Evidence map›Paper›PMID 33547637›Full record

ArticleThe Australian & New Zealand journal of obstetrics & gynaecology2021

Covid-19 changes to maternity care: Experiences of Australian doctors.

Rebecca A Szabo, Alyce N Wilson, Caroline Homer, Vidanka Vasilevski, Linda Sweet, Karen Wynter, Yvonne Hauck, Lesley Kuliukas, Zoe Bradfield

Abstract read
In one paragraph

Article in The Australian & New Zealand journal of obstetrics & gynaecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rebecca A SzaboGandel Simulation Service the Women's in partnership with The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-7426-0978
Alyce N WilsonMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.ORCID 0000-0001-9229-789X
Caroline HomerMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.ORCID 0000-0002-7454-3011
Vidanka VasilevskiSchool of Nursing and Midwifery, Deakin University, Melbourne, Victoria, Australia.ORCID 0000-0002-2772-811X
Linda SweetSchool of Nursing and Midwifery, Deakin University, Melbourne, Victoria, Australia.ORCID 0000-0003-0605-1186
Karen WynterSchool of Nursing and Midwifery, Deakin University, Melbourne, Victoria, Australia.ORCID 0000-0003-4620-7691
Yvonne HauckSchool of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia.ORCID 0000-0003-0206-2777
Lesley KuliukasSchool of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia.ORCID 0000-0002-4585-8209
Zoe BradfieldSchool of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia.ORCID 0000-0002-1013-0461

Funding

Burnet Institute internal funding for transcipts
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic meant rapid changes to Australian maternity services. All maternity services have undertaken significant changes in relation to policies, service delivery and practices and increased use of personal protective equipment.

aimsThe aim of this study was to explore and describe doctors' experiences of providing maternity care during the COVID-19 pandemic in Australia.

methodsA national online survey followed by semi-structured interviews with a cohort of participants was conducted during the first wave of the COVID-19 pandemic in Australia (May-June 2020). Participants were recruited through social media networks. Eighty-six doctors completed the survey, and eight were interviewed.

resultsAlmost all doctors reported rapid development of new guidelines and major changes to health service delivery. Professional colleges were the main source of new information about COVID-19. Most (89%) doctors felt sufficiently informed to care for women with COVID-19. Less than half of doctors felt changes would be temporary. Doctors described workforce disruptions with associated personal and professional impacts. The ability to access and process up-to-date, evidence-based information was perceived as important. Doctors acknowledged that altered models of care had increased pregnant women's anxiety and uncertainty. All doctors described silver linings from sector changes.

conclusionsThis study provides unique insights into doctors' experiences of providing maternity care during the COVID-19 pandemic in Australia. Findings have immediate relevance to the maternity sector now and into the future. Lessons learnt provide an opportunity to reshape the maternity sector to better prepare for future public health crises.

Indexed as

COVID-19Maternal Health ServicesAustraliaFemaleHumansPandemicsPregnancySARS-CoV-2COVID-19healthcare workermaternity serviceobstetric doctor

Identifiers

PMID33547637
PMCPMC8013273

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.