ArticlePloS one2021
Experiences of Dutch maternity care professionals during the first wave of COVID-19 in a community based maternity care system.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 37 citations in OpenAlex.
- Patterns of healthcare contacts for decreased fetal movements in Sweden before and during the Covid-19 pandemic: a retrospective population-based cohort study.BMC public health · 2025Article
- Exploring midwifery competence and confidence based on midwives' experiences and stakeholders' insights in Kenya: a descriptive phenomenological approach.BMC nursing · 2025Article
- Understanding the experiences of birthing care during COVID-19: A qualitative systematic review.International journal of nursing studies advances · 2025Review
- Innovative Regional Services and Heterogeneous Communication Channels: Results from the Nationwide German egePan Project for Pandemic Management.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Reflective, pragmatic, and reactive decision-making by maternity service providers during the SARS-CoV-2 pandemic health system shock: a qualitative, grounded theory analysis.BMC pregnancy and childbirth · 2023Article
- Effect of COVID-19 on antenatal care: experiences of medical professionals in the Netherlands.Reproductive health · 2023Article
- 'Forgotten as first line providers': The experiences of midwives during the COVID-19 pandemic in British Columbia, Canada.Midwifery · 2022Article
- Challenges and opportunities for perinatal health services in the COVID-19 pandemic: a qualitative study with perinatal healthcare professionals.BMC health services research · 2022Article
- Cesarean delivery in Iran: a population-based analysis using the Robson classification system.BMC pregnancy and childbirth · 2022Article
- Experiences of Dutch Midwives Regarding the Quality of Care during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2022Article
- Article
- Article
- The impact of informal care provision on the quality of life of adults caring for persons with mental health problems: A cross-sectional assessment of caregiver quality of life.Health psychology openArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveDuring the COVID-19 pandemic the organization of maternity care changed drastically; this study into the experiences of maternity care professionals with these changes provides suggestions for the organization of care during and after pandemics.
designAn online survey among Dutch midwives, obstetricians and obstetric residents. Multinomial logistic regression analyses were used to investigate associations between the respondents' characteristics and answers.
resultsReported advantages of the changes were fewer prenatal and postpartum consultations (50.1%). The necessity and safety of medical interventions and ultrasounds were considered more critically (75.9%); 14.8% of community midwives stated they referred fewer women to the hospital for decreased fetal movements, whereas 64.2% of the respondents working in hospital-based care experienced fewer consultations for this indication. Respondents felt that women had more confidence in giving birth at home (57.5%). Homebirths seemed to have increased according to 38.5% of the community midwives and 65.3% of the respondents working in hospital-based care. Respondents appreciated the shift to more digital consultations rather than face-to-face consultations. Mentioned disadvantages were that women had appointments alone, (71.1%) and that the community midwife was not allowed to join a woman to obstetric-led care during labour and subsequently stay with her (56.8%). Fewer postpartum visits by family and friends led to more tranquility (59.8%). Overall, however, 48.0% of the respondents felt that the safety of maternity care was compromised due to policy changes.
conclusionsMaternity care professionals were positive about the decrease in routine care and the increased confidence of women in home birth, but also felt that safety in maternity care was sometimes compromised. According to the respondents in a future crisis situation it should be possible for community midwives to continue to deliver a personal handover after the referral of women to the hospital, and to stay with them.
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