Naslov
Regional differences in the quality of maternal and neonatal care during the COVID-19 pandemic in Portugal: Results from the IMAgiNE EURO study

Autori
Costa, Raquel ; Barata, Catarina ; Dias, Heloísa ; Rodrigues, Carina ; Santos, Teresa ; Mariani, Ilaria ; Covi, Benedetta ; Valente, Emanuelle Pessa ; 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 ; IMAgiNE EURO study group

Kolaboracija
The IMAgiNE EURO Study Group

Izvornik
International journal of gynaecology and obstetrics (0020-7292) 159 (2022), S1; 137-153

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

Ključne riječi
childbirth, COVID-19, IMAgiNE EURO, maternal care, newborn care, Portugal, quality of care, respectful maternity care

Sažetak
Objective: To compare women's perspectives on the quality of maternal and newborn care (QMNC) around the time of childbirth across Nomenclature of Territorial Units for Statistics 2 (NUTS-II) regions in Portugal during the COVID-19 pandemic.Methods: Women participating in the cross-sectional IMAgiNE EURO study who gave birth in Portugal from March 1, 2020, to October 28, 2021, completed a structured question- naire with 40 key WHO standards- based quality measures. Four domains of QMNC were assessed: (1) provision of care ; (2) experience of care ; (3) availability of human and physical resources ; and (4) reorganizational changes due to the COVID-19 pandemic. Frequencies for each quality measure within each QMNC domain were computed overall and by region.Results: Out of 1845 participants, one-third (33.7%) had a cesarean. Examples of high- quality care included: low frequencies of lack of early breastfeeding and rooming-in (8.0% and 7.7%, respectively) and informal payment (0.7%) ; adequate staff profession-alism (94.6%) ; adequate room comfort and equipment (95.2%). However, substandard practices with large heterogeneity across regions were also reported. Among women who experienced labor, the percentage of instrumental vaginal births ranged from 22.3% in the Algarve to 33.5% in Center ; among these, fundal pressure ranged from 34.8% in Lisbon to 66.7% in Center. Episiotomy was performed in 39.3% of noninstru- mental vaginal births with variations between 31.8% in the North to 59.8% in Center. One in four women reported inadequate breastfeeding support (26.1%, ranging from 19.4% in Algarve to 31.5% in Lisbon). One in five reported no exclusive breastfeeding at discharge (22.1% ; 19.5% in Lisbon to 28.2% in Algarve).Conclusion: Urgent actions are needed to harmonize QMNC and reduce inequities across regions in Portugal.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

POVEZANOST RADA