Importance of Quality of Maternal and Newborn Care in Childbirth: Findings Over Time of the Imagine Euro Study on 40 WHO Standard-Based Quality Measures During the COVID-19 Pandemic in Latvia

Author:

Knoka Anna Regīna1,Pumpure Elizabete23,Matroze Asnate1,Jakovicka Dārta1,Mariani Ilaria4,Vaska Agnija1,Covi Benedetta4,Valente Emanuelle Pessa4,Jansone-Šantare Gita23,Vilcāne Katrīna Paula5,Rezeberga Dace136,Lazzerini Marzia4

Affiliation:

1. Faculty of Medicine , Rīga Stradiņš University , 16 Dzirciema Str ., Rīga , , Latvia

2. Department of Obstetrics and Gynecology , Rīga Stradiņš University , 45 Miera Str ., Rīga , , Latvia

3. Rīga Maternity Hospital , 45 Miera Str ., Rīga , , Latvia

4. WHO Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo , Trieste, Via dell’Istria 65/1, 34137 , Italy

5. Faculty of Public Health and Social Welfare , Rīga Stradiņš University , 16 Dzirciema Str ., Rīga , , Latvia

6. Rīga East University Hospital , 2 Hipokrāta Str ., Rīga , , Latvia

Abstract

Abstract The objectives of the study were to investigate the quality of maternal and newborn care (QMNC) from the view of mothers who gave birth in a healthcare facility during the COVID-19 pandemic in Latvia. An online questionnaire survey was conducted in Latvia from 1 March 2020 to 28 October 2021, which was based on 40 World Health Organisation (WHO) Standard-based Quality measures. In addition, descriptive and multivariate quantile regression analyses were performed to compare the years 2020 and 2021. A total of 2079 women participated in the study, of whom 833 gave birth in 2020 — of them, 648 had a vaginal delivery, and 185 had a cesarean section, and 1205 women gave birth in 2021, 979 with a vaginal delivery, and 226 with a cesarean section. A lower QMNC during the COVID-19 pandemic was reported by 29.8% and 24.5% of respondents in 2020 and 2021. The total QMNC Index was notably higher in 2021 compared to 2020. This study showed essential gaps in the QMNC in Latvia perceived by mothers, while observing a slight increase in quality in 2021. Therefore, strategies to improve mothers’ and newborns’ health care should be introduced as soon as possible.

Publisher

Walter de Gruyter GmbH

Reference26 articles.

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5. Lazdane, G., Rezeberga, D., Briedite, I., Olsena, S., Pumpure, E., Kantāne, I., Pitkevica, I., Gravina, M. L., Mihailova, D. (2021). Seksuālās un reproduktīvās veselības aprūpes pakalpojumu pieejamība un iedzīvotāju riska uzvedība COVID-19 laikā [Sexual and Reproductive health care service availability and the populations risk behaviour during COVID-19]. Latvian Council of Science. https://lzp.gov.lv/wp-content/uploads/2021/06/Zinojums_SRV_COVID-19_publicesanai.pdf (accessed 29.07.2022) (in Latvian).

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