Quality of health care around the time of childbirth during the COVID‐19 pandemic: Results from the IMAgiNE EURO study in Norway and trends over time. Issue 1 (18th December 2022)

• Record Type: Journal Article
• Authors: Nedberg, Ingvild Hersoug; Vik, Eline Skirnisdottir; Kongslien, Sigrun; Mariani, Ilaria; Valente, Emanuelle Pessa; Covi, Benedetta; Lazzerini, Marzia
• Other Names: Ćerimagić Amira investigator.; Roda Daniela Drandić investigator.; Kurbanović Magdalena investigator.; Virginie Rozée investigator.; de La Rochebrochard Elise investigator.; Löfgren Kristina investigator.; Miani Céline investigator.; Batram‐Zantvoort Stephanie investigator.; Wandschneider Lisa investigator.; Morano Sandra investigator.; Chertok Ilana investigator.; Artzi‐Medvedik Rada investigator.; Pumpure Elizabete investigator.; Rezeberga Dace investigator.; Jansone‐Šantare Gita investigator.; Jakovicka Dārta investigator.; Vaska Agnija investigator.; Knoka Anna Regīna investigator.; Vilcāne Katrīna Paula investigator.; Liepinaitienė Alina investigator.; Kondrakova Andželika investigator.; Mizgaitienė Marija investigator.; Juciūtė Simona investigator.; Arendt Maryse investigator.; Tasch Barbara investigator.; Baranowska Barbara investigator.; Tataj‐Puzyna Urszula investigator.; Węgrzynowska Maria investigator.; Costa Raquel investigator.; Barata Catarina investigator.; Santos Teresa investigator.; Rodrigues Carina investigator.; Dias Heloísa investigator.; Otelea Marina Ruxandra investigator.; Radetić Jelena investigator.; Ružičić Jovana investigator.; Drglin Zalka investigator.; Ponikvar Barbara Mihevc investigator.; Bohinec Anja investigator.; Brigidi Serena investigator.; Castañeda Lara Martín investigator.; Elden Helen investigator.; Sengpiel Verena investigator.; Linden Karolina investigator.; Zaigham Mehreen investigator.; De Labrusse Claire investigator.; Abderhalden Alessia investigator.; Pfund Anouck investigator.; Thorn Harriet investigator.; Grylka Susanne investigator.; Gemperle Michael investigator.; Mueller Antonia investigator.; Conway Francesca guestEditor.; Costa Raquel guestEditor.; Otelea Marina R. guestEditor.; Sacks Emma guestEditor.;
• Is Part Of: International journal of gynaecology and obstetrics. Volume 159:Issue 1(2022)supplement 1
• Page Start: 85
• Page End: 96
• Publication Date: 2022-12-18
• Subjects: childbirth -- COVID‐19 -- healthcare facility -- IMAgiNE EURO -- maternal health -- Norway -- quality of care -- WHO standards; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.14460
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Objective: To describe maternal perception of the quality of maternal and newborn care (QMNC) in facilities in Norway during the first year of COVID‐19 pandemic. Methods: Women who gave birth in a Norwegian facility from March 1, 2020, to October 28, 2021, filled out a structured online questionnaire based on 40 WHO standards‐based quality measures. Quantile regression analysis was performed to assess changes in QMNC index over time. Results: Among 3326 women included, 3085 experienced labor. Of those, 1799 (58.3%) reported that their partner could not be present as much as needed, 918 (29.8%) noted inadequate staff numbers, 183 (43.6%) lacked a consent request for instrumental vaginal birth (IVB), 1067 (34.6%) reported inadequate communication from staff, 78 (18.6%) reported fundal pressure during IVB, 670 (21.7%) reported that they were not treated with dignity, and 249 (8.1%) reported experiencing abuse. The QMNC index increased gradually over time (3.68 points per month, 95% CI, 2.83–4.53 for the median), with the domains of COVID‐19 reorganizational changes and experience of care displaying the greatest increases, while provision of care was stable over time. Conclusion: Although several measures showed high QMNC in Norway during the first year of the COVID‐19 pandemic, and a gradual improvement over time, several findings suggest that gaps in QMNC exist. These gaps should be addressed and monitored. Synopsis: Women who gave birth in Norway during the first year of the COVID‐19 pandemic did not receive optimal care during their hospital stay.