Key points

• 1 Maternity services across Europe during the pandemic has undergone changes to limit virus transmission; however, many changes are not evidence-based.
• 2 Although these changes were introduced to keep women, babies and healthcare staff safe, the exclusion of companions and the separation of mothers and babies is particularly antithetical to a human rights-based approach to quality care.
• 3 A poll of COST Action 18211 network members showed that inconsistency in the application of restrictions was high, and there were significant deviations from the recommendations of authoritative bodies.
• 4 Concerns have emerged that restrictions in practice may have longer term negative impacts on mothers and their families and, in particular, may impact on the long-term health of babies.
• 5 When practice changes deviate from evidence-based frameworks that underpin quality care, they must be monitored, appraised and evaluated to minimise unintended iatrogenic effects.

中文翻译：

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在 COVID-19 大流行期间平衡对妇女和分娩伴侣的限制和获得产妇保健的机会：次优保健的社会心理影响

关键点

• 1 大流行期间欧洲的妇产服务发生了变化，以限制病毒传播；然而，许多变化不是基于证据的。
• 2 尽管引入这些变化是为了确保妇女、婴儿和医护人员的安全，但将同伴排除在外以及将母婴分开与基于人权的优质护理方法尤其背道而驰。
• 3 对 COST Action 18211 网络成员的民意调查显示，限制适用的不一致程度很高，与权威机构的建议存在明显偏差。
• 4 人们担心，实践中的限制可能会对母亲及其家人产生长期的负面影响，尤其是可能对婴儿的长期健康产生影响。
• 5 当实践变化偏离支撑优质护理的循证框架时，必须对其进行监测、评估和评估，以尽量减少意外的医源性影响。