Freedom for some, but not for Mum: The reproductive injustice associated with pandemic ‘Freedom Day’ for perinatal women in the United Kingdom

TY - JOUR

T1 - Freedom for some, but not for Mum

T2 - The reproductive injustice associated with pandemic ‘Freedom Day’ for perinatal women in the United Kingdom

AU - Silverio, Sergio A.

AU - Harris, Elizabeth J.

AU - Jackson, Leanne

AU - Fallon, Victoria

AU - The PRaM Study Group

AU - Soulsby, Laura K.

AU - Christiansen, Paul

AU - De Pascalis, Leonardo

AU - Harrold, Joanne A.

AU - Easter, Abigail

AU - von Dadelszen, Peter

AU - Jurković, Davor

AU - Magee, Laura

N1 - Publisher Copyright: Copyright © 2024 Silverio, Harris, Jackson, Fallon, The PRaM Study Group, Easter, von Dadelszen, Jurković and Magee.

PY - 2024/8/7

Y1 - 2024/8/7

N2 - Introduction: Healthcare services for pregnant and postpartum (‘perinatal’) women were reconfigured significantly at the advent and for the duration of the SARS-CoV-2 pandemic, and despite the United Kingdom announcing ‘Freedom Day’ on 19 July 2021 (whereafter all legal lockdown-related restrictions were lifted), restrictions to maternity (antenatal, intrapartum, and postnatal) services remained. This study presents data from eight perinatal women about their experiences of psychosocial wellbeing and maternity care in the post-‘Freedom Day’ epoch. Methods: Semi-structured interviews were conducted virtually, with data recorded, transcribed, and analysed by hand. Grounded theory analysis was employed with the final theory assessing the reproductive injustice of the pandemic ‘Freedom Day’. Results: Analysing iteratively and inductively led to four emergent themes: ‘A Failing System, Failing Women’; ‘Harm Caused by a State of Difference’; ‘The Privileges (Not Rights) of Reproductive Autonomy, Agency, and Advocacy’; and ‘Worried Women and Marginalised Mothers’. Together, these themes form the theory of ‘Freedom for some, but not for Mum’. Discussion: Women experienced a lack of high-quality reliable information about the pandemic, vaccination against the virus, and the changes to, and decision-making surrounding, their perinatal care. Women recognised healthcare professionals and maternity services were stretched and that maternity services were failing but often reported hostility from staff and abandonment at times when they were unsure about how to navigate their care. The most singular injustice was the disparity between women having to accept continuing restrictions to their freedom whilst receiving maternity care and the (reckless) freedom being enacted by the general public.

AB - Introduction: Healthcare services for pregnant and postpartum (‘perinatal’) women were reconfigured significantly at the advent and for the duration of the SARS-CoV-2 pandemic, and despite the United Kingdom announcing ‘Freedom Day’ on 19 July 2021 (whereafter all legal lockdown-related restrictions were lifted), restrictions to maternity (antenatal, intrapartum, and postnatal) services remained. This study presents data from eight perinatal women about their experiences of psychosocial wellbeing and maternity care in the post-‘Freedom Day’ epoch. Methods: Semi-structured interviews were conducted virtually, with data recorded, transcribed, and analysed by hand. Grounded theory analysis was employed with the final theory assessing the reproductive injustice of the pandemic ‘Freedom Day’. Results: Analysing iteratively and inductively led to four emergent themes: ‘A Failing System, Failing Women’; ‘Harm Caused by a State of Difference’; ‘The Privileges (Not Rights) of Reproductive Autonomy, Agency, and Advocacy’; and ‘Worried Women and Marginalised Mothers’. Together, these themes form the theory of ‘Freedom for some, but not for Mum’. Discussion: Women experienced a lack of high-quality reliable information about the pandemic, vaccination against the virus, and the changes to, and decision-making surrounding, their perinatal care. Women recognised healthcare professionals and maternity services were stretched and that maternity services were failing but often reported hostility from staff and abandonment at times when they were unsure about how to navigate their care. The most singular injustice was the disparity between women having to accept continuing restrictions to their freedom whilst receiving maternity care and the (reckless) freedom being enacted by the general public.

KW - COVID-19

KW - Reproductive Justice

KW - Pregnancy

KW - Postpartum Period

KW - Motherhood

UR - http://www.scopus.com/inward/record.url?scp=85201818334&partnerID=8YFLogxK

U2 - 10.3389/fpubh.2024.1389702

DO - 10.3389/fpubh.2024.1389702

M3 - Article

SN - 2296-2565

VL - 12

SP - 1

EP - 14

JO - Frontiers in Public Health

JF - Frontiers in Public Health

IS - 1389702

M1 - 1389702

ER -