Abstract:Objective To understand the current status and the responses of prenatal care based on maternal and child health service system in Ningbo during the COVID-19 epidemic. Methods Stratified sampling and convenience sampling methods were used to select 26 interviewees among the medical staff who provided prenatal care services from the municipal and county-level maternal and child health center, as well as community health service centers in Ningbo. Semi-structured in-depth interviews were conducted with interviewees from August to September in 2022. The Colaizzi 7-step method was used for qualitative data analysis by NVivo11 software. Results A three-tier maternal and child health system in Ningbo has been well established. During the COVID-19 epidemic, designated hospitals or quarantine wards were provided for pregnant women with suspected/confirmed novel coronavirus pneumonia for prenatal examination. The flexible prenatal care choices were provided for the pregnant woman with the special needs. Both of the two conditions were under the recommendation although the frequency of prenatal examinations decreased somehow and the interval of prenatal examinations extended appropriately. In terms of service mode, informatization technology was applied to promote service such as "cloud-based maternal and child health". Meanwhile, more attention about maternal mental health should be drawn in the future. Conclusions During the COVID-19 epidemic, prenatal care service in Ningbo had been adjusted accordingly in terms of the location, frequency, and mode of service delivery, which considered both basic service supply and the prevention and control of the epidemic. The lessons from this study can provide a reference for maternal and child health care services during the COVID-19 epidemic and other similar infectious diseases.
白易, 董莹, 褚红玲, 王胜锋, 孟若谷, 卓琳, 许国章, 詹思延. 新冠疫情下基于宁波市妇幼健康服务体系提供的孕产期保健工作现状的定性研究[J]. 中国生育健康杂志, 2023, 34(5): 416-422.
BAI Yi, DONG Ying, CHU Hongling, WANG Shengfeng, MENG Ruoguo, ZHUO Lin, XU Guozhang, ZHAN Siyan. A qualitative study on the current status of prenatal care based on maternal and child health service system in Ningbo during the COVID-19 epidemic. Chinese Journal of Reproductive Health, 2023, 34(5): 416-422.