RNQualitativeJournal of midwifery & women's health2025

Perinatal Loneliness and Isolation Early in the COVID-19 Pandemic in New York City: A Qualitative Study.

Brooke S West, Lida Ehteshami, Clare McCormack and 18 others

PMID 39520355

WHAT IT FOUND

People who gave birth early in the pandemic in New York City described birthing and recovering alone as a major stressor.

They also described postpartum isolation as worsening loneliness and stress. Some described partners being home as a silver lining.

Key findings

01Birthing alone and restricted partner presence were described as major stressors during birth and recovery.

02Postpartum isolation from family and friends was described as common and intensifying stress and mental health challenges.

03Some participants reframed isolation as having positive aspects, including partners being home.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was not designed specifically for loneliness or isolation; it was a substudy of a broader mother-baby outcomes project. Interviews were brief and structured, conducted once, and did not allow deeper exploration of these experiences. Participants were limited to birthing people in New York City early in the pandemic, and multiple births, premature births, and NICU newborns were excluded. The findings are reported experiences, not evidence that any intervention caused or prevented loneliness or mental health symptoms.

Declared interests

The authors have no conflicts of interest to disclose.

The easy way to misread this

Do not conclude that birthing alone caused postpartum depression. These are reported experiences from a small qualitative study, not tested outcomes.

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