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
| Autor: | Lazzerini, M, Covi, B, Mariani, I, Drglin, Z, Arendt, M, Nedberg, IH, Elden, H, Costa, R, Drandić, D, Radetić, J, Otelea, MR, Miani, C, Brigidi, S, Rozée, V, Ponikvar, BM, Tasch, B, Kongslien, S, Linden, K, Barata, C, Kurbanović, M, Ružičić, J, Batram-Zantvoort, S, Castañeda, LM, Rochebrochard, E, Bohinec, A, Vik, ES, Zaigham, M, Santos, T, Wandschneider, L, Viver, AC, Ćerimagić, A, Sacks, E, Valente, EP, IMAgiNE EURO study group |
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| Přispěvatelé: | Repositório da Universidade de Lisboa, Veritati - Repositório Institucional da Universidade Católica Portuguesa, Instituto de Saúde Pública da Universidade do Porto |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
COVID-19
European Region maternal newborn facility quality of care questionnaire respectful maternity care survey WHO EUROPE BIRTH Respectful maternity care Maternal Article Internal Medicine Survey POST_NATAL_CARE Questionnaire Health Policy Facility Quality of care Newborn Oncology Public aspects of medicine RA1-1270 CHILDBIRTH SAMPLE_SURVEYS |
| Zdroj: | The Lancet Regional Health-Europe Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP The Lancet Regional Health. Europe, Vol 13, Iss, Pp 100268-(2022) |
| Popis: | 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 This research was funded by the Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste Italy. |
| Databáze: | OpenAIRE |
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