Community postnatal care delivery in England since Covid-19: A qualitative study of midwifery leaders’ perspectives and strategies DOI Creative Commons
Fiona Cross‐Sudworth, Beck Taylor, Sara Kenyon

et al.

Women and Birth, Journal Year: 2023, Volume and Issue: 37(1), P. 240 - 247

Published: Oct. 29, 2023

COVID-19 impacted negatively on maternity care experiences of women and staff. Understanding the emergency response is key to inform future plans.

Language: Английский

The Association Between Women's Perception of Birth During the Pandemic, Companion of Choice and Support From Health Professionals: A Cross‐Sectional Study in 20 Countries in the WHO European Region DOI Creative Commons
Stephanie Batram‐Zantvoort, Céline Miani, Ilaria Mariani

et al.

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.

Language: Английский

Citations

0

Linking Patient Safety Climate With Missed Nursing Care in Labor and Delivery Units: Findings From the LaborRNs Survey DOI
Jie Zhong, Kathleen Rice Simpson, Joanne Spetz

et al.

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.

Language: Английский

Citations

7

Self-Reported Experiences of Midwives Working in the UK across Three Phases during COVID-19: A Cross-Sectional Study DOI Open Access
Susan McGrory, Ruth D. Neill, Patricia Gillen

et al.

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.

Language: Английский

Citations

11

Healthcare providers’ experiences of maternity care service delivery during the COVID-19 pandemic in the United Kingdom: a follow-up systematic review and qualitative evidence synthesis DOI Creative Commons
Tisha Dasgupta,

Emily Bousfield,

Yadunath Pathak

et al.

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.

Language: Английский

Citations

2

Percepciones de matronas de Atención Primaria sobre el uso de la telemedicina durante la pandemia COVID-19 en España DOI Creative Commons
Mariana Loézar-Hernández, Erica Briones‐Vozmediano, Montserrat Gea‐Sánchez

et al.

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.

Citations

1

Quality of Care at childbirth during the COVID-19 pandemic: findings of the IMAgiNE EURO study in Belgium DOI Open Access
Anna Galle,

Silke D’Hauwers,

Helga Berghman

et al.

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.

Language: Английский

Citations

0

Women’s experiences of receiving antenatal and intrapartum care during COVID-19 at public hospitals in the Sidama region, Ethiopia: A qualitative study using the combination of three delay and social-ecological framework (hybrid framework) DOI Creative Commons
Zemenu Yohannes Kassa, Vanessa Scarf, Sabera Turkmani

et al.

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.

Language: Английский

Citations

0

Quality of care at childbirth during the COVID-19 pandemic in Belgium: a cross-sectional study based on WHO standards DOI Creative Commons
Anna Galle,

Helga Berghman,

Silke D’Hauwers

et al.

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 .

Language: Английский

Citations

0

The Experiences of Women in The Perinatal Period Regarding Maternal Health Services: A Qualitative Study During The Covıd-19 Pandemic DOI Creative Commons
Meltem Aydın Beşen, Gözde Gökçe İşbir

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

Language: Английский

Citations

0

Primary health care midwives’ perceptions on the use of telemedicine during the COVID-19 pandemic in Spain DOI Creative Commons
Mariana Loézar-Hernández, Erica Briones‐Vozmediano, Montserrat Gea‐Sánchez

et al.

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.

Language: Английский

Citations

0