Repositori URV

Identificador: imarina:9287621

Handle: https://hdl.handle.net/20.500.11797/imarina9287621

Autors:
Lazzerini MValente EPCovi BRozée VCosta ROtelea MRAbderhalden-Zellweger AWęgrzynowska MLinden KArendt MBrigidi SMiani CPumpure ERadetic JDrandic DCerimagic ANedberg ILiepinaitienė ARodrigues Cde Labrusse CBaranowska BZaigham MCastañeda LBatram-Zantvoort SJakovicka DRuzicic JJuciūtė SSantos TGemperle MTataj-Puzyna UElden HMizgaitienė MLincetto OSacks EMariani I

Resum:
Objective: To explore the quality of maternal and newborn care (QMNC) during the COVID-19 pandemic by facility type among 16 European countries, comparing rates of instrumental vaginal birth and cesarean. Methods: Women who gave birth in the WHO European Region from March 1, 2020, to February 7, 2022, answered a validated online questionnaire. Rates of instrumental birth, instrumental vaginal birth, and cesarean, and a QMNC index were calculated for births in public versus private facilities. Results: Responses from 25 206 participants were analyzed. Women giving birth in private compared with public facilities reported significantly more frequent total cesarean (32.5% vs 19.0%; aOR 1.70; 95% CI 1.52–1.90), elective cesarean (17.3% vs 7.8%; aOR 1.90; 95% CI 1.65–2.19), and emergency cesarean before labor (7.4% vs 3.9%; aOR 1.39; 95% CI 1.14–1.70) (P < 0.001 for all comparisons), with analyses by country confirming these results. QMNC index results were heterogeneous across countries and regions in the same country and were largely affected by geographical distribution of regions rather than by type of facility alone. Conclusion: The study confirms that births in private facilities have higher odds of cesarean. It also suggests that QMNC should be closely monitored in all facilities to achieve high-quality care, independent of facility type or geographical distribution. ClinicalTrials.gov Identifier: NCT04847336.