Nursing Interventions for Pregnant Women in Community during the COVID-19 Pandemic: An Integrative Review Nursing Interventions for Pregnant Women in Community during Covid-19
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Abstract
The COVID-19 pandemic highlighted the need for nursing interventions for pregnant women, emphasizing both physical and mental health. The research aimed to investigate empirical research on nursing care for pregnant women in community settings during the COVID-19 pandemic using an integrative review. The search terms included nursing care, pregnant women, COVID-19, and community. The databases used in this review were CINAHL, BASE, MEDLINE, and Springer Nature Journals. The Mixed Methods Appraisal Tool appraised was used to assess the quality of the studies. This study used thematic analysis to review ten articles focused on nursing care for pregnant women in the community. Two nursing care models emerged: 1) utilization of digital technologies and 2) resilience and psychosocial support. Telehealth and psychosocial interventions are crucial for enhancing maternal health during a health crisis or pandemic. Insufficient information and social support emphasize the necessity for structured communication channels and public health systems to assist pregnant women. Therefore, telemedicine should be integrated with health education and psychological intervention in community health services to reduce risks and ensure continuing support for pregnant women in the community.
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References
Anggraeni, M. D., Setiyani, R., Triyanto, E., Iskandar, A., Nani, D., & Fatoni, A. (2023). Exploring the antenatal care challenges faced during the COVID-19 pandemic in rural areas of Indonesia: a qualitative study. BMC Pregnancy and Childbirth, 23(1). https://doi.org/10.1186/s12884-023-05495-8
Anokwuru, R. A., & Mavis, M. F. (2022). Lived Experiences of Antenatal Services Utilization among Pregnant Women during COVID-19 Pandemic. Journal of Midwifery & Reproductive Health, 10(1), 1–10. https://doi.org/10.22038/jmrh.2021.61320.1737
Bao, Y., Sun, Y., Meng, S., Shi, J., & Lu, L. (2020). 2019 nCoV epidemic: Address mental health care to empower society. Lancet, 395(10224),837.
https://doi.org/10.1016/S0140-6736(20)30309-3
Centers for Disease Control and Prevention (CDC). (2019). Pregnant and recently pregnant people. Retrived May 22, 2024. from https://archive.cdc.gov/www_cdc_gov/ coronavirus/2019-ncov/need-extra-precautions/pregnant-people.html
Chardalias, P., Kourkouta, L., Paoullis, P., Tsaloglidou, A., Iliadis, C., Koukourikos, K. & Sapount1
zi-Krepia, D. (2022). COVID-19 and Nursing Interventions. International Journal of Caring Sciences, 15(2), 1614-1619.
Hong, Q. N., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., Gagnon, M. P., Griffiths, F., Nicolau, B., O'Cathain, A., Rousseau, M. C., Vefel, I., & Pluye, P. (2018). The mixed methods appraisal tool (MMAT) version 2018 for information professionals and researchers. Education for Information, 34(4), 285–291. https://doi.org/10.3233/efi-180221
In-Hye Song, & Kyung-Ah Kang. (2024). Infant-rearing experiences of parents during the COVID-19 pandemic in South Korea: a mixed-methods approach. Child Health Nursing Research, 30(1), 31–44. https://doi.org/10.4094/chnr.2023.051
Iravani, M., Bahmaei, H., Askari, S., Ghanbari, S., Nasab, M. B. & Masihi, S. (2023). Effect of telemedicine on health anxiety and pregnancy-related anxiety in pregnant women during the COVID-19 epidemic in Iran. Iranian Journal of Nursing and Midwifery Research, 28(4), 405–410. https://doi.org/10.4103/ijnmr.ijnmr_405_21
Kazemi, S. N., Hajikhani, B., Didar, H., Hosseini, S. S., Haddadi, S., Khalili, F., Mirsaeidi, M., & Nasiri, M. J. (2021). COVID-19 and cause of pregnancy loss during the pandemic: A systematic review. Plos One, 16(8), 1–10.
https://doi.org/10.1371/journal.pone.0255994
Khademhosseini, L., Farid, M., Naeeni, M. R., & Kamrani, M. A. (2024). Telemedicine and Pregnancy Care from the Perspective of Iranian Pregnant Women: A Study Based on the Technology Acceptance Model. Journal of Nursing & Midwifery Sciences, 11(1), 1–9. https://doi.org/10.5812/jnms-144773
Kia, Z. R., Khajavian, N., Rahmani, R., & Askari, F. (2023). The Effect of Educational Intervention with Mobile Health Technology on COVID-19 Induced Stress among Pregnant Women: A Randomized Controlled Trial. Journal of Midwifery & Reproductive Health, 11(3), 3782–3793. https://doi.org/10.22038/jmrh.2022.66480.1940
Larki, M., Sharifi, F., & Roudsari, R. L. (2020). Models of maternity care for pregnant women during the COVID-19 pandemic. Eastern Mediterranean Health Journal, 26(9), 994–998. https://doi.org/10.26719/emhj.20.097
Li, J., Zhai, M., Liu, D., Wei, L., Liu, X., Wang, Q., Yu, B., & Yan, H. (2024). A pilot study of the relationship between prenatal stress during the COVID-19 pandemic and social-emotional development of 12-month-old children: the mediation effects of the home environment. European Child & Adolescent Psychiatry, 33(6), 1895–1905. https://doi.org/10.1007/s00787-023-02292-8
Liang, H., Acharya, G. (2020). Novel corona virus disease (COVID-19) in pregnancy: What clinical recommendations to follow?. Acta obstetricia et gynecologica Scandinavica, 99(4), 439–442. https://doi.org/10.1111/aogs.13836
Marvi, F. J., Abedian, Z., & Malajerdi, R. (2023). The Effect of Telemedicine-Based Massage Training to Spouses on the Resilience of Pregnant Women during the Coronavirus Pandemic. Journal of Midwifery & Reproductive Health, 11(2), 3672-3681. https://doi.org/10.22038/JMRH.2022.63454.1836
McDonald, C. R., Weckman, A. M., Wright, J. K., Conroy, A. L., & Kain, K. C. (2020). Pregnant women in low-and middle-income countries require a special focus during the COVID-19 pandemic. Front Global Women’s Health, p1, 564560. https://doi.org/10.3389/fgwh.2020.564560
Meaney, S., Leitao, S., Olander, E. K., Pope, J., & Matvienko-Sikar, K. (2022). The impact of COVID-19 on pregnant women’s experiences and perceptions of antenatal maternity care, social support, and stress-reduction strategies. Women Birth, 35(3), 307–16. https://doi.org/10.1016/j.wombi.2021.04.013
Mohebbi, P., Maleki, A., & Piri, M. (2023). Pregnancy Outcomes in Pregnant Women with Symptoms of COVID-19 Admitted to Ayatollah Mousavi Hospital in Zanjan in 2019-2020. Preventive Care in Nursing & Midwifery Journal, 13(1), 50–58. https://doi.org/10.52547/pcnm.13.1.50
Parahoo, K., (2006). Nursing Research: Principles, Process, and Issue. (2nd ed.). New York: Palgrave Macmillan.
Schwartz, D. A., & Dhaliwal, A. (2020). Infections in Pregnancy With COVID-19 and Other Respiratory RNA Virus Diseases Are Rarely If Ever, Transmitted to the Fetus: Experiences with Coronaviruses, Parainfluenza, Metapneumovirus Respiratory Syncytial Virus, and Influenza. Archives of Pathology & Laboratory Medicine, 144(8), 920. https://doi.org/10.5858/arpa.2020-0211-SA
Shahri, M. S., Navidian, A., & Khazaeian, S. (2024). The Effect of Smartphone-based Self-care Education on Awareness, Perceived Severity and Self-care Behaviors in Pregnant Women at Risk of Preterm Birth during COVID-19 Pandemic: A Quasi-Experimental Study. Journal of Midwifery & Reproductive Health, 12(1), 1–12. https://doi.org/10.22038/JMRH.2023.69178.2033
Silva, C. M., Bezerril, A. V., Martins, E.L., Mouta, R. J. O., & Zveiter, M. (2023). Pregnancy in the COVID-19 pandemic, prenatal care, and digital technologies: women’s experiences. Rev Rene, 24(1), 1–10. https://doi.org/10.15253/2175-6783.20232483454
Sultan Özkan Şat1 & Şengül Yaman Sözbir. (2021). Use of Mobile Applications by Pregnant Women and Levels of Pregnancy Distress During the COVID-19 (Coronavirus) Pandemic. Maternal & Child Health Journal, 25(7), 1057–1068.
https://doi.org/10.1007/s10995-021-03162-y
Tan, A., Wilson, A.N., Bucknall, T., Digby, R., Vogel, J. P., & Homer C. S. E. (2023). Challenges of being a maternity service leader during the COVID-19 pandemic: a descriptive analysis of the journey. BMC Pregnancy Childbirth, 23, 279. https://doi.org/10.1186/s12884-023-05614-5
Tola, W., Negash, E., Sileshi, T., & Wakgari, N. (2021). Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic of Ilu Ababor Zone, Southwest Ethiopia: a cross-sectional study. PLoS ONE, 16(1), 1–11. https://doi.org/10.1371/journal.pone.0246230
Whittemore, R., & Knafl, K. (2005). The integrative review: Updated methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/10.1111/j.1365-2648.2005.03621.x
Wong, S. F., Chow, K. M., Leung, T. N., Ng, W. F., Ng, T. K., Shek, C. C., Ng, P. C., Lam, P. W. Y., Ho, L. C., To, W. W. K., Lai S. T., Yan, W. W., & Tan, P. Y. H. (2004). Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol., 191(1), 292-297. https://doi.org/10.1016/j.ajog.2003.11.019.
World Health Organization (WHO). (2020). Coronavirus. Retrieved March 17, 2020, from https:/www.who.int/health-topics/coronavirus.
Zhu, H., Wang L., Fang C., Peng S., Zhang L., Chang G., Xia S., & Zhou W. (2020). Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Transl Pediatr., 9(1), 51–60. https://doi.org/10.21037/tp.2020.02.06