Women ‘s perception on the quality of maternal and newborn care during the COVID-19 pandemic in German-speaking countries: Findings from the IMAgiNE EURO project comparing data from Germany, Switzerland and Austria
Susanne Grylka-Baeschlin , Michael Gemperle , Ilaria Mariani , Alessia Abderhalden-Zellweger , Céline Miani , Christoph Zenzmaier , Antonia Nathalie Mueller , Stephanie Batram-Zantvoort , Martina Koenig-Bachmann , Claire De Labrusse , Maryse Arendt , Stefano Delle Vedove , Anouck Pfund , Imola Simon , Emanuelle Pessa Valente , Marzia Lazzerini , IMAgiNE Euro Study Group
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Abstract
Problem
Restrictions during the COVID-19 pandemic compromised maternal and newborn care.
Background
Countries in the German speaking area share several clinical care guidelines but differed significantly in the strictness of COVID-19 protective measures.
Aim
To investigate the quality of maternal and newborn care (QMNC) during the COVID-19 pandemic in the German-speaking area and explore associations between the reorganisational changes due to COVID-19 and QMNC, as described with WHO Standards-based Quality Measures.
Methods
As part of the IMAgiNE EURO study (ClinicalTrials.gov: NCT04847336), we conducted an online survey on the QMNC in the German-speaking area, including women who gave birth in Germany, Switzerland, and Austria. Descriptive statistics, Spearman rank correlation coefficient and multivariable quantile regression were used.
Findings
Out of a total of 70,721 women accessing the online questionnaire, 1,875 were included (Germany: n = 1,053, Switzerland: n = 494, Austria: n = 328). Significant differences across countries were found in Quality Measures. In Switzerland, women scored Quality Measures more favourable than in Germany and Austria in all four sub-indexes of QMNC. In Austria, Quality Measures gaps in the sub-index ‘Experience of care’ were higher. The sub-index ‘Reorganisational changes due to COVID-19′ correlated weakly to strongly with the other sub-indexes (between r = 0.33 and r = 0.62, p < 0.001 for all correlations).
Discussion
Midwives and other health professional should pay particular attention to the provision of respectful, high-quality care.
Conclusion
To effectively improve QMNC, further research is essential to monitor the quality of care and develop targeted interventions beyond the COVID-19 pandemic addressing inherent challenges in the organisation and delivery of care.
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