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Regional differences in the quality of maternal and neonatal care during the COVID-19 pandemic in Portugal: results from the IMAgiNE EURO study

2022-12Journal article Open access
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dc.contributor.authorIMAgiNE EURO study group
dc.contributor.authorCosta, Raquel
dc.contributor.authorBarata, Catarina
dc.contributor.authorDias, Heloísa
dc.contributor.authorRodrigues, Carina
dc.contributor.authorSantos, Teresa
dc.contributor.authorMariani, Ilaria
dc.contributor.authorCovi, Benedetta
dc.contributor.authorValente, Emanuelle Pessa
dc.contributor.authorLazzerini, Marzia
dc.contributor.authorĆerimagić, Amira
dc.contributor.authorDrandić, Daniela
dc.contributor.authorKurbanović, Magdalena
dc.contributor.authorVirginie, Rozée
dc.contributor.authorde La Rochebrochard, Elise
dc.contributor.authorLöfgren, Kristina
dc.contributor.authorMiani, Céline
dc.contributor.authorBatram-Zantvoort, Stephanie
dc.contributor.authorWandschneider, Lisa
dc.contributor.authorMorano, Sandra
dc.contributor.authorChertok, Ilana
dc.contributor.authorHefer, Emek
dc.contributor.authorArtzi-Medvedik, Rada
dc.contributor.authorPumpure, Elizabete
dc.contributor.authorRezeberga, Dace
dc.contributor.authorJansone-Šantare, Gita
dc.contributor.authorJakovicka, Dārta
dc.contributor.authorKnoka, Anna Regīna
dc.contributor.authorVilcāne, Katrīna Paula
dc.contributor.authorLiepinaitienė, Alina
dc.contributor.authorKondrakova, Andželika
dc.contributor.authorMizgaitienė, Marija
dc.contributor.authorJuciūtė, Simona
dc.contributor.authorArendt, Maryse
dc.contributor.authorTasch, Barbara
dc.contributor.authorNedberg, Ingvild Hersoug
dc.contributor.authorKongslien, Sigrun
dc.contributor.authorVik, Eline Skirnisdottir
dc.contributor.authorBaranowska, Barbara
dc.contributor.authorTataj-Puzyna, Urszula
dc.contributor.authorWęgrzynowska, Maria
dc.contributor.authorOtelea, Marina Ruxandra
dc.date.accessioned2023-01-11T14:07:59Z
dc.date.available2023-01-11T14:07:59Z
dc.date.issued2022-12
dc.description.abstractObjective: To compare women's perspectives on the quality of maternal and newborn care (QMNC) around the time of childbirth across Nomenclature of Territorial Units for Statistics 2 (NUTS-II) regions in Portugal during the COVID-19 pandemic. Methods: Women participating in the cross-sectional IMAgiNE EURO study who gave birth in Portugal from March 1, 2020, to October 28, 2021, completed a structured questionnaire with 40 key WHO standards-based quality measures. Four domains of QMNC were assessed: (1) provision of care; (2) experience of care; (3) availability of human and physical resources; and (4) reorganizational changes due to the COVID-19 pandemic. Frequencies for each quality measure within each QMNC domain were computed overall and by region. Results: Out of 1845 participants, one-third (33.7%) had a cesarean. Examples of high-quality care included: low frequencies of lack of early breastfeeding and rooming-in (8.0% and 7.7%, respectively) and informal payment (0.7%); adequate staff professionalism (94.6%); adequate room comfort and equipment (95.2%). However, substandard practices with large heterogeneity across regions were also reported. Among women who experienced labor, the percentage of instrumental vaginal births ranged from 22.3% in the Algarve to 33.5% in Center; among these, fundal pressure ranged from 34.8% in Lisbon to 66.7% in Center. Episiotomy was performed in 39.3% of noninstrumental vaginal births with variations between 31.8% in the North to 59.8% in Center. One in four women reported inadequate breastfeeding support (26.1%, ranging from 19.4% in Algarve to 31.5% in Lisbon). One in five reported no exclusive breastfeeding at discharge (22.1%; 19.5% in Lisbon to 28.2% in Algarve). Conclusion: Urgent actions are needed to harmonize QMNC and reduce inequities across regions in Portugal.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1002/ijgo.14507pt_PT
dc.identifier.eid85144292506
dc.identifier.issn0020-7292
dc.identifier.pmcPMC9878220
dc.identifier.pmid36530002
dc.identifier.urihttp://hdl.handle.net/10400.14/39811
dc.identifier.wos000905238400011
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectChildbirthpt_PT
dc.subjectCOVID-19pt_PT
dc.subjectIMAgiNE EUROpt_PT
dc.subjectMaternal carept_PT
dc.subjectNewborn carept_PT
dc.subjectPortugalpt_PT
dc.subjectQuality of carept_PT
dc.subjectRespectful maternity carept_PT
dc.titleRegional differences in the quality of maternal and neonatal care during the COVID-19 pandemic in Portugal: results from the IMAgiNE EURO studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage153pt_PT
oaire.citation.issueS1pt_PT
oaire.citation.startPage137pt_PT
oaire.citation.titleInternational Journal of Gynecology and Obstetricspt_PT
oaire.citation.volume159pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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