Author, as appears in the article.: Lazzerini, Marzia; Valente, Emanuelle Pessa; Covi, Benedetta; Rozee, Virginie; Costa, Raquel; Otelea, Marina Ruxandra; Abderhalden-Zellweger, Alessia; Wegrzynowska, Maria; Linden, Karolina; Arendt, Maryse; Brigidi, Serena; Miani, Celine; Pumpure, Elizabete; Radetic, Jelena; Drandic, Daniela; Cerimagic, Amira; Nedberg, Ingvild Hersoug; Liepinaitiene, Alina; Rodrigues, Carina; de Labrusse, Claire; Baranowska, Barbara; Zaigham, Mehreen; Castaneda, Lara Martin; Batram-Zantvoort, Stephanie; Jakovicka, Darta; Ruzicic, Jovana; Juciute, Simona; Santos, Teresa; Gemperle, Michael; Tataj-Puzyna, Urszula; Elden, Helen; Lincetto, Ornella; Sacks, Emma; Mariani, Ilaria; Mizgaitiene, Marija
Department: Antropologia, Filosofia i Treball Social
URV's Author/s: Brigidi, Serena
Keywords: Who standards Respectful maternity care Quality of care Public facilities Public Private Pregnancy Pandemics Newborn Maternal Infant, newborn Infant health Imagine euro Humans Female Epidemiology Covid-19 Cesarean section who standards sections respectful maternity care quality of care public private newborn maternal imagine euro childbirth
Abstract: 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.
Thematic Areas: Saúde coletiva Psicología Planejamento urbano e regional / demografia Odontología Obstetrics and gynecology Obstetrics & gynecology Nutrição Medicine (miscellaneous) Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar Geociências General medicine Farmacia Engenharias iv Engenharias i Enfermagem Economia Direito Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Biotecnología
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: 2025-02-18
Paper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Paper original source: International Journal Of Gynecology & Obstetrics. 159 (S1): 22-38
APA: Lazzerini, Marzia; Valente, Emanuelle Pessa; Covi, Benedetta; Rozee, Virginie; Costa, Raquel; Otelea, Marina Ruxandra; Abderhalden-Zellweger, Alessia; (2022). Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: Results of the IMAgiNE EURO study in 16 countries. International Journal Of Gynecology & Obstetrics, 159(S1), 22-38. DOI: 10.1002/ijgo.14458
Entity: Universitat Rovira i Virgili
Journal publication year: 2022
Publication Type: Journal Publications
Repositori URV