Uncertainties and contradictions experienced by women with COVID-19 during childbirth/birth and the postpartum period

Baggio, Maria Aparecida; Souza, Amanda Martins de; Silva, Rosane Meire Munhak da; Backes, Marli Terezinha Stein; Zilly, Adriana

doi:10.1590/0034-7167-2024-0236

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 78 (1) • 2025 • https://doi.org/10.1590/0034-7167-2024-0236 linkcopy

Uncertainties and contradictions experienced by women with COVID-19 during childbirth/birth and the postpartum period

Incertidumbres y contradicciones que viven las mujeres con COVID-19 durante el parto y el puerperio

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objectives: to understand experiences and meanings attributed to childbirth/birth and postpartum by women affected by COVID-19.

Methods: qualitative study in light of complexity, conducted through interviews with 15 women in university hospital reference for infected and high-risk pregnant women in tenth Health Region of Paraná, Brazil, between December 2021 and April 2022. Data were analyzed using thematic analysis.

Results: childbirth/birth and postpartum experiences different from what was desired and planned, permeated by uncertainties, unpredictability and contradictions, especially regarding maternal and neonatal outcomes, were identified. Experiences full of meanings and emotions caused suffering and compromised mental health, particularly related to prematurity, newborn separation, absence of companion and isolation in COVID-19 unit. Mother-baby bond, self-care and breastfeeding damage, and antagonistic professional actions were observed, with a setback in obstetric practices.

Final Considerations: there is a need to respect the rights guaranteed by law and designate professionals trained for maternal and child care.

Descriptors:
Women; Parturition; Postpartum Period; COVID-19; Obstetrics

W	Age	GA	Parity in admission	Reason for admission	Symptoms at admission	Birth route	Origin	Period: childbirth and interview
W1	42	38	PIVAICII	L	Yes	Surgical	Cascavel	7 months and 5 days
W2	35	37	PIVNBIII	WB	Yes	Surgical	Catanduvas	6 months and 22 days
W3	25	34	PIIINBII	WB	Yes	Vaginal	Cafelândia	9 months and 14 days
W4	31	31	PIIAI	Complication	Yes	Surgical	Assis Chateaubriand	1 year, 5 months and 24 days
W5	32	34	PI	L	Yes	Vaginal	Cascavel	10 months and 23 days
W6	26	28	PI	L	No	Vaginal*	Cascavel	1 year, 3 months and 17 days
W7	36	40	PI	L	Yes§	Surgical#	Cascavel	10 months and 23 days
W8	26	32	PI	Complication	Yes§	Surgical	Capitão Leônidas Marques	1 year, 1 month and 3 days
W9	27	38	PIICI	WB	Yes	Surgical	Cascavel	8 months and 2 days
W10	43	31	PIVAINBII	Symptoms	Yes§	Surgical	Cascavel	1 year, 1 month and 22 days
W11	39	38	PIIAI	Symptoms	Yes§	Vaginal *	Cascavel	1 year, 10 months, 10 days
W12	41	32	PVIIAIINBIV	Complication	Yes	Surgical	Cascavel	11 months and 15 days
W13	27	32	PIIICII	Complication	Yes	Surgical*	Cascavel	8 months and 11 days
W14	22	39	PI	L	No	Vaginal	Quedas do Iguaçu	1 year, 3 months and 20 days
W15	42	31	PIVAINBII	Symptoms	Yes§	Surgical	Cascavel	1 year, 2 months and 23 days

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E-mail: reben@abennacional.org.br

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[TFN1] ^*
Perinatal death; #Childbirth and birth plan; §Positive partner; W - woman; GA - gestational age; P - pregnancy; NB - natural birth; A - abortion; C - cesarean section; L - labor; WB - water breaking.