Author, as appears in the article.: Lazzerini M; Valente EP; Covi B; Rozée V; Costa R; Otelea MR; Abderhalden-Zellweger A; Węgrzynowska M; Linden K; Arendt M; Brigidi S; Miani C; Pumpure E; Radetic J; Drandic D; Cerimagic A; Nedberg I; Liepinaitienė A; Rodrigues C; de Labrusse C; Baranowska B; Zaigham M; Castañeda L; Batram-Zantvoort S; Jakovicka D; Ruzicic J; Juciūtė S; Santos T; Gemperle M; Tataj-Puzyna U; Elden H; Mizgaitienė M; Lincetto O; Sacks E; Mariani I
Department: Antropologia, Filosofia i Treball Social
URV's Author/s: Brigidi, Serena
Keywords: childbirth imagine euro maternal newborn private public quality of care respectful maternity care sections who standards Covid-19 Epidemiology Imagine euro Maternal Newborn Private Public Quality of care Respectful maternity care Who standards
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: Biotecnología Ciências ambientais Ciências biológicas i Ciências biológicas ii Ciências biológicas iii Direito Economia Enfermagem Engenharias i Engenharias iv Farmacia General medicine Geociências Interdisciplinar Medicina i Medicina ii Medicina iii Medicina veterinaria Medicine (miscellaneous) Nutrição Obstetrics & gynecology Obstetrics and gynecology Odontología Planejamento urbano e regional / demografia Psicología Saúde coletiva
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
Papper original source: International Journal Of Gynecology & Obstetrics. 159 (S1): 22-38
APA: Lazzerini M; Valente EP; Covi B; Rozée V; Costa R; Otelea MR; Abderhalden-Zellweger A; Węgrzynowska M; Linden K; Arendt M; Brigidi S; Miani C; Pumpure (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
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Entity: Universitat Rovira i Virgili
Journal publication year: 2022
Publication Type: Journal Publications
Repositori URV