Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: Results of the study in 16 countries

Lazzerini M, Valente EP, Covi B, Rozée V, Costa R, Otelea MR, Abderhalden-Zellweger A, Węgrzynowska M, Linden K, Arendt M, Brigidi S, et al. (2022)
International Journal of Gynecology & Obstetrics 159(Suppl. 1): 22-38.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Lazzerini, Marzia; Valente, Emanuelle Pessa; Covi, Benedetta; Rozée, Virginie; Costa, Raquel; Otelea, Marina Ruxandra; Abderhalden-Zellweger, Alessia; Węgrzynowska, Maria; Linden, Karolina; Arendt, Maryse; Brigidi, Serena; Miani, CélineUniBi
Alle
Abstract / Bemerkung
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 cesarean, and a QMNC index were calculated for births in public versus private facilities. Results Responses from 25 206 participants were analyzed. Women giving birth in private compared with public facilities reported significantly more frequent total cesarean (32.5% vs 19.0%; aOR 1.70; 95% CI 1.52–1.90), elective cesarean (17.3% vs 7.8%; aOR 1.90; 95% CI 1.65–2.19), and emergency cesarean before labor (7.4% vs 3.9%; aOR 1.39; 95% CI 1.14–1.70) (P < 0.001 for all comparisons), with analyses by country confirming these results. QMNC index results were heterogeneous across countries and regions in the same country and were largely affected by geographical distribution of regions rather than by type of facility alone. Conclusion The study confirms that births in private facilities have higher odds of cesarean. It also suggests that QMNC should be closely monitored in all facilities to achieve high-quality care, independent of facility type or geographical distribution.
Erscheinungsjahr
2022
Zeitschriftentitel
International Journal of Gynecology & Obstetrics
Band
159
Ausgabe
Suppl. 1
Seite(n)
22-38
ISSN
0020-7292
eISSN
1879-3479
Page URI
https://pub.uni-bielefeld.de/record/2967688

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Lazzerini M, Valente EP, Covi B, et al. Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: Results of the study in 16 countries. International Journal of Gynecology & Obstetrics. 2022;159(Suppl. 1):22-38.
Lazzerini, M., Valente, E. P., Covi, B., Rozée, V., Costa, R., Otelea, M. R., Abderhalden-Zellweger, A., et al. (2022). Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: Results of the study in 16 countries. International Journal of Gynecology & Obstetrics, 159(Suppl. 1), 22-38. https://doi.org/10.1002/ijgo.14458
Lazzerini, Marzia, Valente, Emanuelle Pessa, Covi, Benedetta, Rozée, Virginie, Costa, Raquel, Otelea, Marina Ruxandra, Abderhalden-Zellweger, Alessia, et al. 2022. “Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: Results of the study in 16 countries”. International Journal of Gynecology & Obstetrics 159 (Suppl. 1): 22-38.
Lazzerini, M., Valente, E. P., Covi, B., Rozée, V., Costa, R., Otelea, M. R., Abderhalden-Zellweger, A., Węgrzynowska, M., Linden, K., Arendt, M., et al. (2022). Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: Results of the study in 16 countries. International Journal of Gynecology & Obstetrics 159, 22-38.
Lazzerini, M., et al., 2022. Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: Results of the study in 16 countries. International Journal of Gynecology & Obstetrics, 159(Suppl. 1), p 22-38.
M. Lazzerini, et al., “Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: Results of the study in 16 countries”, International Journal of Gynecology & Obstetrics, vol. 159, 2022, pp. 22-38.
Lazzerini, M., Valente, E.P., Covi, B., Rozée, V., Costa, R., Otelea, M.R., Abderhalden-Zellweger, A., Węgrzynowska, M., Linden, K., Arendt, M., Brigidi, S., Miani, C., Pumpure, E., Radetic, J., Drandic, D., Cerimagic, A., Nedberg, I.H., Liepinaitienė, A., Rodrigues, C., de Labrusse, C., Baranowska, B., Zaigham, M., Castañeda, L.M., Batram-Zantvoort, S., Jakovicka, D., Ruzicic, J., Juciūtė, S., Santos, T., Gemperle, M., Tataj-Puzyna, U., Elden, H., Mizgaitienė, M., Lincetto, O., Sacks, E., Mariani, I.: Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: Results of the study in 16 countries. International Journal of Gynecology & Obstetrics. 159, 22-38 (2022).
Lazzerini, Marzia, Valente, Emanuelle Pessa, Covi, Benedetta, Rozée, Virginie, Costa, Raquel, Otelea, Marina Ruxandra, Abderhalden-Zellweger, Alessia, Węgrzynowska, Maria, Linden, Karolina, Arendt, Maryse, Brigidi, Serena, Miani, Céline, Pumpure, Elizabete, Radetic, Jelena, Drandic, Daniela, Cerimagic, Amira, Nedberg, Ingvild Hersoug, Liepinaitienė, Alina, Rodrigues, Carina, de Labrusse, Claire, Baranowska, Barbara, Zaigham, Mehreen, Castañeda, Lara Martín, Batram-Zantvoort, Stephanie, Jakovicka, Dārta, Ruzicic, Jovana, Juciūtė, Simona, Santos, Teresa, Gemperle, Michael, Tataj-Puzyna, Urszula, Elden, Helen, Mizgaitienė, Marija, Lincetto, Ornella, Sacks, Emma, and Mariani, Ilaria. “Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: Results of the study in 16 countries”. International Journal of Gynecology & Obstetrics 159.Suppl. 1 (2022): 22-38.

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