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Experiences of attending prenatal ultrasounds during the COVID‐19 pandemic in Australia: A cross‐sectional survey
Birth: Issues in Perinatal Care ( IF 2.8 ) Pub Date : 2024-08-23 , DOI: 10.1111/birt.12867 Helen J Nightingale 1 , Christina Watts 2 , Kim Pham 3
Birth: Issues in Perinatal Care ( IF 2.8 ) Pub Date : 2024-08-23 , DOI: 10.1111/birt.12867 Helen J Nightingale 1 , Christina Watts 2 , Kim Pham 3
Affiliation
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BackgroundPrenatal ultrasounds form an important part of routine maternity care in Australia and indeed internationally. The COVID‐19 pandemic necessitated rapid changes in society and healthcare to curb transmission, with evidence demonstrating detrimental impacts on childbearing women associated with these restrictions. However, experiences with pandemic restrictions for prenatal ultrasounds in relation to distress, patient expectations, and satisfaction are largely unknown. This study aimed to explore the experiences of pregnant women attending prenatal ultrasound during the pandemic in Australia.MethodsA cross‐sectional online survey of people in Australia who had undergone at least one prenatal ultrasound during the period of maternity care restrictions was performed. The survey included validated tools for assessing post‐traumatic stress, satisfaction, and expectations with maternity care.ResultsA total of 1280 responses were obtained. Almost 37% of respondents returned a PCL‐C score consistent with probable post‐traumatic stress disorder. Unexpected ultrasound findings or a high PCL‐C score were more likely to have higher expectations and lower levels of satisfaction with their maternity care experience. Having an ultrasound for pregnancy loss, fetal abnormality, and/or a prior post‐traumatic stress disorder diagnosis were the strongest factors correlating with a high PCL‐C score.DiscussionThe prevalence of post‐traumatic stress symptoms in the study population is concerning and elucidates the distress experienced in association with prenatal ultrasounds during pandemic restrictions in Australia. Maternity services should acknowledge the high levels of service consumers with post‐trauma symptoms and consider trauma‐responsive maternity care adaptations in response to adverse perinatal outcomes for those afflicted with post‐trauma and distress‐related symptoms.
中文翻译：
澳大利亚 COVID-19 大流行期间参加产前超声检查的经验：一项横断面调查
背景产前超声检查是澳大利亚乃至国际常规孕产妇护理的重要组成部分。 COVID-19 大流行需要社会和医疗保健方面的快速变革来遏制传播，有证据表明这些限制对育龄妇女产生了不利影响。然而，大流行期间对产前超声检查的限制与痛苦、患者期望和满意度相关的经验在很大程度上尚不清楚。本研究旨在探讨澳大利亚在大流行期间接受产前超声检查的孕妇的经历。方法对在产妇护理限制期间至少接受过一次产前超声检查的澳大利亚人进行了横断面在线调查。该调查包括用于评估创伤后压力、满意度和产妇护理期望的经过验证的工具。结果总共获得 1280 份回复。近 37% 的受访者返回的 PCL-C 评分与可能患有创伤后应激障碍一致。意外的超声检查结果或高 PCL-C 评分更有可能对其产科护理体验抱有更高的期望和更低的满意度。对妊娠丢失、胎儿异常和/或既往创伤后应激障碍诊断进行超声检查是与高 PCL-C 评分相关的最强因素。讨论研究人群中创伤后应激症状的患病率令人担忧并阐明在澳大利亚大流行限制期间，与产前超声检查相关的痛苦经历。 产妇服务应承认患有创伤后症状的服务消费者数量较多，并考虑对创伤反应性产妇护理进行调整，以应对那些患有创伤后和痛苦相关症状的人的不良围产期结局。
更新日期：2024-08-23
中文翻译：
澳大利亚 COVID-19 大流行期间参加产前超声检查的经验：一项横断面调查
背景产前超声检查是澳大利亚乃至国际常规孕产妇护理的重要组成部分。 COVID-19 大流行需要社会和医疗保健方面的快速变革来遏制传播，有证据表明这些限制对育龄妇女产生了不利影响。然而，大流行期间对产前超声检查的限制与痛苦、患者期望和满意度相关的经验在很大程度上尚不清楚。本研究旨在探讨澳大利亚在大流行期间接受产前超声检查的孕妇的经历。方法对在产妇护理限制期间至少接受过一次产前超声检查的澳大利亚人进行了横断面在线调查。该调查包括用于评估创伤后压力、满意度和产妇护理期望的经过验证的工具。结果总共获得 1280 份回复。近 37% 的受访者返回的 PCL-C 评分与可能患有创伤后应激障碍一致。意外的超声检查结果或高 PCL-C 评分更有可能对其产科护理体验抱有更高的期望和更低的满意度。对妊娠丢失、胎儿异常和/或既往创伤后应激障碍诊断进行超声检查是与高 PCL-C 评分相关的最强因素。讨论研究人群中创伤后应激症状的患病率令人担忧并阐明在澳大利亚大流行限制期间，与产前超声检查相关的痛苦经历。 产妇服务应承认患有创伤后症状的服务消费者数量较多，并考虑对创伤反应性产妇护理进行调整，以应对那些患有创伤后和痛苦相关症状的人的不良围产期结局。
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