ArticleBMJ open2022
How midwives implemented teleconsultations during the COVID-19 health crisis: a mixed-methods study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Midwives' experience of telehealth and remote care: a systematic mixed methods review.BMJ open · 2024Pooled it
- Optimising digital clinical consultations in maternity care: a realist review and implementation principles.BMJ open · 2024Review
- Mothers' and caregivers' experiences of COVID-19 restrictions during postpartum hospitalisation: a cross-sectional survey in France.BMC pregnancy and childbirth · 2024Article
- Defining practices suitable for care via teleconsultation in gynaecological and obstetrical care: a French Delphi survey.BMJ open · 2024Article
- The role of telestroke among pregnant mothers: Ground-breaking innovations in maternal healthcare.Work (Reading, Mass.) · 2024Article
- Lessons from digital technology-enabled health interventions implemented during the coronavirus pandemic to improve maternal and birth outcomes: a global scoping review.BMC pregnancy and childbirth · 2023Article
- Barrier measures implemented in French maternity hospitals during the COVID-19 pandemic: A cross-sectional survey.Midwifery · 2023Article
- Vitamins and minerals, education, and self-care need during preconception to 1000 days of life in Southeast Asia: An expert panel opinion.SAGE open medicine · 2023Review
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesOur primary and secondary objectives were to measure and understand the determinants of independent midwives' implementation of teleconsultations and their intention to continue these in the future.
designA two-phase mixed-methods approach: (1) quantitative data to measure factors determining the initiation and continuation of teleconsultation, collected by an online survey from 29 April to 15 May 2020, at the end of the first COVID-19 lockdown, followed by (2) qualitative data to understand these determinants, by interviewing some participants in May-July 2020 to explore the quantitative findings in more detail.
settingMainland France
participantsThe target population comprised independent midwives currently practising in France. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary and secondary outcomes were binary variables: implementation of teleconsultations, and intention to continue them. The qualitative results provided the themes explaining these decisions.
resultsWe obtained 1491 complete responses from independent midwives, that is, 28.3% of French independent midwives, and interviewed 22 volunteers among them. Among the 1491, 88.5% implemented teleconsultations and 65.8% intended to continue them. Both individual and organisational factors favoured implementation of teleconsultations: older age (adjusted OR (aOR): 0.40, 95% CI: 0.28 to 0.58), female gender (aOR: 6.88, 95% CI: 2.71 to 17.48), married or living with a partner (aOR: 1.67, 95% CI: 1.10 to 2.52) and working in a group practice (midwives only-aOR: 2.34, 95% CI: 1.47 to 3.72; multiprofessional group-aOR: 1.75, 95% CI: 1.16 to 2.64). The qualitative analysis did not identify any new factors but helped us to understand the satisfaction better: midwives adopted telemedicine for their patients' access to and continuity of care, to maintain their professional activity and income, and to limit the risks of infection.
conclusionPersonal and organisational factors motivated the implementation of teleconsultation during the pandemic, but maintaining it raises technical, regulatory, and ethical issues.
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