TY - JOUR
T1 - Quality of health care around the time of childbirth during the COVID-19 pandemic
T2 - Results from the IMAgiNE EURO study in Norway and trends over time
AU - Nedberg, Ingvild Hersoug
AU - Vik, Eline Skirnisdottir
AU - Kongslien, Sigrun
AU - Mariani, Ilaria
AU - Valente, Emanuelle Pessa
AU - Covi, Benedetta
AU - Lazzerini, Marzia
AU - the IMAgiNE EURO Study Group
A2 - Ćerimagić, Amira
A2 - Roda, Daniela Drandić
A2 - Kurbanović, Magdalena
A2 - Virginie, Rozée
A2 - de La Rochebrochard, Elise
A2 - Löfgren, Kristina
A2 - Miani, Céline
A2 - Batram-Zantvoort, Stephanie
A2 - Wandschneider, Lisa
A2 - Morano, Sandra
A2 - Chertok, Ilana
A2 - Artzi-Medvedik, Rada
A2 - Pumpure, Elizabete
A2 - Rezeberga, Dace
A2 - Jansone-Šantare, Gita
A2 - Jakovicka, Dārta
A2 - Vaska, Agnija
A2 - Knoka, Anna Regīna
A2 - Vilcāne, Katrīna Paula
A2 - Kondrakova, Andželika
N1 - Funding Information:
The IMAgiNE EURO project was supported by the Ministry of Health, Rome ‐ Italy, in collaboration with the Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste ‐ Italy. This study was supported by the UiT The Arctic University of Norway. We would like to thank the volunteers who helped in the development of the questionnaire and all women who took the time to respond to the survey despite the burden of the COVID‐19 pandemic. We would also like to thank Marit Kongslien for back‐translation of the Norwegian questionnaire. Special thanks to the IMAgiNE EURO study group for their contribution to the development of this project and support for this manuscript.
Funding Information:
IMAgiNE EURO project was supported by the Ministry of Health, Rome ‐ Italy, in collaboration with the Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste ‐ Italy. This study was supported by the UiT The Arctic University of Norway Funding information
Publisher Copyright:
© 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
PY - 2022/12
Y1 - 2022/12
N2 - 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.
AB - 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.
KW - childbirth
KW - COVID-19
KW - healthcare facility
KW - IMAgiNE EURO
KW - maternal health
KW - Norway
KW - quality of care
KW - WHO standards
UR - http://www.scopus.com/inward/record.url?scp=85144315724&partnerID=8YFLogxK
U2 - 10.1002/ijgo.14460
DO - 10.1002/ijgo.14460
M3 - Article
C2 - 36530008
AN - SCOPUS:85144315724
SN - 0020-7292
VL - 159
SP - 85
EP - 96
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - Suppl.1
ER -
