A Qualitative Descriptive Analysis of the Exacerbation of Unmet Maternal Needs During the COVID-19 Pandemic Using the Socioecological Framework.
Introduction: The COVID-19 pandemic created unprecedented challenges to social connection, significantly intensifying maternal isolation and unmet needs. This purpose of this study was to explore birthing parents' experiences of isolation and unmet maternal needs during the COVID-19 pandemic through...
| Publicado en: | Inquiry (00469580) Vol. 63; pp. 1 - 14 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
8/18/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196292950&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196292950 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 8/18/2026 vid: 63 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 196292950 196292950 196292950 10.1177/00469580261480371 196292950 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A Qualitative Descriptive Analysis of the Exacerbation of Unmet Maternal Needs During the COVID-19 Pandemic Using the Socioecological Framework. aug: au: Hepler, Bonnie Brandon, Debra Tully, Kristin P. Stevenson, Eleanor Docherty, Sharron L. affil: School of Nursing, Duke University, Durham, NC, USA sug: subj: COVID-19 Pandemic Social Isolation Maternal Health Services Health Services Needs and Demand Expectant Mothers Psychosocial Factors Maternal Attitudes Evaluation Human Funding Source North Carolina Female Adult Conceptual Framework Qualitative Studies Descriptive Research Snowball Sample Purposive Sample Semi-Structured Interview Content Analysis Perinatal Care Postnatal Care Health Services Accessibility Support, Social Sleep Disorders Mental Health Depression Recovery Interpersonal Relations Infant Feeding Lactation Visitors to Patients Organizational Culture Organizational Policies Descriptive Statistics Data Analysis Software Inferential Statistics Adult: 19-44 years Female ab: Introduction: The COVID-19 pandemic created unprecedented challenges to social connection, significantly intensifying maternal isolation and unmet needs. This purpose of this study was to explore birthing parents' experiences of isolation and unmet maternal needs during the COVID-19 pandemic through a socioecological lens. Methods: A qualitative descriptive design was used, involving semi-structured interviews with 22 birthing parents from a southeastern U.S. state. Data were collected in 2021 during the COVID-19 pandemic. Participants were recruited through social media, parenting groups, and snowball sampling. Data on maternal experiences during pregnancy, childbirth, and the postpartum period were inductively coded using a content analysis approach and then organized using the socioecological model. Results: The COVID-19 pandemic exacerbated unmet maternal needs. Maternal perinatal needs were multifactorial and relational, reflecting complexity within and across levels of the socioecological framework (e.g., within individuals; in relation to their children, co-caregivers, other social support persons, healthcare professionals; and in the context of organizations, communities, culture, and policies.) In many cases, birthing parents faced exacerbation of challenges as they coped with the limited in-person support of the pandemic coupled with typical postpartum experiences such as fragmented sleep, depression, or other mental health challenges. Conclusions: Perinatal care can be strengthened to be more supportive of maternal social and additional needs by designing and operationalizing a more holistic approach that honors individuals' experiences, more meaningfully engages clinicians and social networks, and addresses systemic factors. While the COVID-19 pandemic uniquely increased isolation, the findings underscore the need for adaptable and responsive perinatal healthcare services across socioecological domains. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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