TY - JOUR
T1 - Healthcare providers’ experiences of maternity care service delivery during the COVID-19 pandemic in the United Kingdom
T2 - A follow-up systematic review and qualitative evidence synthesis
AU - Dasgupta, Tisha
AU - Bousfield, Emily
AU - Pathak, Yosha
AU - Horgan, Gillian
AU - Peterson, Lili
AU - Mistry, Hiten
AU - Wilson, Milly
AU - Hill, Meg
AU - Smith, Valerie
AU - Boulding, Harriet
AU - Sheen, Kayleigh S.
AU - Van Citters, Aricca
AU - Nelson, Eugene C.
AU - Duncan, Emma
AU - von Dadelszen, Peter
AU - The RESILIENT Study Group
AU - Bick, Debra
AU - Dalrymple, Kathryn
AU - Easter, Abigail
AU - Fox-Rushby, Julia
AU - Khalil, Asma
AU - McGreevy, Alice
AU - Poston, Lucilla
AU - Seed, Paul Townsend
AU - Soley Bori, Marina
AU - Tydeman, Florence
AU - White, Sara
AU - Wolfe, Ingrid
AU - Wang, Yanzhong
AU - Silverio, Sergio A.
AU - Magee, Laura
N1 - Publisher Copyright:
2024 Dasgupta, Bousfield, Pathak, Horgan, Peterson, Mistry, Wilson, Hill, Smith, Boulding, Sheen, Van Citters, Nelson, Duncan, von Dadelszen, The RESILIENT Study Group, Silverio and Magee.
PY - 2024/11/28
Y1 - 2024/11/28
N2 - Problem and background: During the COVID-19 pandemic, there was substantial reconfiguration of maternity care services, affecting both users and healthcare providers (HCPs), in the United Kingdom (UK) and globally. Aim: To further our understanding of the impact of maternity service reconfigurations in the UK, from the perspective of maternity HCPs. Methods: Scopus, MEDLINE, EMBASE, CINAHL, PsycINFO and the Cochrane COVID Study Register were searched for relevant studies reporting qualitative data from the UK, published in English between 01 June 2021 and 30 September 2023. Qualitative data on HCPs’ experiences of maternity care reconfiguration during the pandemic were extracted from 15 studies. Data were subjected to thematic synthesis according to key service reconfigurations. Results: Nine themes were identified: Care-seeking and Care Experience: Changes to existing care, Limitations placed on the partner, Mental health and lack of support networks, and Barriers to successful implementation of reconfiguration strategies; Virtual Care: Impact on quality of care, Increased convenience and flexibility, and Digital exclusion; and Ethical Future of Maternity Care Services: Optimising patient care, and Service users and staff as the driving force for change. No studies reported on the concepts of Self-monitoring or COVID-19 vaccination. Discussion and conclusion: The review findings highlight HCPs’ views of the need for greater inclusion of partners, choice of virtual or in-person care for women and birthing people; and a need for co-designed services for future policy-making.
AB - Problem and background: During the COVID-19 pandemic, there was substantial reconfiguration of maternity care services, affecting both users and healthcare providers (HCPs), in the United Kingdom (UK) and globally. Aim: To further our understanding of the impact of maternity service reconfigurations in the UK, from the perspective of maternity HCPs. Methods: Scopus, MEDLINE, EMBASE, CINAHL, PsycINFO and the Cochrane COVID Study Register were searched for relevant studies reporting qualitative data from the UK, published in English between 01 June 2021 and 30 September 2023. Qualitative data on HCPs’ experiences of maternity care reconfiguration during the pandemic were extracted from 15 studies. Data were subjected to thematic synthesis according to key service reconfigurations. Results: Nine themes were identified: Care-seeking and Care Experience: Changes to existing care, Limitations placed on the partner, Mental health and lack of support networks, and Barriers to successful implementation of reconfiguration strategies; Virtual Care: Impact on quality of care, Increased convenience and flexibility, and Digital exclusion; and Ethical Future of Maternity Care Services: Optimising patient care, and Service users and staff as the driving force for change. No studies reported on the concepts of Self-monitoring or COVID-19 vaccination. Discussion and conclusion: The review findings highlight HCPs’ views of the need for greater inclusion of partners, choice of virtual or in-person care for women and birthing people; and a need for co-designed services for future policy-making.
KW - COVID-19
KW - Maternity services
KW - Healthcare professionals
KW - Systematic review
KW - Qualitative research
UR - http://www.scopus.com/inward/record.url?scp=85211586095&partnerID=8YFLogxK
U2 - 10.3389/fgwh.2024.1470674
DO - 10.3389/fgwh.2024.1470674
M3 - Article
SN - 2673-5059
VL - 5
SP - 1
EP - 12
JO - Frontiers in Global Women's Health
JF - Frontiers in Global Women's Health
IS - 1470674
M1 - 1470674
ER -
