Quality of facility-based maternal and newborn care around the time of childbirth during the COVID-19 pandemic

Lazzerini, Marzia; Covi, Benedetta; Mariani, I; Drglin, Zalka; Arendt, M; Nedberg, Ingvild Hersoug; Elden, Helen; Costa, R.O.S.S. da; Drandic, D; Valente, E Pessa

doi:10.1093/eurpub/ckac129.189

Cited by 4 publications

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“She helped from the first minute to the last” – experiences of respectful maternal and newborn care during the COVID-19 pandemic in Nampula Province, Mozambique

Lydon,

Vilanculos,

Crew

et al. 2024

Preprint

View full text Add to dashboard Cite

Pandemic-related health service adaptations raised concerns about provision of quality, respectful maternity care globally. Despite this, little research has focused on the experiences of those using intrapartum care during this time. This study aimed to elevate the voices and document the experiences of birthing people in Nampula Province, Mozambique during the COVID-19 pandemic. We conducted a longitudinal qualitative study from March-August 2021 and present an analysis of the 17 follow-up in-depth interviews conducted with participants who had a vaginal live birth. Interviews explored participants’ experience of labor and delivery care. They were conducted in Makua and Portuguese, audio-recorded, transcribed and translated. We applied thematic content analysis. Overall, participants did not express major concerns about COVID-19 or related service adaptations when describing their experiences of intrapartum care. Some noted its negative effects on elements of respectful care such as restricting birth companions. Overcrowding became more concerning due to the threat of infection. While unclear if affected by the pandemic, all participants who gave birth at a health facility reported experiencing at least one form of mistreatment, some recounting threats of cesarean delivery. Most explained that they and their newborns received care without their consent, especially regarding enemas and episiotomies. At the same time, respondents described a range of intrapartum experiences that included both respectful and disrespectful care. Most recalled positive verbal communication with their providers and many described receiving continuous attentive care. Participants explained that their satisfaction with childbirth services was tied to their birth outcome and their experience of respectful care. The findings indicate that steadfast commitments to quality care are critical to ensure families benefit from high-quality, respectful care at all times. The ramifications of the COVID-19 pandemic were limited but nonetheless signal a need for tighter connections between maternal health and emergency preparedness stakeholders.

show abstract

“She helped from the first minute to the last” – experiences of respectful maternal and newborn care during the COVID-19 pandemic in Nampula Province, Mozambique

Lydon,

Vilanculos,

Crew

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Quality of Care at childbirth during the COVID-19 pandemic: findings of the IMAgiNE EURO study in Belgium

Galle,

D’Hauwers,

Berghman

et al. 2024

Preprint

View full text Add to dashboard Cite

Objectives To examine quality of maternal and newborn care (QMNC) around childbirth in facilities in Belgium during the COVID-19 pandemic and trends over time. Design A cross-sectional observational study. Setting Data of the IMAgiNE EURO study in Belgium. Participants Women giving birth in a Belgian facility from March 1, 2020, to May 1, 2023, responded a validated online questionnaire based on 40 WHO standards-based quality measures organised in four domains: provision of care, experience of care, availability of resources, and organizational changes related to COVID 19. Primary and secondary outcome measures Quantile regression analysis was performed to assess predictors of QMNC; trends over time were tested with the Mann Kendall test. Results 897 women were included in the analysis, 67%(n=601) with spontaneous vaginal birth, 13.3%(n=119) with instrumental vaginal birth and 19.7%(n=177) with cesarean section. We found high QMNC scores but also specific gaps in all domains of QMNC. On provision of care, 21.0%(n=166) of women who experienced labor and 14.7%(n=26) of women with a cesarean reported inadequate pain relief; 64.7%(n=74) of women with an instrumental birth reported fundal pressure and 72.3% (n=86) reported that forceps or vacuum cup was used without their consent. On experience of care, 31.1%(n=279) reported unclear communication, 32.9%(n=295) reported that they were not involved in choices,11.5%(n=104) stated not being treated with dignity and 8.1%(n=73) experienced abuse. Related to resources, almost half of the women reported an inadequate number of healthcare professionals (46.2%, n=414). The multivariable analyses showed significantly lower QMNC scores for women with an instrumental vaginal birth. Over time there was a significant increase in QMNC score for experience of care and key organizational changes due to COVID-19. Conclusions and relevance Although overall QMNC scores were high, findings also suggest gaps in QMNC. Underlying causes of these gaps should be explored to design appropriate interventions and policies.

show abstract

Atención al nacimiento durante la pandemia COVID-19: restricciones al acompañamiento y cuidados de las madres infectadas

Ferrándiz Mares,

Llinares Ramal,

Seguí Manzaneque

et al. 2023

LAMATER

View full text Add to dashboard Cite

Introducción: Los primeros protocolos respecto a la atención al parto y las restricciones de aforo por la pandemia COVID-19 se han relacionado con prácticas no deseables: impedir el acompañamiento en el parto, acelerar el expulsivo, separar madre e hijo o posponer la lactancia materna. El objetivo de este trabajo es valorar la medida en que se han podido dar estas situaciones en nuestro país. Pacientes y Métodos: 1321 madres que dieron a luz entre marzo de 2019 y mayo de 2021. Estudio descriptivo retrospectivo, basado en encuestas en forma de formularios on-line, sobre infección por SARS-CoV-2, acompañamiento en el parto, forma de dar a luz, alojamiento conjunto y alimentación del bebé. Resultados: Observamos un significativo incremento del obstáculo al acompañamiento en el parto a partir del 14 de marzo de 2020: 19 %, respecto al 5 % previo (p < 0.001). Entre las madres infectadas por SARS-CoV-2 (17), el 71 % no pudieron estar acompañadas frente al 18 % en las madres no infectadas (p < 0.001); en 3 casos se ha inducido o instrumentado el parto para acelerar el expulsivo y en otros 3 se ha separado a los bebés de sus madres y se les ha alimentado con sucedáneos en la Maternidad. Conclusiones: Durante la pandemia se ha producido un incremento significativo del impedimento al acompañamiento al parto, significativamente mayor en las madres infectadas por SARS-CoV-2; también hemos detectado entre madres infectadas varios casos de inducción o instrumentación para acelerar el expulsivo, y de separación y empleo de sucedáneos.

show abstract

Quality of facility-based maternal and newborn care around the time of childbirth during the COVID-19 pandemic

Cited by 4 publications

References 0 publications

“She helped from the first minute to the last” – experiences of respectful maternal and newborn care during the COVID-19 pandemic in Nampula Province, Mozambique

“She helped from the first minute to the last” – experiences of respectful maternal and newborn care during the COVID-19 pandemic in Nampula Province, Mozambique

Quality of Care at childbirth during the COVID-19 pandemic: findings of the IMAgiNE EURO study in Belgium

Atención al nacimiento durante la pandemia COVID-19: restricciones al acompañamiento y cuidados de las madres infectadas

Contact Info

Product

Resources

About