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Table 4 Qualitative content analysis codes, response rates, and exemplar quotes

From: Stressors, coping, and resources needed during the COVID-19 pandemic in a sample of perinatal women

 

Pregnant (n = 42)

Postpartum

(N = 37)

 

What are you most worried about regarding COVID-19 and your pregnancy? Or if you have already delivered your baby, what are you most worried about regarding COVID-19 and newly parenting?

 Baby contracting COVID-19

52%

22/42

49%

18/37

“I am most worried that a wave of COVID-19 will be a risk to my baby after I deliver in October. I know that logically, newborns and infants are not a high-risk group if they contract COVID-19, but I still feel sick at the idea of my new baby at risk for the virus.” #119, pregnant

“I am worried that the general consensus of ‘COVID doesn’t affect kids’ is totally wrong […] the disease is so new that we don’t really know for sure.” #142, postpartum

 Self or partner contracting COVID-19

38%

16/42

32%

12/37

“I am worried about contracting COVID while pregnant. There are still so many unknowns and I am worried about it causing pregnancy complications.” #105, pregnant

“I had a c-section and during that time I was worried that if I caught COVID my immune system wouldn’t be able to cope. I was afraid to die and leave my baby behind.” #126, postpartum

“Not being able to take care of him if I were to get severely sick from COVID-19.” #148, postpartum

“Me or my husband contracting the virus and giving it to our newborn.” #162, postpartum

 Isolating from baby should mom or baby have COVID-19

17%

(7/42)

14%

(5/37)

“I am most worried about being separated from my baby when I deliver if I test positive and that’s the hospital’s policy.” #87, pregnant

“That COVID will separate my baby from me.” #139, postpartum

 Family/others missing key OB appointments & events

24%

(10/42)

3%

(1/37)

“A hospital having a policy that my husband cannot be in the delivery room, a local outbreak occurring so that my parents cannot safely visit the baby.” #104, pregnant

 Lack of social support

2%

1/42

16%

6/37

“Not having support. As a first-time mom and trying to social distance means no help from friends and family.” #158, postpartum

 Finances & resources

5%

(2/42)

3%

(1/37)

“I’m worried that my husband and I won’t have enough money to support our baby.” #97, pregnant

“When I had my baby was when everyone was panic buying […] I could not get wipes, diapers, or a thermometer in store for a bit. People were also hoarding distilled water and formula which left me panicking that I wouldn’t have the items needed when baby came home.” #132, postpartum

 New world for baby

0%

(0/42)

3%

(1/37)

“What kind of world I will be raising my baby in.”

#159, postpartum

“I’m most worried about the world around us changing so drastically that I can’t give my baby the life I had planned on.” #127, postpartum

Are there things that you are lacking (food, diapers, etc.) that are making you feel stressed or anxious?

 Cleaning and baby supplies

12%

(5/42)

32%

(12/37)

“I have had a hard time getting diapers, formula, wipes and other nursing/pumping supplies. In addition, many cleaning products are out of stock (everything from hand wash, dish soap to disinfectants) which are needed in greater quantities with a newborn.” #137, postpartum

 Financial support

21%

(9/42)

0%

(0/37)

“My business has been closed since March 17th which has caused a lot of stress and a financial strain.” #88, pregnant

 Social support

7%

(3/42)

3%

1/37

“Not having my family to support me because we are isolating ourselves.” #95, pregnant

 Childcare

2%

(1/42)

3%

(1/37)

“Yes, husband deployed, so lack of partner support and for childcare for my other child during appointments […]” #124, pregnant

“Support groups, finances, support from work to care for child, safe childcare options or longer time to stay at home with child.” #134 postpartum

What resources would be most helpful to you?

 COVID-19 info

38%

(16/42)

19%

(7/37)

“More information concerning how to best protect myself and a newborn during a pandemic.” #116, pregnant

“I wish to see more studies about pregnant women who contracted COVID-19. I would feel better if there was more information about what could possibly happen if I were to get COVID-19 while pregnant.” #119, pregnant

“Medical resources and cases of how other newborns and infants have been affected if they are infected.” #149, postpartum

 Financial assistance

14%

(6/42)

5%

(2/37)

“Unemployment has been so hard to get a hold of and their website crashes every time I try to apply because of traffic on the site. I wish there was a more local number or somewhere I could get financial help […].” #85, pregnant

“Grants for small businesses. Right now we are only getting loans and minimal unemployment for my husband.” #88, pregnant

 Healthcare access

36%

(15/42)

35%

(13/37)

“Resources for online classes that used to be in person - birth classes, hypnobirthing, breastfeeding.” #121, pregnant

“I think the most helpful resource would be more lactation support or more support for postpartum depression during a pandemic.” #128, postpartum

 Access to groceries and supplies

5%

(2/42)

19%

(7/37)

“Fair access to diapers, wipes, cleaning supplies.” #106, pregnant

“Updated list of in stock items available on store websites.” #153, postpartum

 Workplace needs

5%

(2/42)

11%

(4/37)

“More talking about risks we are facing and how to minimize risks, while at work. Especially when it comes to pregnancy and working in a health care environment.” #93, pregnant

 Social support

10%

(4/42)

16%

(6/37)

“Online support group/chat for new parents in this time.” #113, postpartum

“It would be nice to be able to have more support from family.” #109, pregnant

 Childcare

2%

(1/42)

8%

(3/37)

“More affordable childcare options for essential workers that allow pre-enrollment meetings.” #146, postpartum

“Family being able to help take care of baby.” #162, postpartum

  1. Note. Percentages do not sum to 100% as participants were allowed to provide several answers to each question