"Never let a good crisis go to waste": Positives from disrupted maternity care in Australia during COVID-19.
Dvora Kluwgant, Caroline Homer, Hannah Dahlen
PMID 35504154WHAT IT FOUND
Postpartum women most often valued fewer hospital visitors and reported better bonding, breastfeeding, rest and time with midwives.
Telehealth was also valued, but women wanted it offered as an option, not forced.
Key findings
01145 postpartum mentions of having fewer visitors in hospital were recorded, with 30 mentions of bonding, 18 mentions of improved breastfeeding initiation, 16 mentions of time to rest and recover, and 10 mentions of more time with midwives; 15 comments added that they would have liked one more key visitor.
0285 pregnant mentions and 76 postpartum mentions valued telehealth and online resources, but women wanted it offered as an option rather than the only choice.
0310 pregnant comments and 2 postpartum comments appreciated providers' increased focus on mental health.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The survey questions asked only about positive experiences, so women who had only negative experiences may not be represented. Responses that did not address the aim, including those that said there were no positives, were removed before analysis. No demographic data were available for each respondent, so it is unclear whether results differ by age, income, birth order, location, care model or state. Only women who spoke English and had internet access were included, so culturally and linguistically diverse communities may be underrepresented. Findings are themes from self-reported open-ended comments, not evidence that any change improves outcomes. The analysed data are women's survey responses, although the title mentions midwives.
Declared interests
The authors declared no competing financial interests or personal relationships. Funding came from Sydney Partnership for Health, Education, Research and Enterprise through a Maternal, Newborn, Women's CAG grant.
The easy way to misread this
Do not read these themes as proof that visitor restrictions or telehealth improve maternity outcomes. The survey asked only about positives, and responses that did not address the aim were removed, so the sample is not representative.