Women's perspectives on the quality of maternal and newborn care in childbirth during the COVID-19 pandemic in Latvia: Results from the IMAgiNE EURO study on 40 WHO standards-based quality measures

Autor: Pumpure, Elizabete, Jakovicka, Dārta, Mariani, Ilaria, Vaska, Agnija, Covi, Benedetta, Valente, Emanuelle Pessa, Jansone‐Šantare, Gita, Knoka, Anna Regīna, Vilcāne, Katrīna Paula, Rezeberga, Dace, Lazzerini, Marzia, Ćerimagić, Amira, Drandić, Daniela, Kurbanović, Magdalena, Virginie, Rozée, de La Rochebrochard, Elise, Löfgren, Kristina, Miani, Céline, Batram‐Zantvoort, Stephanie, Wandschneider, Lisa, Morano, Sandra, Chertok, Ilana, Artzi‐Medvedik, Rada, 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
Rok vydání: 2022
Předmět:
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and ObstetricsREFERENCES. 159
ISSN: 1879-3479
Popis: Objective: To investigate women's perspectives on the quality of maternal and new-born care (QMNC) around the time of childbirth during the COVID-19 pandemic in Latvia, comparing the years 2020 and 2021, among women who went into labor or had a prelabor cesarean. Methods: Women giving birth in healthcare facilities in Latvia from March 1, 2020, to October 28, 2021, answered an online questionnaire including 40 WHO standards- based quality measures. Descriptive and multivariate quantile regression analyses were performed to compare QMNC in 2020 and 2021. Results: 2079 women were included in the analysis: 1860 women who went into labor (group 1) and 219 with prelabor cesarean (group 2). Among group 1, 66.4% (n = 99/149) of women received fundal pressure in an instrumental vaginal birth, 43.5% (n = 810) lacked involvement in choices, 17.4% (n = 317) reported suffering abuse, 32.7% (n = 609) reported inadequate breastfeeding support while 5.2% (n = 96) lack of early breastfeeding. A significant reduction in QMNC due to the COVID-19 pandemic was reported by 29.5% (n = 219) and 25.0% (n = 270) of respondents in 2020 and 2021, respectively (P = 0.045). Multivariate analyses highlighted a signifi-cantly lower QMNC index for 2020 compared with 2021 (P < 0.001).Conclusion: This first study investigating QMNC in Latvia showed significant gaps in QMNC perceived by respondents, with slightly better results in 2021. Appropriate health-care strategies to improve health care for women and newborns in Latvia are required.
Databáze: OpenAIRE