Coming into the world in difficult times: a phenomenological hermeneutic study in an Italian obstetrics and gynecology hospital department

The Covid-19 pandemic significantly impacted healthcare systems worldwide, posing unique challenges for Obstetrics and Gynecology departments. This study employed a phenomenological-hermeneutic approach to exploring the experiences of 15 healthcare professionals in an Italian Obstetrics and Gynecology department during and after the Covid-19 pandemic. In-depth interviews were conducted to understand their experiences. Findings revealed significant disruptions to work routines, including staff shortages and the emotional toll of caring for Covid-19 patients. Healthcare workers experienced heightened anxiety, fear of infection, and burnout due to increased workloads, the use of PPE, and the emotional weight of witnessing patient suffering. The pandemic profoundly impacted patient care, with restrictions on visitor access leading to increased isolation and anxiety for birthing mothers. Despite these challenges, healthcare workers reported increased empathy for patients and a heightened awareness of hygiene protocols. However, the study also highlighted the enduring emotional impact of the pandemic, including feelings of trauma, a sense of unreality, and difficulties processing the collective experience. The findings underscore the urgent need for comprehensive support systems for healthcare workers, including access to mental health resources, peer support programs, and organizational strategies to address the long-term psychological impacts of the pandemic.