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Womenʼs perspectives on the quality of maternal and newborn care in childbirth during the COVID-19 pandemic in Latvia : Results from the IMAgiNE EURO study on 40 WHO standards-based quality measures

Pumpure, Elizabete ; Jakovicka, Dārta ; Mariani, Ilaria ; Vaska, Agnija ; Covi, Benedetta ; Valente, Emanuelle Pessa ; Jansone-Šantare, Gita ; Knoka, Anna Regīna ; Vilcāne, Katrīna Paula and Rezeberga, Dace , et al. (2022) In International Journal of Gynecology and Obstetrics 159(S1). p.97-112
Abstract

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... (More)

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.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
childbirth, COVID-19, Eastern Europe, IMAgiNE EURO, Latvia, maternity care, newborn care, quality of care
in
International Journal of Gynecology and Obstetrics
volume
159
issue
S1
pages
16 pages
publisher
Wiley-Blackwell
external identifiers
  • pmid:36530013
  • scopus:85144266613
ISSN
0020-7292
DOI
10.1002/ijgo.14461
language
English
LU publication?
yes
additional info
Funding Information: This research was supported by the Ministry of Health, Rome—Italy, in collaboration with the Institute for Maternal and Child Health IRCCS “Burlo Garofolo”, Trieste, Italy. We are grateful to the women who dedicated their time to complete this survey. We would like to thank Riga Stradins University and all professional organizations who helped with promotional activities. Special thanks to the IMAgiNE EURO study group for their contribution to the development of this project and support for this manuscript. Funding Information: This research was supported by the Ministry of Health, Rome—Italy, in collaboration with the Institute for Maternal and Child Health IRCCS “Burlo Garofolo”, Trieste, Italy. We are grateful to the women who dedicated their time to complete this survey. We would like to thank Riga Stradins University and all professional organizations who helped with promotional activities. Special thanks to the IMAgiNE EURO study group for their contribution to the development of this project and support for this manuscript. 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.
id
13e3dc12-802c-4bf9-8387-76962e46f2a5
date added to LUP
2023-01-07 14:58:04
date last changed
2024-10-30 10:02:56
@article{13e3dc12-802c-4bf9-8387-76962e46f2a5,
  abstract     = {{<p>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 &lt; 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.</p>}},
  author       = {{Pumpure, Elizabete and Jakovicka, Dārta and Mariani, Ilaria and Vaska, Agnija and Covi, Benedetta and Valente, Emanuelle Pessa and Jansone-Šantare, Gita and Knoka, Anna Regīna and Vilcāne, Katrīna Paula and Rezeberga, Dace and Lazzerini, Marzia and Ćerimagić, Amira and Roda, Daniela Drandić and Kurbanović, Magdalena and Virginie, Rozée and de La Rochebrochard, Elise and Löfgren, Kristina and Miani, Céline and Batram-Zantvoort, Stephanie and Wandschneider, Lisa and Morano, Sandra and Chertok, Ilana and Artzi-Medvedik, Rada and Liepinaitienė, Alina and Kondrakova, Andželika and Mizgaitienė, Marija and Juciūtė, Simona and Arendt, Maryse and Tasch, Barbara and Nedberg, Ingvild Hersoug and Kongslien, Sigrun and Vik, Eline Skirnisdottir and Baranowska, Barbara and Tataj-Puzyna, Urszula and Węgrzynowska, Maria and Costa, Raquel and Barata, Catarina and Santos, Teresa and Rodrigues, Carina and Dias, Heloísa and Otelea, Marina Ruxandra and Radetić, Jelena and Ružičić, Jovana and Drglin, Zalka and Ponikvar, Barbara Mihevc and Bohinec, Anja and Brigidi, Serena and Castañeda, Lara Martín and Linden, Karolina and Zaigham, Mehreen and Mueller, Antonia N}},
  issn         = {{0020-7292}},
  keywords     = {{childbirth; COVID-19; Eastern Europe; IMAgiNE EURO; Latvia; maternity care; newborn care; quality of care}},
  language     = {{eng}},
  number       = {{S1}},
  pages        = {{97--112}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{International Journal of Gynecology and Obstetrics}},
  title        = {{Womenʼs perspectives on the quality of maternal and newborn care in childbirth during the COVID-19 pandemic in Latvia : Results from the IMAgiNE EURO study on 40 WHO standards-based quality measures}},
  url          = {{http://dx.doi.org/10.1002/ijgo.14461}},
  doi          = {{10.1002/ijgo.14461}},
  volume       = {{159}},
  year         = {{2022}},
}