Evidence map›Paper›PMID 35614384›Full record

ArticleBMC pregnancy and childbirth2022

The challenge of care coordination by midwives during the COVID-19 pandemic: a national descriptive survey.

Laurent Gaucher, Corinne Dupont, Sylvain Gautier, Sophie Baumann, Anne Rousseau

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

5 authors at 5 institutions in 2 countries.

Laurent GaucherGeneva School of Health Sciences, HES-SO University of Applied Sciences and Arts, Geneva, Western Switzerland, Switzerland. laurent.gaucher@hesge.ch.
Corinne DupontResearch On Healthcare Performance (RESHAPE), Université Claude Bernard Lyon 1, INSERM U1290, 69008, Lyon, France.
Sylvain GautierParis-Saclay University, Inserm U1018, Versailles Saint Quentin University, 78180, Montigny-le-Bretonneux, France.
Sophie BaumannMidwifery Department, Paris-Saclay University, Versailles Saint Quentin University, 78180, Montigny-le-Bretonneux, France.
Anne RousseauMidwifery Department, Paris-Saclay University, Versailles Saint Quentin University, 78180, Montigny-le-Bretonneux, France.
Centre Hospitalier Intercommunal de Poissy · FRHealth Services and Performance Research Laboratory · FRHES-SO University of Applied Sciences and Arts Western Switzerland · CHUniversité de Versailles Saint-Quentin-en-Yvelines · FRUniversité Paris-Saclay · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs part of a decades-long process of restructuring primary care, independent (also known as community) healthcare workers are being encouraged to work in groups to facilitate their coordination and continuity of care in France. French independent midwives perform about half of the early prenatal interviews that identify mothers' needs during pregnancy and then refer them to the appropriate resources. The French government, however, structured the COVID-19 pandemic response around public health institutions and did not directly mobilise these community healthcare workers during the lockdown phase. These responses have raised questions about their role within the healthcare system in crises. This survey's main objectives were to estimate the proportion of independent midwives who experienced new difficulties in referring women to healthcare facilities or other caregivers and in collaborating with hospitals during the first stage of this pandemic. The secondary objective was to estimate the proportion, according to their mode of practice, of independent midwives who considered that all the women under their care had risked harm due to failed or delayed referral to care.

methodsWe conducted an online national survey addressed to independent midwives in France from 29 April to 15 May 2020, around the end of the first lockdown (17 March-11 May, 2020).

resultsOf the 5264 registered independent midwives in France, 1491 (28.3%) responded; 64.7% reported new or greater problems during the pandemic in referring women to health facilities or care-providers, social workers in particular, and 71.0% reported new difficulties collaborating with hospitals. Nearly half (46.2%) the respondents considered that all the women in their care had experienced, to varying degrees, a lack of or delay in care that could have affected their health. This proportion did not differ according to the midwives' form of practice: solo practice, group practice with other midwives only, or group practice with at least two types of healthcare professionals.

conclusionsThe pandemic has degraded the quality of pregnant women's care in France and challenged the French model of care, which is highly compartmentalised between an almost exclusively independent primary care (community) sector and a predominantly salaried secondary care (hospital) sector.

Indexed as

COVID-19MidwiferyNurse MidwivesCommunicable Disease ControlFemaleHumansPandemicsPregnancyHealth service researchMidwife practiceSurvey study

Identifiers

PMID35614384
PMCPMC9131711
OpenAlexW4281492239

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.