Womenʼs perspectives on the quality of maternal and newborn care in childbirth during the COVID‐19 pandemic in Latvia: Results from the IMAgiNE EURO study on 40 WHO standards‐based quality measures. Issue 1 (18th December 2022)

• Record Type: Journal Article
• Authors: Pumpure, Elizabete; Jakovicka, Dārta; Mariani, Ilaria; Vaska, Agnija; Covi, Benedetta; Valente, Emanuelle Pessa; Jansone‐Šantare, Gita; Knoka, Anna Regīna; Vilcāne, Katrīna Paula; Rezeberga, Dace; 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.; Liepinaitienė Alina investigator.; Kondrakova Andželika investigator.; Mizgaitienė Marija investigator.; Juciūtė Simona investigator.; Arendt Maryse investigator.; Tasch Barbara investigator.; Nedberg Ingvild Hersoug investigator.; Kongslien Sigrun investigator.; Vik Eline Skirnisdottir 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: 97
• Page End: 112
• Publication Date: 2022-12-18
• Subjects: childbirth -- COVID‐19 -- Eastern Europe -- IMAgiNE EURO -- Latvia -- maternity care -- newborn care -- quality of care; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.14461
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Objective: To investigate women's perspectives on the quality of maternal and newborn care (QMNC) around the time of childbirth during the COVID‐19 pandemic in Latvia, comparing the years 2020 and 2021, among women who went into labor or had a prelabor cesarean. Methods: Women giving birth in healthcare facilities in Latvia from March 1, 2020, to October 28, 2021, answered an online questionnaire including 40 WHO standards‐based quality measures. Descriptive and multivariate quantile regression analyses were performed to compare QMNC in 2020 and 2021. Results: 2079 women were included in the analysis: 1860 women who went into labor (group 1) and 219 with prelabor cesarean (group 2). Among group 1, 66.4% ( n = 99/149) of women received fundal pressure in an instrumental vaginal birth, 43.5% ( n = 810) lacked involvement in choices, 17.4% ( n = 317) reported suffering abuse, 32.7% ( n = 609) reported inadequate breastfeeding support while 5.2% ( n = 96) lack of early breastfeeding. A significant reduction in QMNC due to the COVID‐19 pandemic was reported by 29.5% ( n = 219) and 25.0% ( n = 270) of respondents in 2020 and 2021, respectively ( P = 0.045). Multivariate analyses highlighted a significantly lower QMNC index for 2020 compared with 2021 ( P < 0.001). Conclusion: This first study investigating QMNC in Latvia showed significant gaps in QMNC perceived by respondents, with slightly better results in 2021. Appropriate healthcare strategies to improve health care for women and newborns in Latvia are required. ClinicalTrials.gov Identifier:NCT04847336. Synopsis: This first study investigating the quality of maternal and newborn care in Latvia showed significant gaps in quality perceived by survey respondents, with slightly better results in 2021.