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

Ingvild Hersoug Nedberg (Coresponding Author), Eline Skirnisdottir Vik, Sigrun Kongslien, the IMAgiNE EURO Study Group, Elizabete Pumpure (Member of the Working Group), Dace Rezeberga (Member of the Working Group), Gita Jansone-Šantare (Member of the Working Group), Dārta Jakovicka (Member of the Working Group), Anna Regīna Knoka (Member of the Working Group), Katrīna Paula Vilcāne (Member of the Working Group)

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)85-96
Number of pages12
JournalInternational Journal of Gynecology and Obstetrics
Volume159
Issue numberSuppl.1
DOIs
Publication statusPublished - Dec 2022

Keywords*

  • childbirth
  • COVID-19
  • healthcare facility
  • IMAgiNE EURO
  • maternal health
  • Norway
  • quality of care
  • WHO standards

Field of Science*

  • 3.2 Clinical medicine
  • 3.3 Health sciences

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

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