Naslov
Women's perspectives on the quality of hospital maternal and newborn care around the time of childbirth during the COVID-19 pandemic: Results from the IMAgiNE EURO study in Slovenia, Croatia, Serbia, and Bosnia-Herzegovina
(Women's perspectives on the quality of hospital maternal and newborn care around the time of childbirth during the COVID-19 pandemic: Results from the IMAgiNE EURO study in Slovenia, Croatia, Serbia, and Bosnia-Herzegovina)

Autori
Drandić, Daniela : Drglin, Zalka : Mihevc Ponikvar, Barbara : Bohinec, Anja : Ćerimagić, Amira : Radetić, Jelena : Ružičić, Jovana : Kurbanović, Magdalena : Covi, Benedetta : Pessa Valente, Emanuelle : Mariani, Ilaria : Lazzerin, Marzia : the IMAgiNE EURO study group

Kolaboracija
The IMAgiNE EURO study group

Izvornik
International Journal of Gynecology & Obstetrics (0020-7292) 159 (2022), S1; 54-69

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

Ključne riječi
Bosnia- Herzegovina, childbirth, COVID-19, Croatia, IMAgiNE EURO, maternity, newborns, quality of care, Serbia, Slovenia

Sažetak
Objective: To assess the quality of maternal and newborn care (QMNC) in countries of the former Yugoslavia. Method: Women giving birth in a facility in Slovenia, Croatia, Serbia, and Bosnia-Herzegovina between March 1, 2020 and July 1, 2021 answered an online question-naire including 40 WHO standards- based quality measures.Results: A total of 4817 women were included in the analysis. Significant differences were observed across countries. Among those experiencing labor, 47.4%–62.3% of women perceived a reduction in QMNC due to the COVID-19 pandemic, 40.1%– 69.7% experienced difficulties in accessing routine antenatal care, 60.3%–98.1% were not allowed a companion of choice, 17.4%–39.2% reported that health workers were not always using personal protective equipment, and 21.2%–53.8% rated the num-ber of health workers as insufficient. Episiotomy was performed in 30.9%–62.8% of spontaneous vaginal births. Additionally, 22.6%–55.9% of women received inad-equate breastfeeding support, 21.5%–62.8% reported not being treated with dignity, 11.0%–30.5% suffered abuse, and 0.7%–26.5% made informal payments. Multivariate analyses confirmed significant differences among countries, with Slovenia showing the highest QMNC index, followed by Croatia, Bosnia- Herzegovina, and Serbia.Conclusion: Differences in QMNC among the countries of the former Yugoslavia during the COVID-19 pandemic were significant. Activities to promote high- quality, evidence- based, respectful care for all mothers and newborns are urgently needed.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

POVEZANOST RADA