A solo journey in the shadow of a double-edged pandemic: A qualitative study of women's experience of being pregnant during the COVID-19 pandemic.

The COVID-19 pandemic profoundly affected the emotional well-being of pregnant women. In Sweden, no national lockdown was implemented; instead, healthcare restrictions were imposed, most notably limiting partner involvement in perinatal care. This marked a significant shift from standard practices that emphasize partner participation as a key component for maternal support and well-being. This study aimed to explore women's experiences of being pregnant during the COVID-19 pandemic. A qualitative interview study was conducted in Sweden, including 30 pregnant women. The data were analyzed using content analysis with an inductive approach. Four overarching themes were identified: Living in the Shadow of the Pandemic, Missing Out on the Shared Journey, Unpredictability Creates Worry and Fear, and Adaptation and Growth in a Threatening World. The findings describe pregnant women's experiences during the COVID-19 pandemic as a period marked by vulnerability, partner exclusion, uncertainty and emotional strain. However, many participants also demonstrated resilience and developed adaptive strategies. A recurring desire emerged for more inclusive, consistent healthcare practices and clearer communication tailored to the needs of expectant families. The findings highlight the importance of patient-centered, accessible perinatal healthcare and contribute to the existing research by emphasizing the role of support systems and national guidelines in safeguarding maternal and family well-being during future pandemics.