Women’s and Nurses’ Perceptions of Visitor Restrictions after Childbirth During the COVID-19 Pandemic

Objective: To examine the perceptions of labor and delivery (L&D) nurses and childbearing women in the postpartum period regarding a restricted visitor policy during the COVID-19 pandemic. Design: Descriptive mixed-methods survey and open-ended questions. Setting/Local Problem: One hospital in the southwestern United States. There is limited evidence regarding recently imposed visitor restrictions related to COVID-19. Participants: Individuals who were pregnant and self-identified as women who gave birth during October 2020 through March 2021 (n = 674) and L&D nurses (n = 47). Intervention/Measurements: Participants who had given birth with visitor restrictions completed an online survey, and L&D nurses completed a paper survey. Results: Childbearing women had positive and negative views; they valued a more intimate familial bonding and recovery without visitors and appreciated decreased pressure to accommodate family/ friends. They were also disappointed with sibling restrictions and were sad and frustrated with visitor limitations, especially in special circumstances (e.g., NICU admission or extended stays). Nurses expressed that visitor restrictions allowed more time for higherquality nursing care/patient teaching and decreased distractions in emergencies, leading to safer care. Women and nurses reported that visitor restrictions allowed women more rest and relaxation as well as less worry and strain from juggling family and friends who wanted to visit, but they also identified that there was decreased family support when it was needed. Conclusion: Women's responses were mixed, with some preferring support from many visitors, while others appreciated the intimate focus of just their partner. Most nurses preferred fewer visitors but could empathize with women.