Quality of health care around the time of childbirth during the COVID-19 pandemic : Results from the IMAgiNE EURO study in Norway and trends over time

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.

Vik, Eline SkirnisdottirWestern Norway University of Applied Sciences (author)
Kongslien, SigrunUiT The Arctic University of Norway, Tromsø (author)
Mariani, IlariaBurlo Garofolo Pediatric Institute (author)
Valente, Emanuelle PessaBurlo Garofolo Pediatric Institute (author)
Covi, BenedettaBurlo Garofolo Pediatric Institute (author)
Lazzerini, MarziaBurlo Garofolo Pediatric Institute (author)
Ćerimagić, AmiraNGO Baby Steps (creator_code:cre_t)
Linden, KarolinaUniversity of Gothenburg(Swepub:lu)ka5782li (creator_code:cre_t)
Zaigham, MehreenLund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital(Swepub:lu)med-ma13 (creator_code:cre_t)
Mueller, Antonia NZurich University of Applied Sciences (ZHAW) (creator_code:cre_t)
UiT The Arctic University of Norway, TromsøWestern Norway University of Applied Sciences (creator_code:org_t)
IMAgiNE EURO study group

In:International Journal of Gynecology and Obstetrics: Wiley159:S1, s. 85-960020-72921879-3479

By the author/editor: Nedberg, Ingvild ...; Vik, Eline Skirn ...; Kongslien, Sigru ...; Mariani, Ilaria; Valente, Emanuel ...; Covi, Benedetta; show more...; Lazzerini, Marzi ...; Ćerimagić, Amira; Linden, Karolina; Zaigham, Mehreen; Mueller, Antonia ...; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Obstetrics Gynae ...

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