abstract: 'ObjectivesTo review the evidence on how pregnancy, birth experience,

  breast feeding, parental responsiveness and sensitivity, and bonding and

  attunement were impacted by COVID-19.MethodsWe searched eight literature

  databases and websites of relevant UK-based organisations. The review

  focused on evidence during pregnancy and the early years (0-5 years).

  Studies of any study design published in English from 1 March 2020 to 15

  March 2021 and conducted in high-income countries were included.

  Screening and data extraction were undertaken in duplicate. Evidence was

  synthesised using a narrative approach. Study quality of included

  studies was assessed using the Mixed Methods Appraisal Tool.ResultsThe

  search yielded 9776 publications, of which 26 met our inclusion

  criteria. Significant knowledge gaps on how COVID-19 affected pregnancy

  and breast feeding limited healthcare providers'' ability to provide

  consistent evidence-based information and care at the start of the

  pandemic. There was an enduring sense of loss about loved ones being

  restricted from taking part in key moments. Parents were concerned about

  the limitations of virtual healthcare provision. Some parents reported

  more opportunities for responsive breast feeding and improved

  parent-infant bonding due to reduced social and work pressures. Women

  from minoritised ethnic groups were less likely to continue breast

  feeding and attributed this to a lack of face-to-face

  support.ConclusionsThe evidence suggests that new and expectant families

  have been both negatively and positively impacted by the COVID-19

  pandemic and the resulting restrictions. The impacts on parents''

  opportunities to bond with their young children and to be attuned to

  their needs were felt unequally. It is important that emergency response

  policies consider the mother and the partner as a family unit when

  making changes to the delivery of maternal and child health and care

  services, so as to mitigate the impact on the family and existing health

  inequalities.PROSPERO registration numberCRD42021236769.'
affiliation: 'Rankin, J (Corresponding Author), Newcastle Univ, Populat Hlth Sci Inst,
  Fac Med Sci, Newcastle Upon Tyne, England.

  Rankin, J (Corresponding Author), NIHR Appl Res Collaborat North East \& North Cumbri,
  Newcastle Upon Tyne, England.

  Adesanya, Adenike Motunrayo; Barrett, Simon; Moffat, Malcolm; Aquino, Maria Raisa
  Jessica; Rankin, Judith, Newcastle Univ, Populat Hlth Sci Inst, Fac Med Sci, Newcastle
  Upon Tyne, England.

  Aquino, Maria Raisa Jessica; Rankin, Judith, NIHR Appl Res Collaborat North East
  \& North Cumbri, Newcastle Upon Tyne, England.

  Nicholson, Wendy; Turner, Gillian; Cook, Emma; Tyndall, Sarah, UK Dept Hlth \& Social
  Care, Off Hlth Improvement \& Dispar, London, England.'
author: Adesanya, Adenike Motunrayo and Barrett, Simon and Moffat, Malcolm and Aquino,
  Maria Raisa Jessica and Nicholson, Wendy and Turner, Gillian and Cook, Emma and
  Tyndall, Sarah and Rankin, Judith
author-email: judith.rankin@newcastle.ac.uk
author_list:
- family: Adesanya
  given: Adenike Motunrayo
- family: Barrett
  given: Simon
- family: Moffat
  given: Malcolm
- family: Aquino
  given: Maria Raisa Jessica
- family: Nicholson
  given: Wendy
- family: Turner
  given: Gillian
- family: Cook
  given: Emma
- family: Tyndall
  given: Sarah
- family: Rankin
  given: Judith
da: '2023-09-28'
doi: 10.1136/bmjopen-2022-066963
files: []
issn: 2044-6055
journal: BMJ OPEN
keywords: PUBLIC HEALTH; QUALITATIVE RESEARCH; PERINATOLOGY
keywords-plus: MATERNAL SENSITIVITY; HEALTH; DEPRESSION; STRESS; BEHAVIOR; CARE
language: English
month: DEC
number: '12'
number-of-cited-references: '68'
orcid-numbers: 'Adesanya, Adenike/0000-0002-8252-1162

  Aquino, Maria Raisa Jessica/0000-0002-3989-1221

  Barrett, Simon/0000-0002-8216-2999

  Moffat, Malcolm/0000-0001-8808-2626

  Rankin, Judith/0000-0001-5355-454X'
papis_id: c05395323323cb4567b605f129a1292d
ref: Adesanya2022impactcovid19
researcherid-numbers: 'Adesanya, Adenike/GMW-8332-2022

  '
tags:
- review
times-cited: '0'
title: 'Impact of the COVID-19 pandemic on expectant and new parents'' experience
  of pregnancy, childbirth, breast feeding, parental responsiveness and sensitivity,
  and bonding and attunement in high-income countries: a systematic review of the
  evidence'
type: article
unique-id: WOS:000899418900034
usage-count-last-180-days: '1'
usage-count-since-2013: '2'
volume: '12'
web-of-science-categories: Medicine, General \& Internal
year: '2022'