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Chertok I, Artzi-Medvedik R, Arendt M, Sacks E, Otelea M, Rodrigues C, Costa R, Linden K, Zaigham M, Mariani I. Exclusive breastfeeding during the COVID-19 pandemic in 17 WHO European Region countries. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac129.190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Maternal experience of labour and delivery is multidimensional and is influenced by a variety of factors.
Aim
to report maternal childbirth experience as described by the women themselves during the COVID-19 pandemic in Sweden using a WHO Standards-based tool adapted for an online survey (Quality of maternal and newborn care-QMNC).
Methods
Women ≥ 18 years of age who gave birth from March 1, 2020 to June 30, 2021 were asked to give voluntary consent to participate in an online survey. The survey included 40 questions on four key domains: provision of care, experience of care, availability of human and physical resources and organisational changes due to COVID-19.
Results
5003 women were included in the analysis. Among those who underwent labour (n = 4528), 46.7% perceived a reduction in QMNC due to the COVID-19 pandemic, 50.7% were not allowed a companion of choice, 62.5% reported that health workers were not always using protective personal equipment and 36.5% rated the number of health workers as “insufficient”. Fundal pressure was applied in 22.2% of instrumental vaginal births and 36.8% received inadequate breastfeeding support. In addition, 18.4% of women did not feel treated with dignity and 6.9% reported some form of abuse. In general, findings were significantly worse among women who did not undergo labour (n = 475).
Conclusions
Swedish mothers’ satisfaction of care provided during childbirth was strongly influenced by many variables. Actions to promote high-quality, evidence-based, patient-centered respectful care for all mothers and newborns are urgently needed.
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Affiliation(s)
- I Chertok
- College of Health Sciences and Professions, Ohio University , Athens, USA
| | | | - M Arendt
- Beruffsverband vun den Laktatiounsberoderinne , Luxemburg, Luxembourg
| | - E Sacks
- Johns Hopkins University , Baltimore, USA
| | - M Otelea
- Carol Devila University of Medicine and Pharmacy , Bucharest, Romania
| | | | - R Costa
- EPIUnit, University of Porto , Porto, Portugal
- Hei-Lab, Lusofona University , Porto, Portugal
- IRT , Porto, Portugal
| | - K Linden
- University of Gothenburg , Gothenburg, Sweden
| | - M Zaigham
- Skane University Hospital, Lund University , Lund, Sweden
| | - I Mariani
- WHO Collaborating Centre, Institute for Maternal and Child Health IRCCS , Trieste, Italy
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Zaigham M, Holmberg A, Karlberg ML, Lindsjö OK, Jokubkiene L, Sandblom J, Strand AS, Andersson O, Hansson SR, Nord DG, Tannenberg P. Intrauterine vertical SARS-CoV-2 infection: a case confirming transplacental transmission followed by divergence of the viral genome. BJOG 2021; 128:1388-1394. [PMID: 33638908 PMCID: PMC8013698 DOI: 10.1111/1471-0528.16682] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/09/2021] [Indexed: 12/12/2022]
Abstract
This article includes Author Insights, a video abstract available at https://vimeo.com/bjog/authorinsights16682
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Affiliation(s)
- M Zaigham
- Obstetrics & Gynaecology, Department of Clinical Sciences Malmö, Skåne University Hospital, Lund University, Lund, Sweden
| | - A Holmberg
- Division of Infection Medicine, Department of Clinical Sciences Lund, Skåne University Hospital, Lund University, Lund, Sweden.,Department of Infection Control, Region Skåne, Lund, Sweden
| | - M L Karlberg
- Unit for Laboratory Development and Technology Transfer, Public Health Agency of Sweden, Stockholm, Sweden
| | - O K Lindsjö
- Unit for Laboratory Development and Technology Transfer, Public Health Agency of Sweden, Stockholm, Sweden
| | - L Jokubkiene
- Obstetrics & Gynaecology, Department of Clinical Sciences Malmö, Skåne University Hospital, Lund University, Lund, Sweden
| | - J Sandblom
- Neonatology, Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Malmö, Sweden
| | - A S Strand
- Department of Clinical Microbiology, Lund University and Regional Laboratories, Lund, Sweden
| | - O Andersson
- Neonatology, Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Malmö, Sweden
| | - S R Hansson
- Obstetrics & Gynaecology, Department of Clinical Sciences Lund, Skåne University Hospital, Lund University, Lund, Sweden
| | - D G Nord
- Clinical Genetics and Pathology, Laboratory Medicine, Skåne University Hospital, Lund, Sweden.,Division of Clinical Genetics, Department of Laboratory Medicine, Lund University, Lund, Sweden
| | - P Tannenberg
- Department of Paediatrics, Skåne University Hospital, Malmö, Sweden.,Paediatric Cardiology, Department of Clinical Sciences Lund, Skåne University Hospital, Lund University, Lund, Sweden
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