RESUMEN
OBJECTIVES: To review the evidence on how pregnancy, birth experience, breast feeding, parental responsiveness and sensitivity, and bonding and attunement were impacted by COVID-19. METHODS: We searched eight literature databases and websites of relevant UK-based organisations. The review focused on evidence during pregnancy and the early years (0-5 years). Studies of any study design published in English from 1 March 2020 to 15 March 2021 and conducted in high-income countries were included. Screening and data extraction were undertaken in duplicate. Evidence was synthesised using a narrative approach. Study quality of included studies was assessed using the Mixed Methods Appraisal Tool. RESULTS: The search yielded 9776 publications, of which 26 met our inclusion criteria. Significant knowledge gaps on how COVID-19 affected pregnancy and breast feeding limited healthcare providers' ability to provide consistent evidence-based information and care at the start of the pandemic. There was an enduring sense of loss about loved ones being restricted from taking part in key moments. Parents were concerned about the limitations of virtual healthcare provision. Some parents reported more opportunities for responsive breast feeding and improved parent-infant bonding due to reduced social and work pressures. Women from minoritised ethnic groups were less likely to continue breast feeding and attributed this to a lack of face-to-face support. CONCLUSIONS: The evidence suggests that new and expectant families have been both negatively and positively impacted by the COVID-19 pandemic and the resulting restrictions. The impacts on parents' opportunities to bond with their young children and to be attuned to their needs were felt unequally. It is important that emergency response policies consider the mother and the partner as a family unit when making changes to the delivery of maternal and child health and care services, so as to mitigate the impact on the family and existing health inequalities. PROSPERO REGISTRATION NUMBER: CRD42021236769.
Asunto(s)
COVID-19 , Pandemias , Niño , Embarazo , Femenino , Humanos , Preescolar , Lactancia Materna , Países Desarrollados , COVID-19/epidemiología , Padres , MadresAsunto(s)
Rol de la Enfermera , Prevención Primaria , Salud Pública , Servicios de Enfermería Escolar , Adolescente , Niño , Preescolar , Femenino , Humanos , Masculino , Reino UnidoAsunto(s)
Antivirales/administración & dosificación , Gripe Humana/diagnóstico , Gripe Humana/prevención & control , Vacunación Masiva/organización & administración , Rol de la Enfermera , Servicios de Enfermería Escolar/organización & administración , Adolescente , Niño , Preescolar , Femenino , Humanos , Lactante , Gripe Humana/enfermería , Masculino , Reino UnidoAsunto(s)
Prioridades en Salud , Rol de la Enfermera , Enfermería en Salud Pública , Inglaterra , Femenino , Humanos , MasculinoAsunto(s)
Barreras de Comunicación , Servicios de Enfermería Escolar/organización & administración , Servicio Social/organización & administración , Adolescente , Niño , Preescolar , Inglaterra , Humanos , Administración en Salud Pública , Servicios de Enfermería Escolar/estadística & datos numéricos , Apoyo Social , Servicio Social/estadística & datos numéricos , Recursos Humanos , Adulto JovenRESUMEN
There is a need to promote district nursing as a dynamic career pathway for nurses who wish to make a tangible and positive impact on the quality of the patients' and carers' lives in the communities they serve.