Womenʼs assessment of the quality of hospital-based perinatal care by mode of birth in Romania during the COVID-19 pandemic : Results from the IMAgiNE EURO study
(2022) In International Journal of Gynecology and Obstetrics 159(S1). p.126-136- Abstract
Objective: To assess women's perceptions of the quality of maternal and newborn care (QMNC) received in hospitals in Romania during the COVID-19 pandemic by mode of birth. Methods: A validated anonymous online questionnaire based on WHO quality measures. Subgroup analysis of spontaneous vaginal birth (SVB), emergency cesarean, and elective cesarean and multivariate analyses were performed, and QMNC indexes were calculated. Maternal age, educational level, year of birth, mother born in Romania, parity, type of hospital, and type of professionals assisting the birth were used for multivariate analysis. Results: A total of 620 women completed the survey. Overall, several quality measures suggested gaps in QMNC in Romania, with the lowest... (More)
Objective: To assess women's perceptions of the quality of maternal and newborn care (QMNC) received in hospitals in Romania during the COVID-19 pandemic by mode of birth. Methods: A validated anonymous online questionnaire based on WHO quality measures. Subgroup analysis of spontaneous vaginal birth (SVB), emergency cesarean, and elective cesarean and multivariate analyses were performed, and QMNC indexes were calculated. Maternal age, educational level, year of birth, mother born in Romania, parity, type of hospital, and type of professionals assisting the birth were used for multivariate analysis. Results: A total of 620 women completed the survey. Overall, several quality measures suggested gaps in QMNC in Romania, with the lowest QMNC indexes reported for provision of care and availability of resources. Women who had either elective or emergency cesarean compared with those who had SVB more frequently lacked early breastfeeding (OR 2.04 and 2.13, respectively), skin-to-skin contact (OR 1.73 and 1.75, respectively), rooming-in (OR 2.07 and 1.96, respectively), and exclusive breastfeeding at discharge (OR 2.27 and 1.64, respectively). Compared with elective cesarean, emergency cesarean had higher odds of ineffective communication by healthcare providers (OR 1.65), lack of involvement in choices (OR 1.58), insufficient emotional support (OR 2.07), and no privacy (OR 2.06). Compared with other modes of birth, a trend for lower QMNC indexes for emergency cesarean was observed for all domains, while for elective cesarean the QMNC index for provision of care was significantly lower. Conclusion: Quality indicators of perinatal care remain behind targets in Romania, with births by cesarean the most affected. ClinicalTrials.gov identifier: NCT04847336.
(Less)
- author
- Otelea, Marina Ruxandra ; Simionescu, Anca Angela ; Mariani, Ilaria ; Valente, Emanuelle Pessa ; Nanu, Michaela Iuliana ; Nanu, Ioana ; Handra, Claudia Mariana ; Covi, Benedetta and Lazzerini, Marzia
- contributor
- Linden, Karolina
LU
and Zaigham, Mehreen
LU
- author collaboration
- organization
- publishing date
- 2022-12
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- breastfeeding, cesarean, childbirth, COVID-19, IMAgiNE EURO, mode of birth, quality of care, Romania
- in
- International Journal of Gynecology and Obstetrics
- volume
- 159
- issue
- S1
- pages
- 11 pages
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:36530009
- scopus:85144447880
- ISSN
- 0020-7292
- DOI
- 10.1002/ijgo.14482
- language
- English
- LU publication?
- yes
- additional info
- Funding Information: This work 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 gratefully acknowledge all women who took the time to answer the questionnaire despite the burden of the COVID-19 pandemic. We would also like to thank the following colleagues for their assistance with translation and dissemination of the Romanian questionnaire: Sinziana Ionita-Ciurez, Ana Maita, Cristina Biciila, Raluca Dumitrescu (members of SAMAS Association). 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 work 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 gratefully acknowledge all women who took the time to answer the questionnaire despite the burden of the COVID‐19 pandemic. We would also like to thank the following colleagues for their assistance with translation and dissemination of the Romanian questionnaire: Sinziana Ionita‐Ciurez, Ana Maita, Cristina Biciila, Raluca Dumitrescu (members of SAMAS Association). Special thanks to the IMAgiNE EURO study group for their contribution to the development of this project and support for this manuscript. Funding Information: Funding informationThis work was supported by the Ministry of Health, Rome ‐ Italy, in collaboration with the Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste ‐ Italy 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
- 61b8fdfb-b34d-42ce-9485-8a30e81d872a
- date added to LUP
- 2023-01-01 18:02:09
- date last changed
- 2024-04-18 05:11:30
@article{61b8fdfb-b34d-42ce-9485-8a30e81d872a,
abstract = {{<p>Objective: To assess women's perceptions of the quality of maternal and newborn care (QMNC) received in hospitals in Romania during the COVID-19 pandemic by mode of birth. Methods: A validated anonymous online questionnaire based on WHO quality measures. Subgroup analysis of spontaneous vaginal birth (SVB), emergency cesarean, and elective cesarean and multivariate analyses were performed, and QMNC indexes were calculated. Maternal age, educational level, year of birth, mother born in Romania, parity, type of hospital, and type of professionals assisting the birth were used for multivariate analysis. Results: A total of 620 women completed the survey. Overall, several quality measures suggested gaps in QMNC in Romania, with the lowest QMNC indexes reported for provision of care and availability of resources. Women who had either elective or emergency cesarean compared with those who had SVB more frequently lacked early breastfeeding (OR 2.04 and 2.13, respectively), skin-to-skin contact (OR 1.73 and 1.75, respectively), rooming-in (OR 2.07 and 1.96, respectively), and exclusive breastfeeding at discharge (OR 2.27 and 1.64, respectively). Compared with elective cesarean, emergency cesarean had higher odds of ineffective communication by healthcare providers (OR 1.65), lack of involvement in choices (OR 1.58), insufficient emotional support (OR 2.07), and no privacy (OR 2.06). Compared with other modes of birth, a trend for lower QMNC indexes for emergency cesarean was observed for all domains, while for elective cesarean the QMNC index for provision of care was significantly lower. Conclusion: Quality indicators of perinatal care remain behind targets in Romania, with births by cesarean the most affected. ClinicalTrials.gov identifier: NCT04847336.</p>}},
author = {{Otelea, Marina Ruxandra and Simionescu, Anca Angela and Mariani, Ilaria and Valente, Emanuelle Pessa and Nanu, Michaela Iuliana and Nanu, Ioana and Handra, Claudia Mariana and Covi, Benedetta and Lazzerini, Marzia}},
issn = {{0020-7292}},
keywords = {{breastfeeding; cesarean; childbirth; COVID-19; IMAgiNE EURO; mode of birth; quality of care; Romania}},
language = {{eng}},
number = {{S1}},
pages = {{126--136}},
publisher = {{Wiley-Blackwell}},
series = {{International Journal of Gynecology and Obstetrics}},
title = {{Womenʼs assessment of the quality of hospital-based perinatal care by mode of birth in Romania during the COVID-19 pandemic : Results from the IMAgiNE EURO study}},
url = {{http://dx.doi.org/10.1002/ijgo.14482}},
doi = {{10.1002/ijgo.14482}},
volume = {{159}},
year = {{2022}},
}