Regional differences in the quality of maternal and neonatal care during the COVID-19 pandemic in Portugal: Results from the IMAgiNE EURO study
| Autor: | 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, 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, 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 |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
Newborn care Portugal Cesarean Section Respectful maternity care Infant Newborn Quality of care COVID-19 Obstetrics and Gynecology childbirth COVID-19 IMAgiNE EURO maternal care newborn care Portugal quality of care respectful maternity care General Medicine Cross-Sectional Studies Pregnancy Childbirth IMAgiNE EURO Humans Female Maternal care Pandemics |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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