{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T09:38:45Z","timestamp":1783417125581,"version":"3.54.6"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T00:00:00Z","timestamp":1646352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Many studies have explored the impact of the coronavirus disease 2019 (COVID\u201019) pandemic on perinatal health, but few have examined the effects of the pandemic on birthing families through a rural lens. Given that the COVID\u201019 pandemic has reinforced long\u2010standing disparities between urban and rural communities, it is important that the significance of place on the health and wellness of rural populations is made visible.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In\u2010depth interviews and focus groups with 16 participants from rural communities in British Columbia, Canada, were performed. Participants included those who had been pregnant or given birth after March 11, 2020. Data from the interviews and focus groups were analyzed using the principles of thematic analysis to understand the perinatal experiences of rural families during the initial months of the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analysis of the data revealed 4 major themes: perceived risk of infection, navigating uncertainty, experience of care received, and resilience and silver linings. In general, participants conceptualized rural communities as safer bubbles. Exceptions included specific vectors of risk such as tourism travel and border communities. Challenges experienced by rural families including anxiety around changing health guidelines, reduced social support, and potential loss of their partners\u2019 support at births. Additional concerns specific to rural experiences added to this burden, including fear of traveling to referral centers for care and increased difficulties accessing resources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Participants reported positive, compassionate care experiences that helped to mitigate some of the added stressors of the pandemic. These findings highlight the importance of perinatal care provision that integrates physiologic and mental health supports. This study provides a foundation for a comprehensive inquiry into the experiences of rural perinatal services during COVID\u201019.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jmwh.13338","type":"journal-article","created":{"date-parts":[[2022,3,5]],"date-time":"2022-03-05T07:54:40Z","timestamp":1646466880000},"page":"488-495","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Rural Residents\u2019 Perinatal Experiences During the Initial Months of the COVID\u201019 Pandemic: A Qualitative Study in British Columbia"],"prefix":"10.1111","volume":"67","author":[{"given":"Eva","family":"Sullivan","sequence":"first","affiliation":[{"name":"Department of Family Practice University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Cameron","sequence":"additional","affiliation":[{"name":"Department of Family Practice University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jude","family":"Kornelsen","sequence":"additional","affiliation":[{"name":"Department of Family Practice University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10591\u2010020\u201009544\u20108"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737\u2010020\u201001073\u20105"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.05.003"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2021.03.008"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/01459740.2020.1761804"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13077"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13524"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0246941"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.04.022"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(20)30456\u20103"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssaho.2020.100063"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u201011\u2010147"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/07399330802269568"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00227-7"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/J.1440\u20101584.2012.01286.X"},{"key":"e_1_2_9_17_1","doi-asserted-by":"crossref","DOI":"10.59962\/9780774821742","volume-title":"Health in Rural Canada","author":"Kulig JC","year":"2011"},{"issue":"2","key":"e_1_2_9_18_1","first-page":"47","article-title":"The landscape of mental health services in rural Canada","volume":"96","author":"Friesen E","year":"2019","journal-title":"Univ Toronto Med J"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/J.1440\u20101584.2008.01039.X"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2021.02.025"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1609406920920962"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732320951526"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.2196\/26960"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12443"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12433"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1176\/APPI.PS.202000368"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2020.0068"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/1059924X.2020.1814921"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18063028"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.17269\/s41997\u2010020\u201000415\u20101"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20102667(20)30053\u20100"},{"key":"e_1_2_9_32_1","volume-title":"A Practical Guide to Using Interpretative Phenomenological Analysis in Qualitative Research Psychology","author":"Pietkiewicz I","year":"2014"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.5539\/ASS.V10N21P298"},{"key":"e_1_2_9_34_1","unstructured":"BC Medical Quality Initiative.Summary Page: Family Practice Enhanced Surgical Skills. 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