measures imposed during the COVID-19 pandemic differentially burdened pregnant postpartum people, disrupting health care support systems. We sought to understand experiences of people navigating pre- postnatal care, from pregnancy through early period, pandemic.In this qualitative investigation, we conducted semistructured interviews with residing in British Columbia Alberta, Canada, second half again at 4-6 weeks' post partum between June 2020 July 2021. Interviews were remotely (via Zoom or telephone) focused on impact birth labour planning, birthing experience. used content thematic analysis analyze data, checked patterns using NVivo.We interviewed 19 18 these partum. identified 7 themes/subthemes describing how affected their experiences: disrupted systems, isolation, (pre- birth/hospital protocols), violated norms (including typical rituals such as baby showers), mental unexpected benefits (such a no-visitor policy hospitals after birth, which provided quiet period bond baby).Pregnant uniquely vulnerable would have benefited increased access both settings. Future work should investigate maternal infant/child functioning behaviour assess long-term Canadian families developing children, an aim increase where necessary.

Language: Английский

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The Impact of a Communication Training on the Birth Experience: Qualitative Interviews with Mothers after Giving Birth at Obstetric University Departments in Germany

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(18), P. 11481 - 11481

Published: Sept. 13, 2022

(1) Background: Patient safety is a pressing issue in healthcare. Besides economical and organizational issues, human factors play crucial role providing safe care. Safe clear communication on both the healthcare workers' patients' sides contribute to avoidance of medical errors increase satisfaction. Globally, incidence experiencing at least one adverse event obstetrics about 10%, which half are classified as preventable. According international research, improving skills may decrease preventable events. The research question was what extent training for pregnant women impacts quality mutual understanding during birth. (2) Methods: Communication interventions with were conducted two German university obstetric departments mixed methods design, based Health Action Process Approach. online classes covered awareness personal wishes, usage strategies, self-efficacy empathy. This study presents qualitative results. Out 142 mothers who answered questionnaires before after birth, 24 in-depth semistructured interviews explore subjective impact training. results analyzed content analysis. (3) Results: majority participants felt incentivized be aware their wishes birth express them. Perceived positive experiences sufficient competency communication, empathy outweighed negative treatments hospital, some could attributed structural problems. (4) Discussion: reported effects underline need but also potential lessons reflect improve obstetrics. However, due problems system buffered by not solved.

Language: Английский

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Pregnancy Care during the COVID-19 Pandemic in Germany: A Public Health Lens

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(3), P. 2721 - 2721

Published: Feb. 3, 2023

The COVID-19 pandemic has led to various challenges in German health care, including pregnancy care. This paper aims provide an overview of the pandemic-related faced by pregnant women, new mothers, and their families maternal newborn A literature review was performed international as well recommendations institutions official stakeholders. These refer restrictions at all stages pregnancy, wearing masks during labour, limitations a companion choice birth, unvaccinated women from attending, e.g., antenatal classes. Compared with general population, vaccination recommended later, were initially excluded clinical trials. Women who gave birth also reported mental issues. findings stress importance inclusion might help overcome vaccine hesitancy among seeking family planning. Taking example, one must weigh changes associated potential disadvantages for newborns, care against measures control pandemic.

Language: Английский

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