Quality of maternal and newborn care in Switzerland during the COVID-19 pandemic : a cross-sectional study based on WHO quality standards

de Labrusse, Claire; Abderhalden-Zellweger, Alessia; Mariani, Ilaria; Pfund, Anouck; Gemperle, Michael; Grylka-Baeschlin, Susanne; Müller, Antonia N.; Valente, Emanuelle Pessa; Covi, Benedetta; Lazzerini, Marzia

doi:10.1002/ijgo.14456

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-26523

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Quality of maternal and newborn care in Switzerland during the COVID-19 pandemic : a cross-sectional study based on WHO quality standards
Authors:	de Labrusse, Claire Abderhalden-Zellweger, Alessia Mariani, Ilaria Pfund, Anouck Gemperle, Michael Grylka-Baeschlin, Susanne Müller, Antonia N. Valente, Emanuelle Pessa Covi, Benedetta Lazzerini, Marzia
et. al:	No
DOI:	10.1002/ijgo.14456 10.21256/zhaw-26523
Published in:	International Journal of Gynecology & Obstetrics
Volume(Issue):	159
Issue:	S1
Page(s):	70
Pages to:	84
Issue Date:	Dec-2022
Publisher / Ed. Institution:	Wiley
ISSN:	0020-7292 1879-3479
Language:	English
Subjects:	COVID-19; IMAgiNE EURO; Switzerland; WHO standard; Maternal health; Maternity service; Mode of birth; Quality of care
Subject (DDC):	618: Gynecology, obstetrics and midwifery
Abstract:	Objective: To explore quality of maternal and newborn care (QMNC) in healthcare facilities during the COVID-19 pandemic in Switzerland. Methods: Women giving birth in Switzerland answered a validated online questionnaire including 40 WHO standards-based quality measures. QMNC score was calculated according to linguistic region and mode of birth. Differences were assessed using logistic regression analysis adjusting for relevant variables. Results: A total of 1175 women were included in the analysis. Limitations in QMNC during the pandemic were reported by 328 (27.9%) women. Several quality measures, such as deficient communication (18.0%, n = 212), insufficient number of healthcare professionals (19.7%, n= 231), no information on the newborn after cesarean (26.5%, n = 91) or maternal and newborn danger signs (34.1%, n = 401 and 41.4% n = 4 87, respectively) suggested preventable gaps in QMNC. Quality measures significantly differed by linguistic region and mode of birth. Multivariate analysis established a significantly lower QMNC for women in French- and Italian-speaking regions compared with the German-speaking region. Moreover, in several quality indicators reflecting communication with healthcare providers, women who did not answer the questionnaire in one of the Swiss national languages had significantly worse scores than others. A significant lower QMNC was also found for young and primiparous women and for those who experienced cesarean or instrumental vaginal birth. Conclusion: Women giving birth in Switzerland during the pandemic reported notable gaps in QMNC. Providers should be attuned to women who are younger, primiparous, and those who had an emergency cesarean or instrumental vaginal birth given the lower QMNC reported by these groups. Women who did not respond in a Swiss national language may need improved communication strategies.
URI:	https://digitalcollection.zhaw.ch/handle/11475/26523
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Midwifery and Reproductive Health (IHG)
Published as part of the ZHAW project:	IMAgiNE EURO (Improving MAternal Newborn carE In the EURO Region)
Appears in collections:	Publikationen Gesundheit

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de Labrusse, C., Abderhalden-Zellweger, A., Mariani, I., Pfund, A., Gemperle, M., Grylka-Baeschlin, S., Müller, A. N., Valente, E. P., Covi, B., & Lazzerini, M. (2022). Quality of maternal and newborn care in Switzerland during the COVID-19 pandemic : a cross-sectional study based on WHO quality standards. International Journal of Gynecology & Obstetrics, 159(S1), 70–84. https://doi.org/10.1002/ijgo.14456

de Labrusse, C. et al. (2022) ‘Quality of maternal and newborn care in Switzerland during the COVID-19 pandemic : a cross-sectional study based on WHO quality standards’, International Journal of Gynecology & Obstetrics, 159(S1), pp. 70–84. Available at: https://doi.org/10.1002/ijgo.14456.

C. de Labrusse et al., “Quality of maternal and newborn care in Switzerland during the COVID-19 pandemic : a cross-sectional study based on WHO quality standards,” International Journal of Gynecology & Obstetrics, vol. 159, no. S1, pp. 70–84, Dec. 2022, doi: 10.1002/ijgo.14456.

DE LABRUSSE, Claire, Alessia ABDERHALDEN-ZELLWEGER, Ilaria MARIANI, Anouck PFUND, Michael GEMPERLE, Susanne GRYLKA-BAESCHLIN, Antonia N. MÜLLER, Emanuelle Pessa VALENTE, Benedetta COVI und Marzia LAZZERINI, 2022. Quality of maternal and newborn care in Switzerland during the COVID-19 pandemic : a cross-sectional study based on WHO quality standards. International Journal of Gynecology & Obstetrics. Dezember 2022. Bd. 159, Nr. S1, S. 70–84. DOI 10.1002/ijgo.14456

de Labrusse, Claire, Alessia Abderhalden-Zellweger, Ilaria Mariani, Anouck Pfund, Michael Gemperle, Susanne Grylka-Baeschlin, Antonia N. Müller, Emanuelle Pessa Valente, Benedetta Covi, and Marzia Lazzerini. 2022. “Quality of Maternal and Newborn Care in Switzerland during the COVID-19 Pandemic : A Cross-Sectional Study Based on WHO Quality Standards.” International Journal of Gynecology & Obstetrics 159 (S1): 70–84. https://doi.org/10.1002/ijgo.14456.

de Labrusse, Claire, et al. “Quality of Maternal and Newborn Care in Switzerland during the COVID-19 Pandemic : A Cross-Sectional Study Based on WHO Quality Standards.” International Journal of Gynecology & Obstetrics, vol. 159, no. S1, Dec. 2022, pp. 70–84, https://doi.org/10.1002/ijgo.14456.