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 - IMAgiNE EURO study group
A2 - Ćerimagić, Amira
A2 - Linden, Karolina
A2 - Zaigham, Mehreen
A2 - Mueller, Antonia N
N1 - 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 - S1
ER -
