Author, as appears in the article.: Lazzerini M; Covi B; Mariani I; Drglin Z; Arendt M; Nedberg IH; Elden H; Costa R; Drandi? D; Radeti? J; Otelea MR; Miani C; Brigidi S; Rozée V; Ponikvar BM; Tasch B; Kongslien S; Linden K; Barata C; Kurbanovi? M; Ruži?i? J; Batram-Zantvoort S; Castañeda LM; Rochebrochard EDL; Bohinec A; Vik ES; Zaigham M; Santos T; Wandschneider L; Viver AC; ?erimagi? A; Sacks E; Valente EP; IMAgiNE EURO study group
Department: Antropologia, Filosofia i Treball Social
URV's Author/s: Brigidi, Serena
Keywords: Who Survey Respectful maternity care Questionnaire Quality of care Newborn Maternal Income countries Facility European region Covid-19 who survey respectful maternity care questionnaire quality of care newborn maternal facility european region
Abstract: 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 © 2021 The Author(s)
Thematic Areas: Public, environmental & occupational health Oncology Internal medicine Health policy Health care sciences & services
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: serena.brigidi1@urv.cat
Author identifier: 0000-0001-9325-3880
Record's date: 2024-09-07
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: https://www.thelancet.com/journals/lanepe/article/PIIS2666-7762(21)00254-4/fulltext
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: The Lancet Regional Health - Europe. 13 100268-
APA: Lazzerini M; Covi B; Mariani I; Drglin Z; Arendt M; Nedberg IH; Elden H; Costa R; Drandi? D; Radeti? J; Otelea MR; Miani C; Brigidi S; Rozée V; Ponikv (2022). 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. The Lancet Regional Health - Europe, 13(), 100268-. DOI: 10.1016/j.lanepe.2021.100268
Article's DOI: 10.1016/j.lanepe.2021.100268
Entity: Universitat Rovira i Virgili
Journal publication year: 2022
Publication Type: Journal Publications
Repositori URV