Experiences of Dutch maternity care professionals during the first wave of COVID-19 in a community based maternity care system

Author:

van Manen Eline L. M.ORCID,Hollander Martine,Feijen-de Jong Esther,de Jonge Ank,Verhoeven Corine,Gitsels JannekeORCID

Abstract

Background and objective During the COVID-19 pandemic the organization of maternity care changed drastically; this study into the experiences of maternity care professionals with these changes provides suggestions for the organization of care during and after pandemics. Design An online survey among Dutch midwives, obstetricians and obstetric residents. Multinomial logistic regression analyses were used to investigate associations between the respondents’ characteristics and answers. Results Reported advantages of the changes were fewer prenatal and postpartum consultations (50.1%). The necessity and safety of medical interventions and ultrasounds were considered more critically (75.9%); 14.8% of community midwives stated they referred fewer women to the hospital for decreased fetal movements, whereas 64.2% of the respondents working in hospital-based care experienced fewer consultations for this indication. Respondents felt that women had more confidence in giving birth at home (57.5%). Homebirths seemed to have increased according to 38.5% of the community midwives and 65.3% of the respondents working in hospital-based care. Respondents appreciated the shift to more digital consultations rather than face-to-face consultations. Mentioned disadvantages were that women had appointments alone, (71.1%) and that the community midwife was not allowed to join a woman to obstetric-led care during labour and subsequently stay with her (56.8%). Fewer postpartum visits by family and friends led to more tranquility (59.8%). Overall, however, 48.0% of the respondents felt that the safety of maternity care was compromised due to policy changes. Conclusions Maternity care professionals were positive about the decrease in routine care and the increased confidence of women in home birth, but also felt that safety in maternity care was sometimes compromised. According to the respondents in a future crisis situation it should be possible for community midwives to continue to deliver a personal handover after the referral of women to the hospital, and to stay with them.

Publisher

Public Library of Science (PLoS)

Subject

Multidisciplinary

Reference41 articles.

1. RIVM. Actuele informatie over het nieuwe coronavirus (COVID-19) 2020 [https://www.rivm.nl/coronavirus-covid-19/actueel.

2. NZa. Aanvullende maatregelen noodzakelijk om zorg voor corona- en niet-coronapatiënten toegankelijk te houden 2020 [https://www.nza.nl/actueel/nieuws/2020/12/15/aanvullende-maatregelen-noodzakelijk-om-zorg-voor-covid--en-non-covid-patienten-toegankelijk-te-houden.

3. Perined. 2020. Perinatale zorg in Nederland anno 2019: landelijke perinatale cijfers en duiding. Utrecht.

4. Opinions of maternity care professionals and other stakeholders about integration of maternity care: a qualitative study in the Netherlands;H Perdok;BMC pregnancy and childbirth,2016

5. KNOV. KNOV-standaard: Prenatale verloskundige begeleiding. 2008.

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