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Trends in the quality of maternal and neonatal care in Sweden and Norway as com...

Zaigham, M; Linden, K; Elden, H; Delle Vedove, S; Mariani, I; Kongslien, S; Drandić, D; Pumpure, E; Drglin, Z; Costa, R; Sarantaki, A; de Labrusse, C

"Introduction: Maternal-neonatal healthcare services were severely disrupted during the COVID-19 pandemic in even high-income countries within the World Health Organization (WHO) European Region. The objective of this study was to compare trends in the quality of maternal and neonatal care (QMNC) in Sweden and Norway to 12 other countries from the WHO European Region during the COVID-19 pandemic, and to identif...


Health workers’ perspectives on the quality of maternal and newborn health care...

Valente, EP; Mariani, I; Bomben, A; Morano, S; Gemperle, M; Otelea, MR; Miani, C; Elden, H; Sarantaki, A; Costa, R; Baranowska, B; König-Bachmann, M

Background Health workers’ (HWs’) perspectives on the quality of maternal and newborn care (QMNC) are not routinely collected. In this cross-sectional study, we aimed to document HWs’ perspectives on QMNC around childbirth in 12 World Health Organization (WHO) European countries. Methods HWs involved in maternal/neonatal care for at least one year between March 2020 and March 2023 answered an online validated W...


Quality of maternal and newborn care around the time of childbirth for migrant ...

Costa, R; Rodrigues, C; Dias, H; Covi, B; Mariani, I; Valente, EP; Zaigham, M; Vik, ES; Grylka-Baeschlin, S; Arendt, M; Santos, T; Wandschneider, L

Objective: To describe the perception of quality of maternal and newborn care (QMNC) around the time of childbirth among migrant and nonmigrant women in Europe. Methods: Women who gave birth at a health facility in 11 countries of the WHO European Region from March 2020 to July 2021 were invited to answer an online questionnaire including demographics and childbirth experience. Data were analyzed and compared f...


Quality of facility-based maternal and newborn care around the time of childbir...

Lazzerini, M; Covi, B; Mariani, I; Drglin, Z; Arendt, M; Nedberg, IH; Elden, H; Costa, R; Drandić, D; Radetić, J; Otelea, MR; Miani, C; Brigidi, S

Background Multi-country studies assessing the quality of maternal and newborn care (QMNC) during the COVID-19 pandemic, as defined by WHO Standards, are lacking. Methods Women who gave birth in 12 countries of the WHO European Region from March 1, 2020 - March 15, 2021 answered an online questionnaire, including 40 WHO Standard-based Quality Measures. Findings 21,027 mothers were included in the analysis. Amon...


Individual and country-level variables associated with the medicalization of bi...

Miani, C; Wandschneider, L; Batram-Zantvoort, S; Covi, B; Elden, H; Nedberg, IH; Drglin, Z; Pumpure, E; Costa, R; Rozée, V; Otelea, M; Drandić, D

Objective: To investigate potential associations between individual and country-level factors and medicalization of birth in 15 European countries during the COVID-19 pandemic. Methods: Online anonymous survey of women who gave birth in 2020–2021. Multivariable multilevel logistic regression models estimating associations between indicators of medicalization (cesarean, instrumental vaginal birth [IVB], episioto...


Rates of instrumental vaginal birth and cesarean and quality of maternal and ne...

Lazzerini, M; Valente, EP; Covi, B; Rozée, V; Costa, R; Otelea, MR; Abderhalden-Zellweger, A; Węgrzynowska, M; Linden, K; Arendt, M; Brigidi, S

Objective: 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 cesarea...


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