TY - JOUR
T1 - Women's perspectives on the quality of maternal and newborn care in childbirth during the COVID-19 pandemic in Latvia
T2 - Results from the IMAgiNE EURO study on 40 WHO standards-based quality measures
AU - Pumpure, Elizabete
AU - Jakovicka, Dārta
AU - Mariani, Ilaria
AU - Vaska, Agnija
AU - Covi, Benedetta
AU - Valente, Emanuelle Pessa
AU - Jansone-Šantare, Gita
AU - Knoka, Anna Regīna
AU - Vilcāne, Katrīna Paula
AU - Rezeberga, Dace
AU - Lazzerini, Marzia
AU - IMAgiNE EURO study group
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 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.
AB - 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.
KW - Female
KW - Humans
KW - Infant, Newborn
KW - Pregnancy
KW - COVID-19/epidemiology
KW - Latvia/epidemiology
KW - Maternal Health Services
KW - Pandemics
KW - Parturition
KW - Quality Indicators, Health Care
KW - Quality of Health Care
KW - World Health Organization
UR - https://pubmed.ncbi.nlm.nih.gov/36530013/
UR - http://www.scopus.com/inward/record.url?scp=85144266613&partnerID=8YFLogxK
U2 - 10.1002/ijgo.14461
DO - 10.1002/ijgo.14461
M3 - Article
C2 - 36530013
SN - 0020-7292
VL - 159
SP - 97
EP - 112
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - Suppl.1
ER -
