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Emotional experience of mothers facing visitor restrictions in the maternity wards during the COVID-19 pandemic: A qualitative study - 17/03/24

Experience émotionnelle des mères confrontées aux restrictions de visiteurs a la maternité durant la pandemie de la COVID-19 : une étude qualitative

Doi : 10.1016/j.neurenf.2024.01.004 
L. Colin a, J. Letot a, E. Devouche a, b, , C. Baeza-Velasco a, c, d
a Laboratory of Psychopathology and Health Processes, Institute of Psychology, Paris-Cité University, 71, avenue Édouard-Vaillant, 92100 Boulogne-Billancourt, France 
b Hospital Group Du Havre, Le Havre, France 
c Psychiatric Emergency and Acute Care Service, CHU of Montpellier, 191, avenue du Doyen-Gaston-Giraud, 34295 Montpellier, France 
d CNRS, Inserm, Institute of Functional Genomics, Montpellier University, 141, rue de la Cardonille, 34094 Montpellier, France 

Corresponding author at: Laboratory of Psychopathology and Health Processes, Institute of Psychology, Paris-Cité University, 71, avenue Édouard-Vaillant, 92100 Boulogne-Billancourt, France.Laboratory of Psychopathology and Health Processes, Institute of Psychology, Paris-Cité University71, avenue Édouard-VaillantBoulogne-Billancourt92100France

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Abstract

Objectives

Using a qualitative method, this study explored the experiences and opinions of mothers facing visitor restrictions in maternity wards during the COVID-19 pandemic in Europe.

Population and methods

A total of 16 women between the ages of 29 and 38 years were recruited. They gave birth between April 2020 and July 2022 in metropolitan France or the Netherlands. Each participant had an individual and semi-directional telephonic interview which was transcribed and subjected to thematic content analysis.

Results

Visitor restrictions in maternity wards were a source of great apprehension for participants, which is the first theme of our thematic analysis. The unknown, changes in restrictions and mentions of other mothers who had experienced such restrictions were often sources of fear, anxiety and a heavy mental load for these participants. The second theme was the yearning and related to the lack of emotional and physical support that mothers felt when their family and friends were not allowed in the maternity ward; this theme also highlighted the central place given to the new-born's siblings in this ward. The third theme was the traumatic experience of mothers who have experienced the restriction of their partner. These results underline the need for participants to be accompanied by their partners throughout their stay in the maternity ward. Finally, tranquillity was the last theme and was related to the absence of family and friends during postpartum care, something that participants had differing opinions about but that most agreed would have given them a better first postpartum experience in the maternity ward.

Discussion

Whether viewed as positive or negative, visitor restrictions have a significant impact on how mothers experience their childbirth and stay in a maternity ward.

Conclusions

If a new wave of the pandemic were to occur, these results would encourage policy makers to rethink visitor restrictions in maternity wards and consider the need for every mother to be surrounded there by the people of her choice.

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Résumé

Objectifs

Par une méthode qualitative, cette étude explore l’expérience et l’opinion des mères confrontées aux restrictions de visiteurs à la maternité durant la pandémie de COVID-19 en Europe.

Population et méthodes

Au total, 16 femmes âgées de 29 à 38 ans ont été recrutées. Elles ont accouché entre avril 2020 et juillet 2022 en France métropolitaine ou aux Pays-Bas. Chaque participante a eu un entretien téléphonique individuel et semi-directif qui a été retranscrit et soumis à une analyse thématique de contenu.

Résultats

Les restrictions de visiteurs à la maternité ont suscité beaucoup d’appréhensions chez les participantes, ce qui compose le premier thème de notre analyse thématique. L’inconnu, les différents changements de restriction et les échos d’autres mères les ayant vécus étaient souvent sources de peur d’angoisse et de charge mentale importante pour ces participantes. Le manque est un second thème qui renvoi à l’absence de soutien émotionnel et physique ressenti par les mères lorsque leur famille et leurs amis n’étaient pas autorisés en suites de couches, mais qui a également permis de mettre en lumière la place centrale qu’elles accordaient à la fratrie du nouveau-né à la maternité. La restriction concernant la présence des partenaires durant le travail et les suites de couches compose un 3e thème, celui d’une expérience traumatique venant témoigner du caractère essentiel, pour les participantes, à être accompagnée de leur partenaire tout au long de leur séjour à la maternité. Enfin, la tranquillité est un dernier thème et s’apparente à l’absence de la famille et des amis en suites de couches. Un contexte donnant lieu à des opinions divergentes, mais qui auraient permis à la majorité des participantes de mieux vivre leurs premiers jours postpartum à la maternité.

Discussion

Qu’elles soient considérées comme positives ou négatives, les restrictions de visiteurs ont eu un impact significatif sur la façon dont les mères ont vécu leur accouchement et leur séjour à la maternité.

Conclusions

Dans le cas d’une nouvelle vague épidémique, ces résultats encouragent les maternités à repenser ces restrictions en tenant compte, dans la mesure du possible, du besoin de chaque mère à être entourée des personnes de leur choix à la maternité.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : Covid-19 pandemic, Maternity wards, Mothers’ experiences, Mothers’ opinions, Visitor restrictions

Mots clés : Covid-19, Expériences et opinions des mères, Maternités, Restrictions des visites


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