Evidence map›Paper›PMID 36530009›Full record

Observational studyInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2022

Women's assessment of the quality of hospital-based perinatal care by mode of birth in Romania during the COVID-19 pandemic: Results from the IMAgiNE EURO study.

Marina Ruxandra Otelea, Anca Angela Simionescu, Ilaria Mariani, Emanuelle Pessa Valente, Michaela Iuliana Nanu, Ioana Nanu, Claudia Mariana Handra, Benedetta Covi, Marzia Lazzerini, IMAgiNE EURO Study Group

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04847336 (IMAGINE EURO), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT04847336 unknown statusnot on this map

IMAGINE EURO (Improving MAternal Newborn carE In the EURO Region): Maternal and Newborn Health Service Preparedness, Quality and Resilience, Among Countries of the WHO European Region, During the COVID-19 Pandemic

TypeobservationalSponsorWHO Collaborating Centre for Maternal and Child Health, TriesteRan2020 to 2022Enrolled10,000ConditionsQuality of Care During ChildbirthArmsNo intervention is planned
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Observational
  3. Observational
  4. Quality of maternal and newborn care in Switzerland during the COVID-19 pandemic: A cross-sectional study based on WHO quality standards.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
    Article
  5. Rates of instrumental vaginal birth and cesarean and quality of maternal and newborn health care in private versus public facilities: Results of the IMAgiNE EURO study in 16 countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
    Observational
  6. Women's assessment of the quality of hospital-based perinatal care by mode of birth in Romania during the COVID-19 pandemic: Results from the IMAgiNE EURO study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
    Observational
  7. Observational
  8. 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

10 authors at 3 institutions in 2 countries.

Marina Ruxandra OteleaClinical Department 5, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania.ORCID https://orcid.org/0000-0002-0829-0562
Anca Angela SimionescuDepartment of Obstetrics and Gynecology, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania.ORCID https://orcid.org/0000-0002-9334-0199
Ilaria MarianiWHO Collaborating Center for Maternal and Child Health, Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.ORCID https://orcid.org/0000-0001-8260-4788
Emanuelle Pessa ValenteWHO Collaborating Center for Maternal and Child Health, Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.ORCID https://orcid.org/0000-0002-4741-4628
Michaela Iuliana NanuSocial Obstetrics and Pediatric Research Unit, National Institute for Mother and Child Health, Bucharest, Romania.
Ioana NanuSocial Obstetrics and Pediatric Research Unit, National Institute for Mother and Child Health, Bucharest, Romania.
Claudia Mariana HandraClinical Department 5, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania.ORCID https://orcid.org/0000-0003-4870-6355
Benedetta CoviWHO Collaborating Center for Maternal and Child Health, Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.ORCID https://orcid.org/0000-0001-7635-0654
Marzia LazzeriniWHO Collaborating Center for Maternal and Child Health, Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.ORCID https://orcid.org/0000-0001-8608-2198
IMAgiNE EURO Study Group
IRCCS Materno Infantile Burlo Garofolo · ITCarol Davila University of Medicine and Pharmacy · ROInstitute for Diagnosis and Animal Health · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess women's perceptions of the quality of maternal and newborn care (QMNC) received in hospitals in Romania during the COVID-19 pandemic by mode of birth.

methodsA validated anonymous online questionnaire based on WHO quality measures. Subgroup analysis of spontaneous vaginal birth (SVB), emergency cesarean, and elective cesarean and multivariate analyses were performed, and QMNC indexes were calculated. Maternal age, educational level, year of birth, mother born in Romania, parity, type of hospital, and type of professionals assisting the birth were used for multivariate analysis.

resultsA total of 620 women completed the survey. Overall, several quality measures suggested gaps in QMNC in Romania, with the lowest QMNC indexes reported for provision of care and availability of resources. Women who had either elective or emergency cesarean compared with those who had SVB more frequently lacked early breastfeeding (OR 2.04 and 2.13, respectively), skin-to-skin contact (OR 1.73 and 1.75, respectively), rooming-in (OR 2.07 and 1.96, respectively), and exclusive breastfeeding at discharge (OR 2.27 and 1.64, respectively). Compared with elective cesarean, emergency cesarean had higher odds of ineffective communication by healthcare providers (OR 1.65), lack of involvement in choices (OR 1.58), insufficient emotional support (OR 2.07), and no privacy (OR 2.06). Compared with other modes of birth, a trend for lower QMNC indexes for emergency cesarean was observed for all domains, while for elective cesarean the QMNC index for provision of care was significantly lower.

conclusionQuality indicators of perinatal care remain behind targets in Romania, with births by cesarean the most affected. CLINICALTRIALS: GOV IDENTIFIER: NCT04847336.

Indexed as

COVID-19Perinatal CareChildFemaleHospitalsHumansInfant, NewbornPandemicsPregnancyRomaniabreastfeedingcesareanchildbirthCOVID-19IMAgiNE EUROmode of birthquality of careRomania

Identifiers

PMID36530009
PMCPMC9877960
OpenAlexW4312055793

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.