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Session Overview
Oral Presentation VIII: "The Quality Of Maternal And Newborn Care Put To Test During The COVID-19 Pandemic: Mothers Perspectives In Switzerland"
Monday, 21/Nov/2022:
12:45pm - 1:00pm

Presenting Author: Anouck Pfund

Location: Auditorium Olivier

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The Quality Of Maternal And Newborn Care Put To Test During The COVID-19 Pandemic: Mothers Perspectives In Switzerland

Claire de Labrusse1, Alessia Abderhalden-Zellweger1,2, Ilaria Mariani3, Anouck Pfund1, Michael Gemperle4, Susanne Grylka-Baeschlin4, Antonia N. Mueller4, Emanuelle Pessa Valente3, Benedetta Covi3, Marzia Lazzerini3

1School of Health Sciences (HESAV), HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland., Switzerland; 2Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland.; 3WHO Collaborating Center, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy; 4Research Institute for Midwifery Science, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland

Introduction: During the COVID-19 pandemic, the Quality of Maternal and Newborn Care (QMNC) has been greatly affected. The IMAgiNE EURO study explores the QMNC during the pandemic among 18 European countries, including Switzerland. The most relevant findings of Switzerland will be presented.

Methods: Women giving birth in Switzerland from March 2020 to February 2022, answered a validated online questionnaire. A QMNC score was calculated according to women’s characteristics and mode of birth.

Results: 1,175 women were included in the analysis. A deterioration in QMNC during the pandemic was reported by 27.9% of women. Institutional gaps, such as an insufficient number of healthcare professionals (HCP) (19.7%) and inadequate room organization (27.6%) were mentioned. Shortcomings in social support such as the partners' inability to stay as long as they needed in the ward (33.9%), and inadequate partner visiting hours (24.6%) were reported by women. A significantly lower QMNC was found for young, and primiparous women. Women with Emergency Caesarean Section (ECS) and Instrumental Vaginal Birth (IVB) had significantly lower QMNC.

Discussion: Women giving birth in Switzerland during the pandemic reported substantial gaps in QMNC. Some of the shortcomings in QMNC are directly linked to the COVID-19 pandemic and its protective measures, as others may reflect more structural problems within the hospital settings. HCP should be particularly attentive to younger, primiparous and women with ECS and IVB as they are more likely to experience lower QMNC.

Conclusion: QMNC’s indicators collected during the COVID-19 pandemic may reflect deeper issues within the healthcare systems. These indicators should be assessed and monitored over time to improve QMNC.

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