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
{"title":"德语国家妇女对 COVID-19 大流行期间孕产妇和新生儿护理质量的看法：IMAgiNE EURO 项目比较德国、瑞士和奥地利数据的结果","authors":"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","doi":"10.1016/j.midw.2024.104209","DOIUrl":null,"url":null,"abstract":"<div><h3>Problem</h3><div>Restrictions during the COVID-19 pandemic compromised maternal and newborn care.</div></div><div><h3>Background</h3><div>Countries in the German speaking area share several clinical care guidelines but differed significantly in the strictness of COVID-19 protective measures.</div></div><div><h3>Aim</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Findings</h3><div>Out of a total of 70,721 women accessing the online questionnaire, 1,875 were included (Germany: <em>n</em> = 1,053, Switzerland: <em>n</em> = 494, Austria: <em>n</em> = 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 <em>r</em> = 0.33 and <em>r</em> = 0.62, <em>p</em> < 0.001 for all correlations).</div></div><div><h3>Discussion</h3><div>Midwives and other health professional should pay particular attention to the provision of respectful, high-quality care.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"140 ","pages":"Article 104209"},"PeriodicalIF":2.6000,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"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\",\"authors\":\"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\",\"doi\":\"10.1016/j.midw.2024.104209\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Problem</h3><div>Restrictions during the COVID-19 pandemic compromised maternal and newborn care.</div></div><div><h3>Background</h3><div>Countries in the German speaking area share several clinical care guidelines but differed significantly in the strictness of COVID-19 protective measures.</div></div><div><h3>Aim</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Findings</h3><div>Out of a total of 70,721 women accessing the online questionnaire, 1,875 were included (Germany: <em>n</em> = 1,053, Switzerland: <em>n</em> = 494, Austria: <em>n</em> = 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 <em>r</em> = 0.33 and <em>r</em> = 0.62, <em>p</em> < 0.001 for all correlations).</div></div><div><h3>Discussion</h3><div>Midwives and other health professional should pay particular attention to the provision of respectful, high-quality care.</div></div><div><h3>Conclusion</h3><div>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.</div></div>\",\"PeriodicalId\":18495,\"journal\":{\"name\":\"Midwifery\",\"volume\":\"140 \",\"pages\":\"Article 104209\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-10-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Midwifery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0266613824002924\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Midwifery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0266613824002924","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
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
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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