The impact of the COVID-19 pandemic on maternal healthcare costs in a UK inner-city multi-ethnic population DOI Creative Commons
Alice McGreevy, Marina Soley‐Bori, Florence Tydeman

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 3, 2024

Abstract Background: During the COVID-19 pandemic, maternity care reconfigurations disrupted in-person care, which shifted towards virtual and self-monitoring. We assessed impact of these changes on healthcare costs. Methods: Data from October 2018 to April 2023 were used population-based early-LIfe data cross-LInkage in Research-Born-in-South London (eLIXIR-BiSL) platform linking maternity, neonatal, mental three National Health Service (NHS) hospitals South London, United Kingdom. Pregnancy costs generated NHS perspective, using national unit individual-level use health, primary services. Interrupted time series analysis estimated pandemic monthly mother-newborn over time. Cross-sectional pre-pregnancy cost models isolated gestational diabetes (GDM) self-monitoring GDm-Health app. Findings: Among 36,895 pregnancies, trendline level dropped by 4% (£38, 95% confidence interval: [£10-65]), during first lockdown, £72 [36-108], when lockdowns lifted. However, pre-pandemic upward slope was unchanged (£0.46 [-2.93 3.84]). Monthly increased with lockdown for Black (£103 [26-181]) Asian women (£128 [38-218]) more slowly post-lockdown (-£12 [-23 -2]), women, remaining higher throughout women. A 1% increase associated a £7 [3-10] GDM via cost-neutral (£140 [-68 348]). Interpretation: The temporary reductions due lower utilisation. Ongoing, rising unchanged. had differential effects compared White. Further research is needed into clinical outcomes (associated costs) (cost-neutral). Funding: Institute Research (NIHR134293), Medical Council (MR/P003060/1, MR/X009742/1).

Language: Английский

The impact of the COVID-19 pandemic on maternal healthcare costs:a time series analysis of pregnancies of multi-ethnic mothers in South London, United Kingdom DOI Creative Commons
Alice McGreevy, Marina Soley‐Bori, Florence Tydeman

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: March 27, 2025

Abstract Background: Due to the COVID-19 pandemic, maternity care reconfigurations disrupted in-person care, which shifted towards virtual and self-monitoring. We assessed impact of these changes on service provision costs. Methods: Data from October 2018 April 2023 were used population-based early-LIfe data cross-LInkage in Research, Born South London (eLIXIR-BiSL) platform linking maternity, neonatal, mental healthcare three National Health Service (NHS) hospitals London, United Kingdom. Maternity costs generated NHS perspective, using national unit individual-level use health, primary services. Interrupted time series analysis estimated pandemic monthly mother-newborn over time. Cross-sectional pre-pregnancy cost models isolated gestational diabetes (GDM) self-monitoring GDm-Health app. Ethnic inequalities via interaction terms. Results: Among 36,895 pregnancies, level dropped by 4% (£-38, 95% confidence interval: [£-65 -10]), during first lockdown, 7.6% (-£72 [£-108 -36]), when lockdowns lifted compared with pre-pandemic period. However, slightly upward timeseries slope (£4 per month, [£0.30 £6.83]) was unchanged (£0.46 [£-2.93 3.84]). Monthly increased lockdown for Black (£103 [£26 181]) Asian women (£128 [£38 218]) more slowly post-lockdown (-£12 [£-23 -2]), women, remaining higher throughout White women. A 1% increase associated a £7 [£3 10] GDM cost-neutral (£140 [£-68 348]). Conclusions: The temporary reductions due lower utilisation. Ongoing, rising unchanged. had differential effects Further research is needed into clinical outcomes (associated costs) (cost-neutral).

Language: Английский

Citations

0
Oscillating autonomy: a grounded theory study of women’s experiences of COVID-19 infection during pregnancy, labour and birth, and the early postnatal period DOI Creative Commons
L. Peterson, Laura Bridle, Tisha Dasgupta

et al.

BMC Pregnancy and Childbirth, Journal Year: 2024, Volume and Issue: 24(1)

Published: July 29, 2024

Testing positive for COVID-19 was associated with higher rates of detrimental psycho-social and physical health outcomes. The pandemic caused unprecedented disruption to everyday life. This included major reconfiguration maternal, child, perinatal mental care services provision. study aimed investigate the experiences those who tested during pregnancy, labour birth, or early postnatal period. National on-line recruitment from across United Kingdom resulted in sixteen mothers being invited qualitative semi-structured interviews understand had been infected by Interviews were conducted, recorded, transcribed using video-conferencing software. A Grounded Theory approach used analyse data gathered pertaining women's their diagnosis theory 'Oscillating Autonomy – Losing Seeking Regain Control Striving Agency' developed, comprising three main themes: 'Anxious Anticipation: fear infection worse than itself'; 'Fluctuating Agency: What changed when took control'; 'Reclaiming Control: reassurance positivity'. whilst pregnant, period a perceived loss control. Those able regain that control felt more secure situation. Support paramount manage increased vulnerability, as achieved information seeking action including monitoring vaccination.

Language: Английский

Citations

1
The RESILIENT Study of post-pandemic maternity care planning: A qualitative research protocol for in-depth interview with women, partners, healthcare professionals, and policy makers. DOI Creative Commons
Sergio A. Silverio, Tisha Dasgupta, Abigail Easter

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: July 29, 2024

Abstract Maternity care is a core service provision of any healthcare system, delivering for women and birthing people, their wider family units. During the SARS-CoV-2 pandemic, much maternity was reconfigured with aim continuing which could not otherwise be re-scheduled or delayed, but in-line infection control measures instituted through social physical distancing. The RESILIENT Study designed to investigate impact COVID-19 pandemic pandemic-related reconfigurations delivery. It particularly concerned experiences minority ethnic groups those medical complexity. One our specific objectives during from perspective people; fathers, partners, non-gestational parents; professionals; policy makers use in-depth interviews. We will analyse data on virtual care, self-monitoring, vaccination (each using thematic framework analysis); care-seeking experience (using template building an ethical future grounded theory analysis). This focus this protocol. Our findings about receipt, provision, planning complement existing literature broad, on: individual patients, NHS providers, policies, society.

Language: Английский

Citations

1
Freedom for some, but not for Mum: the reproductive injustice associated with pandemic ‘Freedom Day’ for perinatal women in the United Kingdom DOI Creative Commons
Sergio A. Silverio, Elizabeth Harris, Leanne Jackson

et al.

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: Aug. 7, 2024

Introduction Healthcare services for pregnant and postpartum (‘perinatal’) women were reconfigured significantly at the advent duration of SARS-CoV-2 pandemic, despite United Kingdom announcing ‘Freedom Day’ on 19 July 2021 (whereafter all legal lockdown-related restrictions lifted), to maternity (antenatal, intrapartum, postnatal) remained. This study presents data from eight perinatal about their experiences psychosocial wellbeing care in post-‘Freedom epoch. Methods Semi-structured interviews conducted virtually, with recorded, transcribed, analysed by hand. Grounded theory analysis was employed final assessing reproductive injustice pandemic Day’. Results Analysing iteratively inductively led four emergent themes: ‘A Failing System, Women’; ‘Harm Caused a State Difference’; ‘The Privileges (Not Rights) Reproductive Autonomy, Agency, Advocacy’; ‘Worried Women Marginalised Mothers’. Together, these themes form some, but not Mum’. Discussion experienced lack high-quality reliable information vaccination against virus, changes to, decision-making surrounding, care. recognised healthcare professionals stretched that failing often reported hostility staff abandonment times when they unsure how navigate The most singular disparity between having accept continuing freedom whilst receiving (reckless) being enacted general public.

Language: Английский

Citations

1
The impact of the COVID-19 pandemic on maternal healthcare costs in a UK inner-city multi-ethnic population DOI Creative Commons
Alice McGreevy, Marina Soley‐Bori, Florence Tydeman

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 3, 2024

Abstract Background: During the COVID-19 pandemic, maternity care reconfigurations disrupted in-person care, which shifted towards virtual and self-monitoring. We assessed impact of these changes on healthcare costs. Methods: Data from October 2018 to April 2023 were used population-based early-LIfe data cross-LInkage in Research-Born-in-South London (eLIXIR-BiSL) platform linking maternity, neonatal, mental three National Health Service (NHS) hospitals South London, United Kingdom. Pregnancy costs generated NHS perspective, using national unit individual-level use health, primary services. Interrupted time series analysis estimated pandemic monthly mother-newborn over time. Cross-sectional pre-pregnancy cost models isolated gestational diabetes (GDM) self-monitoring GDm-Health app. Findings: Among 36,895 pregnancies, trendline level dropped by 4% (£38, 95% confidence interval: [£10-65]), during first lockdown, £72 [36-108], when lockdowns lifted. However, pre-pandemic upward slope was unchanged (£0.46 [-2.93 3.84]). Monthly increased with lockdown for Black (£103 [26-181]) Asian women (£128 [38-218]) more slowly post-lockdown (-£12 [-23 -2]), women, remaining higher throughout women. A 1% increase associated a £7 [3-10] GDM via cost-neutral (£140 [-68 348]). Interpretation: The temporary reductions due lower utilisation. Ongoing, rising unchanged. had differential effects compared White. Further research is needed into clinical outcomes (associated costs) (cost-neutral). Funding: Institute Research (NIHR134293), Medical Council (MR/P003060/1, MR/X009742/1).

Language: Английский

Citations

0