Birth,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 4, 2025
Mitigation
measures
implemented
in
response
to
the
COVID-19
pandemic
led
significant
changes
maternity
care
across
Europe,
including
restrictions
on
companions
during
labor
and
birth.
This
cross-sectional
study
explores
association
between
presence
of
a
companion
choice
positive
perception
birth
experience.
Additionally,
it
health
professionals'
attention,
assistance,
availability
We
utilized
structured,
validated
online
questionnaire,
available
25
languages,
assess
quality
maternal
from
women's
perspectives.
conducted
logistic
regression
explore
associations
variables
related
choice,
availability,
perceptions
birth,
when
controlled
for
confounders,
mode
medical
interventions.
Responses
48,039
women
20
countries
WHO
European
Region
were
included.
Always
having
(aOR:
2.11)
always
receiving
adequate
professionals
(assistance
aOR:
2.12,
attention
36.64,
2.12)
associated
with
perception.
Instrumental
births
0.76),
episiotomies
0.74),
fundal
pressure
0.52),
cesarean
(planned
0.80,
unplanned
prelabor
0.60,
in-labor
0.52)
less
perceptions.
highlights
critical
role
chosen
promoting
perceptions,
even
times
crisis
such
as
pandemic.
Ensuring
comprehensive
professional
support
is
crucial
delivering
high-quality,
respectful
care.
Journal of Patient Safety,
Journal Year:
2023,
Volume and Issue:
19(3), P. 166 - 172
Published: Jan. 14, 2023
Objective
This
study
aimed
to
explore
the
association
of
nurses’
perceptions
patient
safety
climate
with
missed
nursing
care
in
labor
and
delivery
(L&D)
units.
Methods
We
recruited
nurse
respondents
via
email
distribution
an
electronic
survey
between
February
2018
July
2019.
Hospitals
L&D
units
were
from
states
projected
availability
state
inpatient
data
United
States.
Measures
included
Safety
Attitudes
Questionnaire
Climate
Subscale
Perinatal
Missed
Care
Survey.
estimated
relationship
using
Kruskal-Wallis
tests
mixed-effects
linear
regression.
Results
The
analytic
sample
3429
registered
nurses
253
hospitals
(response
rate,
35%).
A
majority
(65.7%)
reported
a
perception
good
their
units,
mean
score
4.12
(±0.73)
out
5.
number
aspects
occasionally,
frequently,
or
always
on
respondents’
was
11.04
(±6.99)
25.
χ
2
Tests
showed
that
six
mostly
commonly
(e.g.,
timely
documentation)
three
reasons
for
(communications,
material
resources,
resources)
associated
groups
(
P
<
0.001).
adjusted
model
identified
significant
better
nurse-perceived
less
β
=
−2.65;
95%
confidence
interval,
−2.97
−2.34;
0.001)
after
controlling
years
experience
highest
education.
Conclusions
Our
findings
suggest
improving
climate—for
example,
through
teamwork
communication—may
improve
quality
during
birth
decreasing
care.
Conversely,
it
is
also
possible
strategies
reduce
care—such
as
staffing
improvements—may
climate.
International Journal of Environmental Research and Public Health,
Journal Year:
2022,
Volume and Issue:
19(20), P. 13000 - 13000
Published: Oct. 11, 2022
Maternity
services
cannot
be
postponed
due
to
the
nature
of
this
service,
however,
pandemic
resulted
in
wide-ranging
and
significant
changes
working
practices
services.
This
paper
aims
describe
UK
midwives’
experiences
during
COVID-19
pandemic.
study
forms
part
a
larger
multiple
phase
research
project
using
cross-sectional
design
based
on
an
online
survey.
The
survey
used
validated
psychometric
tools
measure
work-related
quality
life,
wellbeing,
coping,
burnout
as
well
open-ended
questions
further
understand
staff
reports
qualitative
data
collected
from
questions.
were
subjected
thematic
analysis
four
main
themes
that
emerged
‘relentless
stress/pressure’,
‘reconfiguration
services’,
‘protection
self
others’,
‘workforce
challenges’.
key
conclusions
midwives
experienced
reduction
life
stress
throughout
range
factors
including
staffing
shortages,
restrictions
placed
women’s
partners,
management
support,
all
which
compounded
workforce
pressures
existed
prior
recommends
consultation
front-line
relation
possible
practice
planning
preparation
for
crises
such
ensure
equitable
supportive
with
access
practical
psychological
support.
Frontiers in Global Women s Health,
Journal Year:
2024,
Volume and Issue:
5
Published: Nov. 28, 2024
During
the
COVID-19
pandemic,
there
was
substantial
reconfiguration
of
maternity
care
services,
affecting
both
users
and
healthcare
providers
(HCPs),
in
United
Kingdom
(UK)
globally.
Enfermería Clínica,
Journal Year:
2023,
Volume and Issue:
33(6), P. 380 - 390
Published: Oct. 26, 2023
Explorar
las
experiencias
de
matronas/es
atención
primaria
salud
(APS)
con
la
implementación
telemedicina
en
al
embarazo
y
puerperio
durante
pandemia
por
COVID-19.
Estudio
cualitativo
exploratorio
basado
análisis
contenido
inductivo
15
entrevistas
semiestructuradas
realizadas
a
APS
2021-2022,
seleccionadas
intencionalmente
cuatro
comunidades
autónomas
españolas.
Resultados
Se
identificaron
cinco
categorías:
1)
cambios
modalidad
el
puerperio:
priorización
mujeres
embarazadas,
desprotegido,
aumento
visitas
domiciliarias
declive
los
grupos
educación
parental;
2)
un
escenario
cambiante:
lado
positivo
negativo
telemedicina;
3)
reacción
ante
4)
estrategias
implementadas
matronas
para
cuidado
humanizado,
5)
aprendizajes
futuro.
El
uso
parte
posibilitó
embarazadas
puérperas
España.
Los
aspectos
positivos
puesta
marcha
este
tipo
plantean
posibilidades
cambio
hacia
formato
híbrido
sanitaria.
To
explore
the
experiences
of
primary
healthcare
(PHC)
midwives
with
implementation
telemedicine
in
pregnancy
and
puerperium
care
during
COVID-19
pandemic.
Exploratory
qualitative
study
based
on
an
inductive
content
analysis
semi-structured
interviews
intentionally
selected
PHC
four
Spanish
Autonomous
Regions,
2021-2022.
Five
categories
were
identified:
(1)
changes
modality
puerperium:
prioritization
pregnant
women,
unprotected
puerperium,
increase
home
visits
decline
parental
education
groups;
(2)
changing
scenario:
positive
negative
side
telemedicine;
(3)
reaction
women
to
(4)
strategies
implemented
by
for
humanized
care,
(5)
learning
future.
The
use
enabled
postpartum
pandemic
Spain.
aspects
this
type
raise
possibilities
change
towards
hybrid
format
healthcare.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: March 26, 2024
Objectives
To
examine
quality
of
maternal
and
newborn
care
(QMNC)
around
childbirth
in
facilities
Belgium
during
the
COVID-19
pandemic
trends
over
time.
Design
A
cross-sectional
observational
study.
Setting
Data
IMAgiNE
EURO
study
Belgium.
Participants
Women
giving
birth
a
Belgian
facility
from
March
1,
2020,
to
May
2023,
responded
validated
online
questionnaire
based
on
40
WHO
standards-based
measures
organised
four
domains:
provision
care,
experience
availability
resources,
organizational
changes
related
COVID-19.
Primary
secondary
outcome
Quantile
regression
analysis
was
performed
assess
predictors
QMNC;
time
were
tested
with
Mann-Kendall
test.
Results
897
women
included
analysis,
67%(n=601)
spontaneous
vaginal
birth,
13.3%(n=119)
instrumental
19.7%(n=177)
cesarean
section.
We
found
high
QMNC
scores
but
also
specific
gaps
all
domains
QMNC.
On
21.0%(n=166)
who
experienced
labor
14.7%(n=26)
reported
inadequate
pain
relief;
64.7%(n=74)
an
fundal
pressure
72.3%
(n=86)
that
forceps
or
vacuum
cup
used
without
their
consent.
31.1%(n=279)
unclear
communication,
32.9%(n=295)
they
not
involved
choices,11.5%(n=104)
stated
being
treated
dignity
8.1%(n=73)
abuse.
Related
almost
half
number
healthcare
professionals
(46.2%,
n=414).
The
multivariable
analyses
showed
significantly
lower
for
birth.
Over
there
significant
increase
score
‘experience
care’
‘key
due
COVID-19’.
Conclusions
relevance
Although
overall
high,
findings
suggest
Underlying
causes
these
should
be
explored
design
appropriate
interventions
policies.
Women s Health,
Journal Year:
2024,
Volume and Issue:
20
Published: Jan. 1, 2024
The
COVID-19
pandemic,
drought
and
internal
conflict
have
worsened
Ethiopia's
already
weak
healthcare
system.
Antenatal
intrapartum
care
are
especially
prone
to
interruption
under
these
circumstances.
BMJ Open,
Journal Year:
2024,
Volume and Issue:
14(12), P. e086937 - e086937
Published: Dec. 1, 2024
Objectives
To
examine
quality
of
maternal
and
newborn
care
(QMNC)
around
childbirth
in
facilities
Belgium
during
the
COVID-19
pandemic
trends
over
time.
Design
A
cross-sectional
observational
study.
Setting
Data
Improving
MAternal
Newborn
carE
EURO
region
study
Belgium.
Participants
Women
giving
birth
a
Belgian
facility
from
1
March
2020
to
May
2023
responded
validated
online
questionnaire
based
on
40
WHO
standards-based
measures
organised
four
domains:
provision
care,
experience
availability
resources
organisational
changes
related
COVID‐19.
Primary
secondary
outcome
Quantile
regression
analysis
was
performed
assess
predictors
QMNC;
time
were
tested
with
Mann‐Kendall
test.
Results
897
women
included
analysis,
67%
(n=601)
spontaneous
vaginal
birth,
13.3%
(n=119)
instrumental
(IVB)
19.7%
(n=177)
caesarean
section.
We
found
overall
high
QMNC
scores
(median
index
scores>75)
but
also
specific
gaps
all
domains
QMNC.
On
21.0%
(n=166)
who
experienced
labour
reported
inadequate
pain
relief,
64.7%
(n=74)
an
fundal
pressure
72.3%
(n=86)
that
forceps
or
vacuum
cup
used
without
their
consent.
31.1%
(n=279)
unclear
communication,
32.9%
(n=295)
they
not
involved
choices,11.5%
(n=104)
stated
being
treated
dignity
8.1%
(n=73)
abuse.
Related
resources,
almost
half
number
healthcare
professionals
(46.2%,
n=414).
Multivariable
analyses
showed
significantly
lower
for
IVB
(−20.4
50th
percentile
p<0.001
95%
CI
(−25.2
−15.5)).
Over
time,
there
significant
increase
Score
‘experience
care’
‘key
due
COVID-19’
(trend
test
p<
0.05).
Conclusions
relevance
Our
several
Belgium,
underlying
causes
these
should
be
explored
design
appropriate
interventions
policies.
Trial
registration
NCT04847336
.
Journal of Midwifery and Health Sciences,
Journal Year:
2024,
Volume and Issue:
7(2), P. 260 - 271
Published: July 5, 2024
Objective:
This
research
was
conducted
to
determine
the
experiences
of
women
in
perinatal
period
regarding
maternal
health
services
during
COVID-19
pandemic.
Methods:
is
a
qualitative
descriptive
study.
The
study
included
19
who
were
Data
collected
using
semi-structured
interview
questions.
Results:
In
this
study,
data
obtained
divided
into
three
themes:
first-
toward
changing
services,
second
-
results
lack
and
third
suggestions
facilitate
accessibility
services.
Conclusion:
Access
pandemic
should
be
evaluated
access
ensured
by
developing
implementing
new
strategies
with
contribution
community
midwives
while
addressing
situations
that
prevent
these
Enfermería Clínica (English Edition),
Journal Year:
2023,
Volume and Issue:
33(6), P. 380 - 390
Published: Oct. 28, 2023
To
explore
the
experiences
of
primary
healthcare
(PHC)
midwives
with
implementation
telemedicine
in
pregnancy
and
puerperium
care
during
Covid-19
pandemic.Exploratory
qualitative
study
based
on
an
inductive
content
analysis
15
semi-structured
interviews
intentionally
selected
PHC
four
Spanish
Autonomous
Regions,
2021-22.Five
categories
were
identified:
(1)
changes
modality
puerperium:
prioritization
pregnant
women,
unprotected
puerperium,
increase
home
visits
decline
parental
education
groups,
(2)
a
changing
scenario:
positive
negative
side
(3)
reaction
women
to
(4)
strategies
implemented
by
for
humanized
care,
(5)
learning
future.The
use
enabled
postpartum
pandemic
Spain.
The
aspects
this
type
raise
possibilities
change
towards
hybrid
format
healthcare.