Naslov
Quality of facility-based maternal and newborn care around the time of childbirth during the COVID-19 pandemic: online survey investigating maternal perspectives in 12 countries of the WHO European Region

Autori
Lazzerini, Marzia ; Covi, Benedetta ; Mariani, Ilaria ; Drglin, Zalka ; Arendt, Maryse ; Hersoug Nedberg, Ingvild ; Elden, Helen ; Costa, Raquel ; Drandić, Daniela ; Radetić, Jelena ; Ruxandra Otelea, Marina ; Miani, Céline ; Brigidi, Serena ; Rozée, Virginie ; Mihevc Ponikvar, Barbara ; Tasch, Barbara ; Kongslien, Sigrun ; Linden, Karolina ; Barata, Catarina ; Kurbanović, Magdalena ; Ružičić, Jovana ; Batram- Zantvoort, Stephanie ; Martín Castañeda, Lara ; de LaRochebrochard, Elise ; Bohinjec, Anja ; Skirnisdottir Vik, Eline ; Zaigham, Mehreen , Santos, Teresa ; Wandschneider, Lisa ; Canales Viver, Ana ; Ćerimagić, Amira ; Sacks, Emma ; Pessa Valente, Emanuelle

Kolaboracija
IMAgiNE EURO Study Group

Izvornik
The Lancet regional health. Europe (2666-7762) 13 (2022); 100268, 18

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
COVID-19 ; European Region ; maternal ; newborn ; facility ; quality of care ; questionnaire ; respectful maternity care ; survey ; WHO

Sažetak
Background: Multi-country studies assessing the quality of maternal and newborn care (QMNC) during the COVID-19 pandemic, as defined by WHO Standards, are lacking. Methods: Women who gave birth in 12 countries of the WHO European Region from March 1, 2020 - March 15, 2021 answered an online questionnaire, including 40 WHO Standard-based Quality Measures. Findings: 21, 027 mothers were included in the analysis. Among those who experienced labour (N=18, 063), 41·8% (26·1%- 63·5%) experienced difficulties in accessing antenatal care, 62% (12·6%-99·0%) were not allowed a companion of choice, 31·1% (16·5%-56·9%) received inadequate breastfeeding support, 34·4% (5·2%-64·8%) reported that health workers were not always using protective personal equipment, and 31·8% (17·8%-53·1%) rated the health workers’ number as “insufficient”. Episiotomy was performed in 20·1% (6·1%-66·0%) of spontaneous vaginal births and fundal pressure applied in 41·2% (11·5% -100%) of instrumental vaginal births. In addition, 23·9% women felt they were not treated with dignity (12·8%-59·8%), 12·5% (7·0%-23·4%) suffered abuse, and 2·4% (0·1%-26·2%) made informal payments. Most findings were significantly worse among women with prelabour caesarean birth (N=2, 964). Multivariate analyses confirmed significant differences among countries, with Croatia, Romania, Serbia showing significant lower QMNC Indexes and Luxemburg showing a significantly higher QMNC Index than the total sample. Younger women and those with operative births also reported significantly lower QMNC Indexes. Interpretation: Mothers reports revealed large inequities in QMNC across countries of the WHO European Region. Quality improvement initiatives to reduce these inequities and promote evidence- based, patient-centred respectful care for all mothers and newborns during the COVID-19 pandemic and beyond are urgently needed. Funding: The study was financially supported by the Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy. Study registration: ClinicalTrials.gov Identifier: NCT04847336

Izvorni jezik
Engleski

Znanstvena područja
Biotehnologija u biomedicini (prirodno područje, biomedicina i zdravstvo, biotehničko područje)

POVEZANOST RADA