Naslov
Quality of maternal and newborn care in Switzerland during the COVID-19 pandemic: A cross- sectional study based on WHO quality standards

Autori
De Labrusse, Claire ; Abderhalden‐Zellweger, Alessia ; Mariani, Ilaria ; Pfund, Anouck ; Gemperle, Michael ; Grylka‐Baeschlin, Susanne ; Mueller, Antonia N ; Valente, Emanuelle Pessa ; Covi, Benedetta ; Lazzerini, Marzia ; Ćerimagić, Amira ; Drandić, Daniela ; Kurbanović, Magdalena ; Virginie, Rozée ; de La Rochebrochard, Elise ; Löfgren, Kristina ; Miani, Céline ; Batram‐Zantvoort, Stephanie ; Wandschneider, Lisa ; Lazzerini, Marzia ; Valente, Emanuelle Pessa ; Covi, Benedetta ; Mariani, Ilaria ; Morano, Sandra ; Chertok, Ilana ; Hefer, Emek ; Artzi‐Medvedik, Rada ; Pumpure, Elizabete ; Rezeberga, Dace ; Jansone‐Šantare, Gita ; Jakovicka, Dārta ; Knoka, Anna Regīna ; Vilcāne, Katrīna Paula ; Liepinaitienė, Alina ; Kondrakova, Andželika ; Mizgaitienė, Marija ; Juciūtė, Simona ; Arendt, Maryse ; Tasch, Barbara ; Nedberg, Ingvild Hersoug ; Kongslien, Sigrun ; Vik, Eline Skirnisdottir ; Baranowska, Barbara ; Tataj‐Puzyna, Urszula ; Węgrzynowska, Maria ; Costa, Raquel ; Barata, Catarina ; Santos, Teresa ; Rodrigues, Carina ; Dias, Heloísa ; Otelea, Marina Ruxandra ; Radetić, Jelena ; Ružičić, Jovana ; Drglin, Zalka ; Ponikvar, Barbara Mihevc ; Bohinec, Anja ; Brigidi, Serena ; Castañeda, Lara Martín ; Elden, Helen ; Sengpiel, Verena ; Linden, Karolina ; Zaigham, Mehreen ; De Labrusse, Claire ; Abderhalden, Alessia ; Pfund, Anouck ; Thorn, Harriet ; Grylka, Susanne ; Gemperle, Michael ; Mueller, Antonia ; the IMAgiNE EURO study group

Kolaboracija
The IMAgiNE EURO Study Group

Izvornik
International journal of gynecology & obstetrics. Supplement (0924-8447) 159 (2022), S1; 70-84

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

Ključne riječi
COVID-19, IMAgiNE EURO, maternal health, maternity services, mode of birth, quality of care, Switzerland, WHO standards

Sažetak
Objective To explore quality of maternal and newborn care (QMNC) in healthcare facilities during the COVID- 19 pandemic in Switzerland. Methods Women giving birth in Switzerland answered a validated online questionnaire including 40 WHO standards-based quality measures. QMNC score was calculated according to linguistic region and mode of birth. Differences were assessed using logistic regression analysis adjusting for relevant variables. Results A total of 1175 women were included in the analysis. Limitations in QMNC during the pandemic were reported by 328 (27.9%) women. Several quality measures, such as deficient communication (18.0%, n = 212), insufficient number of healthcare professionals (19.7%, n = 231), no information on the newborn after cesarean (26.5%, n = 91) or maternal and newborn danger signs (34.1%, n = 401 and 41.4% n = 487, respectively) suggested preventable gaps in QMNC. Quality measures significantly differed by linguistic region and mode of birth. Multivariate analysis established a significantly lower QMNC for women in French- and Italian-speaking regions compared with the German-speaking region. Moreover, in several quality indicators reflecting communication with healthcare providers, women who did not answer the questionnaire in one of the Swiss national languages had significantly worse scores than others. A significant lower QMNC was also found for young and primiparous women and for those who experienced cesarean or instrumental vaginal birth. Conclusion Women giving birth in Switzerland during the pandemic reported notable gaps in QMNC. Providers should be attuned to women who are younger, primiparous, and those who had an emergency cesarean or instrumental vaginal birth given the lower QMNC reported by these groups. Women who did not respond in a Swiss national language may need improved communication strategies.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

POVEZANOST RADA