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Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: results of the IMAgiNE EURO study in 16 countries

2022Journal article Open access
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dc.contributor.authorIMAgiNE EURO study group
dc.contributor.authorLazzerini, Marzia
dc.contributor.authorValente, Emanuelle Pessa
dc.contributor.authorCovi, Benedetta
dc.contributor.authorRozée, Virginie
dc.contributor.authorCosta, Raquel
dc.contributor.authorOtelea, Marina Ruxandra
dc.contributor.authorAbderhalden-Zellweger, Alessia
dc.contributor.authorWęgrzynowska, Maria
dc.contributor.authorLinden, Karolina
dc.contributor.authorArendt, Maryse
dc.contributor.authorBrigidi, Serena
dc.contributor.authorMiani, Céline
dc.contributor.authorPumpure, Elizabete
dc.contributor.authorRadetic, Jelena
dc.contributor.authorDrandic, Daniela
dc.contributor.authorCerimagic, Amira
dc.contributor.authorNedberg, Ingvild Hersoug
dc.contributor.authorLiepinaitienė, Alina
dc.contributor.authorRodrigues, Carina
dc.contributor.authorde Labrusse, Claire
dc.contributor.authorBaranowska, Barbara
dc.contributor.authorZaigham, Mehreen
dc.contributor.authorCastañeda, Lara Martín
dc.contributor.authorBatram-Zantvoort, Stephanie
dc.contributor.authorJakovicka, Dārta
dc.contributor.authorRuzicic, Jovana
dc.contributor.authorJuciūtė, Simona
dc.contributor.authorSantos, Teresa
dc.contributor.authorGemperle, Michael
dc.contributor.authorTataj-Puzyna, Urszula
dc.contributor.authorElden, Helen
dc.contributor.authorMizgaitienė, Marija
dc.contributor.authorLincetto, Ornella
dc.contributor.authorSacks, Emma
dc.contributor.authorMariani, Ilaria
dc.date.accessioned2023-01-18T09:42:13Z
dc.date.available2023-01-18T09:42:13Z
dc.date.issued2022
dc.description.abstractObjective: To explore the quality of maternal and newborn care (QMNC) during the COVID-19 pandemic by facility type among 16 European countries, comparing rates of instrumental vaginal birth and cesarean. Methods: Women who gave birth in the WHO European Region from March 1, 2020, to February 7, 2022, answered a validated online questionnaire. Rates of instrumental birth, instrumental vaginal birth, and cesarean, and a QMNC index were calculated for births in public versus private facilities. Results: Responses from 25 206 participants were analyzed. Women giving birth in private compared with public facilities reported significantly more frequent total cesarean (32.5% vs 19.0%; aOR 1.70; 95% CI 1.52–1.90), elective cesarean (17.3% vs 7.8%; aOR 1.90; 95% CI 1.65–2.19), and emergency cesarean before labor (7.4% vs 3.9%; aOR 1.39; 95% CI 1.14–1.70) (P < 0.001 for all comparisons), with analyses by country confirming these results. QMNC index results were heterogeneous across countries and regions in the same country and were largely affected by geographical distribution of regions rather than by type of facility alone. Conclusion: The study confirms that births in private facilities have higher odds of cesarean. It also suggests that QMNC should be closely monitored in all facilities to achieve high-quality care, independent of facility type or geographical distribution. ClinicalTrials.gov Identifier: NCT04847336.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1002/ijgo.14458pt_PT
dc.identifier.eid85144411279
dc.identifier.issn0020-7292
dc.identifier.pmcPMC10108180
dc.identifier.pmid36530007
dc.identifier.urihttp://hdl.handle.net/10400.14/39910
dc.identifier.wos000905238400003
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectCOVID-19pt_PT
dc.subjectIMAgiNE EUROpt_PT
dc.subjectMaternalpt_PT
dc.subjectNewbornpt_PT
dc.subjectPrivatept_PT
dc.subjectPublicpt_PT
dc.subjectQuality of carept_PT
dc.subjectRespectful maternity carept_PT
dc.subjectWHO standardspt_PT
dc.titleRates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: results of the IMAgiNE EURO study in 16 countriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage38pt_PT
oaire.citation.issueS1pt_PT
oaire.citation.startPage22pt_PT
oaire.citation.titleInternational Journal of Gynecology and Obstetricspt_PT
oaire.citation.volume159pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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