"It was classed as a nonemergency": Women's experiences of kidney disease and preconception decision‐making, family planning, and parenting in the United Kingdom during COVID‐19.

Objectives: To investigate the experiences of women with kidney disease, residing in the United Kingdom (UK), living through the first 18 months of the COVID‐19 pandemic with specific focus on preconception decision‐making, family planning, and parenting. Methods: We conducted a mixed‐methods study,...

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Publicado en:Perspectives on Sexual & Reproductive Health Vol. 56; no. 2; pp. 147 - 158
Autores principales: Laughlin, Leah Mc, Noyes, Jane, Neukirchinger, Barbara, Williams, Denitza, Phillips, Rhiannon, Griffin, Sian
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2024
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      pub: Wiley-Blackwell
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        atl: "It was classed as a nonemergency": Women's experiences of kidney disease and preconception decision‐making, family planning, and parenting in the United Kingdom during COVID‐19.
      aug:
        au:
          Laughlin, Leah Mc
          Noyes, Jane
          Neukirchinger, Barbara
          Williams, Denitza
          Phillips, Rhiannon
          Griffin, Sian
        affil: School of Medical and Health Sciences, Bangor University, Bangor, UK
      sug:
        subj:
          Women Psychosocial Factors
          Kidney Diseases
          Decision Making
          Family Planning
          Parenting
          COVID-19 Pandemic United Kingdom
          Patient Attitudes
          Reproductive Health
          Human
          Adolescence
          Adult
          Middle Age
          Female
          United Kingdom
          Multimethod Studies
          Questionnaires
          Interviews
          Communication
          Physician-Patient Relations
          Descriptive Statistics
          Appointments and Schedules
          Social Networks
          Anxiety
          Grief
          Mothers
          Trust
          Confusion
          Worry
          Depression, Postpartum
          Catastrophization
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Objectives: To investigate the experiences of women with kidney disease, residing in the United Kingdom (UK), living through the first 18 months of the COVID‐19 pandemic with specific focus on preconception decision‐making, family planning, and parenting. Methods: We conducted a mixed‐methods study, comprising an online survey and follow‐up interviews, with UK‐resident women aged 18–50. Results: We received 431 surveys and conducted 30 interviews. Half (n = 221, 51%) of the survey respondents considered that COVID‐19 influenced the quality of communication with healthcare professionals and 68% (n = 295) felt that the pandemic disrupted their support networks. Interview participants indicated that delayed and canceled appointments caused anxiety, grief, and loss of pregnancy options. Women's perception of themselves as (good) mothers as well as their capacity to have and raise a child, meet partners, and sustain healthy relationships was negatively affected by the "clinically extremely vulnerable" label. Women's trust in their healthcare was dismantled by miscommunication and variation in lockdown rules that caused confusion and increased worry. Women reported that COVID‐19 contributed to postnatal depression, excessive concern over infant mortality, preoccupation over others following rules, and catastrophising. Conclusion: Some women in the UK with chronic kidney disease lost or missed their opportunity to have children during the pandemic. Future pandemic planners need to look more holistically and longer term at what is and is not classed as an emergency, both in how services are reconfigured and how people with chronic conditions are identified, communicated with, and treated.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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