TY - JOUR
T1 - Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities
T2 - Results of the IMAgiNE EURO study in 16 countries
AU - IMAgiNE EURO study group
AU - Lazzerini, Marzia
AU - Valente, Emanuelle Pessa
AU - Covi, Benedetta
AU - Rozée, Virginie
AU - Costa, Raquel
AU - Otelea, Marina Ruxandra
AU - Abderhalden-Zellweger, Alessia
AU - Węgrzynowska, Maria
AU - Linden, Karolina
AU - Arendt, Maryse
AU - Brigidi, Serena
AU - Miani, Céline
AU - Pumpure, Elizabete
AU - Radetic, Jelena
AU - Drandic, Daniela
AU - Cerimagic, Amira
AU - Nedberg, Ingvild Hersoug
AU - Liepinaitienė, Alina
AU - Rodrigues, Carina
AU - de Labrusse, Claire
AU - Baranowska, Barbara
AU - Zaigham, Mehreen
AU - Castañeda, Lara Martín
AU - Batram-Zantvoort, Stephanie
AU - Jakovicka, Dārta
AU - Ruzicic, Jovana
AU - Juciūtė, Simona
AU - Santos, Teresa
AU - Gemperle, Michael
AU - Tataj-Puzyna, Urszula
AU - Elden, Helen
AU - Mizgaitienė, Marija
AU - Lincetto, Ornella
AU - Sacks, Emma
AU - Mariani, Ilaria
N1 - © 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 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.GOV IDENTIFIER: NCT04847336.
AB - 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.GOV IDENTIFIER: NCT04847336.
KW - Female
KW - Humans
KW - Infant, Newborn
KW - Pregnancy
KW - Cesarean Section
KW - COVID-19/epidemiology
KW - Infant Health
KW - Pandemics
KW - Public Facilities
UR - https://www-scopus-com.db.rsu.lv/record/display.uri?eid=2-s2.0-85144411279&origin=resultslist&sort=plf-f&src=s&st1=Rates+of+instrumental+vaginal+birth+and+cesarean+and+quality+of+maternal+and+newborn+health+care+in+private+versus+public+facilities&sid=8bfb6b219264140ccc4c6571bca4903d&sot=b&sdt=b&sl=139&s=TITLE%28Rates+of+instrumental+vaginal+birth+and+cesarean+and+quality+of+maternal+and+newborn+health+care+in+private+versus+public+facilities%29&relpos=0&citeCnt=2&searchTerm=
U2 - 10.1002/ijgo.14458
DO - 10.1002/ijgo.14458
M3 - Article
C2 - 36530007
SN - 0020-7292
VL - 159
SP - 22
EP - 38
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - Suppl. 1
ER -