Evidence map›Paper›PMID 34531166›Full record

ArticleWomen and birth : journal of the Australian College of Midwives2022

The impact of COVID-19 on the provision of respectful maternity care: Findings from a global survey of health workers.

Anteneh Asefa, Aline Semaan, Therese Delvaux, Elise Huysmans, Anna Galle, Emma Sacks, Meghan A Bohren, Alison Morgan, Michelle Sadler, Saraswathi Vedam and 1 more

Abstract read
In one paragraph

Article in Women and birth : journal of the Australian College of Midwives, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing 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

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

  1. Pooled it
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  5. Experiences of disrespect and abuse during childbirth in the World Health Organization European region: A mixed-method study among 22 countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  10. A systematic review of COVID-19's impact on pregnancy outcomes.Annals of medicine and surgery (2012) · 2025
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4 more citing papers are in PubMed but not listed here.

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

11 authors.

Anteneh AsefaDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Belgium. Electronic address: aasefa@itg.be.
Aline SemaanDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Therese DelvauxDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Elise HuysmansDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Anna GalleDepartment of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Emma SacksDepartment of International Health, Johns Hopkins School of Public Health, MD, USA.
Meghan A BohrenGender and Women's Health Unit, Centre for Health Equity, School of Population and Global Health, University of Melbourne, Australia.
Alison MorganGlobal Financing Facility, The World Bank Group, USA.
Michelle SadlerFaculty of Liberal Arts, Universidad Adolfo Ibáñez, Santiago, Chile.
Saraswathi VedamBirth Place Lab, University of British Columbia, Vancouver, Canada.
Lenka BenovaDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSignificant adjustments to maternity care in response to the COVID-19 pandemic and the direct impacts of COVID-19 can compromise the quality of maternal and newborn care.

aimTo explore how the COVID-19 pandemic negatively affected frontline health workers' ability to provide respectful maternity care globally.

methodsWe conducted a global online survey of health workers to assess the provision of maternal and newborn healthcare during the COVID-19 pandemic. We collected qualitative data between July and December 2020 among a subset of respondents and conducted a qualitative content analysis to explore open-ended responses.

findingsHealth workers (n = 1127) from 71 countries participated; and 120 participants from 33 countries provided qualitative data. The COVID-19 pandemic negatively affected the provision of respectful maternity care in multiple ways. Six central themes were identified: less family involvement, reduced emotional and physical support for women, compromised standards of care, increased exposure to medically unjustified caesarean section, and staff overwhelmed by rapidly changing guidelines and enhanced infection prevention measures. Further, respectful care provided to women and newborns with suspected or confirmed COVID-19 infection was severely affected due to health workers' fear of getting infected and measures taken to minimise COVID-19 transmission. DISCUSSION: Multidimensional and contextually-adapted actions are urgently needed to mitigate the impacts of the COVID-19 pandemic on the provision and continued promotion of respectful maternity care globally in the long-term.

conclusionsThe measures taken during the COVID-19 pandemic had the capacity to disrupt the provision of respectful maternity care and therefore the quality of maternity care.

Indexed as

COVID-19Maternal Health ServicesCesarean SectionFemaleHumansInfant, NewbornPandemicsPregnancySurveys and QuestionnairesAntenatal careChildbirthIntrapartum careLabourMaternal healthNewborn healthPostnatal careQuality of care

Identifiers

PMID34531166
PMCPMC9179099

What OpenQuestion holds

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Registered trials

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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.