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| Name | Class |
|---|---|
| IRCCS Burlo Garofolo | OTHER |
| NGO Babysteps | UNKNOWN |
| Roda - Parents in Action | UNKNOWN |
| INED - Institut National d'Etudes Démographiques |
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BACKGROUND COVID-19 response is heavily impacting the availability of essential health services, especially services for pregnant women and newborns that cannot be delayed or rapidly reorganized in other settings. In the current pandemic, due to multiple factors access to high quality and timely maternal and newborn (MN) health care is threatened. Major concerns have also been raised with respect to maternal rights and on disruption of essential practices and increased medicalization of care, despite existing WHO guidance.
Based on preliminary reports heterogeneities in practices is expected within the WHO European Region, with major inequities (eg women experiencing disruption of essential MC health services only in selected countries or areas within the countries, while having access to adequate care in others).
With IMAgiNE EURO we aim at conducting a survey to explore the health service preparedness, quality and resilience, with a specific focus on health services around the time of childbirth, in the WHO European Region during COVID-19 pandemic, and to make available data, which, in collaboration with WHO and other partners, can contribute in improving the quality of MN health care.
HYPHOTESIS AND SIGNIFICANCE
Primary objective:
1. Record, analyse, and describe data on MN health service preparedness, quality and resilience - with a specific focus around the time of childbirth as measured both from health workers and women perspectives- across different countries within the WHO European Region, during COVID-19 pandemic.
Secondary objectives: 2.Develop tools and methods to measure, through rapid online surveys, the quality of MN health care across different countries and settings 3.Establish and consolidate a research network
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Women | Women of any age who gave births in hospitals from WHO European Region, from 1 march 2020 |
| |
| Health workers | Health workers directly involved in assistance at childbirth (pregnancy, childbirth and peripartum) at hospital level in WHO European Region, from 1 march 2020 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No intervention is planned | Other | No intervention is planned |
|
| Measure | Description | Time Frame |
|---|---|---|
| Quality of Maternal and Newborn Care Index - mean | variable from 0 to 100 points | March 2020 to March 2021 |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of Maternal and Newborn Care Index - total value | variable from 0 to 400 points | March 2020 to March 2021 |
| Index of Quality of Maternal and Newborn Care - value by domains |
|
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Inclusion Criteria:
Exclusion Criteria:
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Data will be collected among mothers and among health workers providing care to mothers or infants.
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| Name | Affiliation | Role |
|---|---|---|
| Marzia Lazzerini, PhD Dr | WHO Collaborating Center for Maternal and Child Health - IRCCS Burlo Garofolo | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IRCCS Burlo Garofolo | Trieste | Friuli Venezia Giulia | 34137 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30997420 | Background | Lazzerini M, Valente EP, Covi B, Semenzato C, Ciuch M. Use of WHO standards to improve quality of maternal and newborn hospital care: a study collecting both mothers' and staff perspective in a tertiary care hospital in Italy. BMJ Open Qual. 2019 Feb 13;8(1):e000525. doi: 10.1136/bmjoq-2018-000525. eCollection 2019. | |
| 32928854 |
| Label | URL |
|---|---|
| Webpage were survey links for women (in more than 20 languages) and health workers (in more than 10 languages)are available. | View source |
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| UNKNOWN |
| School of Public Health, Bielefeld University | UNKNOWN |
| Riga Stradins University | OTHER |
| BLL-Beruffsverband vun den Laktationsberoderinnen zu Lëtzebuerg asbl | UNKNOWN |
| UiT The Arctic University of Norway | OTHER |
| Childbirth with Dignity Foundation | UNKNOWN |
| Instituto de Saude Publica da Universidade do Porto | OTHER |
| Administraçao Regional de Saude do Algarve - ACES Central - URAP - Albufeira | UNKNOWN |
| Associação Portuguesa pelos Direitos da Mulher na Gravidez e Parto | UNKNOWN |
| Universidade Europeia, Lisbon | UNKNOWN |
| SAMAS Association | UNKNOWN |
| Centar za mame | UNKNOWN |
| National Institute of Public Health, Slovenia | OTHER_GOV |
| Medical Anthropology Research Center (MARC, URV) | UNKNOWN |
| Göteborg University | OTHER |
| University of Exeter | OTHER |
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| March 2020 to March 2021 |
| Frequency of specific indicators/quality measure |
| March 2020 to March 2021 |
| Lazzerini M, Mariani I, Semenzato C, Valente EP. Association between maternal satisfaction and other indicators of quality of care at childbirth: a cross-sectional study based on the WHO standards. BMJ Open. 2020 Sep 14;10(9):e037063. doi: 10.1136/bmjopen-2020-037063. |
| 32252686 | Background | Lazzerini M, Semenzato C, Kaur J, Covi B, Argentini G. Women's suggestions on how to improve the quality of maternal and newborn hospital care: a qualitative study in Italy using the WHO standards as framework for the analysis. BMC Pregnancy Childbirth. 2020 Apr 6;20(1):200. doi: 10.1186/s12884-020-02893-0. |
| 41841158 | Derived | Artzi-Medvedik R, Hadjigeorgiou E, Kolokotroni O, Middleton N, Valente EP, Lazzerini M, Mariani I, Azulay Chertok IR; IMAgiNE EURO Study Group. Maternity Care Experiences Among Birthing Women in Two European-Region Countries During the COVID-19 Pandemic: A Qualitative Study. Int J Nurs Pract. 2026 Apr;32(2):e70129. doi: 10.1111/ijn.70129. |
| 39732493 | Derived | Galle A, Berghman H, D'Hauwers S, Vaerewijck N, Valente EP, Mariani I, Bomben A, Delle Vedove S, Lazzerini M; IMAgiNE EURO Study Group. Quality of care at childbirth during the COVID-19 pandemic in Belgium: a cross-sectional study based on WHO standards. BMJ Open. 2024 Dec 27;14(12):e086937. doi: 10.1136/bmjopen-2024-086937. |
| 39431577 | Derived | Zaigham M, Linden K, Elden H, Delle Vedove S, Mariani I, Kongslien S, Drandic D, Pumpure E, Drglin Z, Costa R, Sarantaki A, de Labrusse C, Miani C, Otelea MR, Liepinaitiene A, Baranowska B, Rozee V, Valente EP, Vik ES, Kurbanovic M, Jakovicka D, Bohinec A, Dias H, Metallinou D, Mueller AN, Batram-Zantvoort S, Handra CM, Mizgaitiene M, Tataj-Puzyna U, Bomben A, Nedberg IH, Voitehovica E, Pinto TM, Lykeridou A, Grylka-Baeschlin S, Jazdauskiene S, Szlendak B, Sacks E, Lazzerini M; IMAgiNE EURO Study group. Trends in the quality of maternal and neonatal care in Sweden and Norway as compared to 12 WHO European countries: A cross-sectional survey investigating maternal perspectives during the COVID-19 pandemic. Acta Obstet Gynecol Scand. 2024 Dec;103(12):2485-2498. doi: 10.1111/aogs.14994. Epub 2024 Oct 21. |
| 39423767 | Derived | Grylka-Baeschlin S, Gemperle M, Mariani I, Abderhalden-Zellweger A, Miani C, Zenzmaier C, Mueller AN, Batram-Zantvoort S, Koenig-Bachmann M, De Labrusse C, Arendt M, Vedove SD, Pfund A, Simon I, Valente EP, Lazzerini M; IMAgiNE Euro Study Group. Women 's perception on the quality of maternal and newborn care during the COVID-19 pandemic in German-speaking countries: Findings from the IMAgiNE EURO project comparing data from Germany, Switzerland and Austria. Midwifery. 2025 Jan;140:104209. doi: 10.1016/j.midw.2024.104209. Epub 2024 Oct 11. |
| 39238363 | Derived | Valente EP, Mariani I, Bomben A, Morano S, Gemperle M, Otelea MR, Miani C, Elden H, Sarantaki A, Costa R, Baranowska B, Konig-Bachmann M, Kongslien S, Drandic D, Rozee V, Nespoli A, Abderhalden-Zellweger A, Nanu I, Batram-Zantvoort S, Linden K, Metallinou D, Dias H, Tataj-Puzyna U, D'Costa E, Nedberg IH, Kurbanovic M, de La Rochebrochard E, Fumagalli S, Grylka-Baeschlin S, Handra CM, Zaigham M, Orovou E, Barata C, Szlendak B, Zenzmaier C, Vik ES, Liepinaitiene A, Drglin Z, Arendt M, Sacks E, Lazzerini M; Improving MAternal Newborn carE in the EURO Region (IMAgiNE EURO) Study Group. Health workers' perspectives on the quality of maternal and newborn health care around the time of childbirth: Results of the Improving MAternal Newborn carE in the EURO Region (IMAgiNE EURO) project in 12 countries of the World Health Organization European Region. J Glob Health. 2024 Sep 6;14:04164. doi: 10.7189/jogh.14.04164. |
| 37296409 | Derived | Artzi-Medvedik R, Mariani I, Valente EP, Lazzerini M, Chertok IA. Factors associated with exclusive breastfeeding in Israel during the COVID-19 pandemic: a subset of the IMAgiNE EURO cross-sectional study. Int Breastfeed J. 2023 Jun 9;18(1):30. doi: 10.1186/s13006-023-00568-y. |
| 37144478 | Derived | Geremia S, Valente EP, Mariani I, Dalena P, Lazzerini M. Women's suggestions on how to improve the quality of maternal and newborn care during the COVID-19 pandemic in Italy: A co-occurrence network analysis. J Glob Health. 2023 May 5;13:06013. doi: 10.7189/jogh.13.06013. |
| 36530013 | Derived | Pumpure E, Jakovicka D, Mariani I, Vaska A, Covi B, Valente EP, Jansone-Santare G, Knoka AR, Vilcane KP, Rezeberga D, Lazzerini M; IMAgiNE EURO study group. Women's perspectives on the quality of maternal and newborn care in childbirth during the COVID-19 pandemic in Latvia: Results from the IMAgiNE EURO study on 40 WHO standards-based quality measures. Int J Gynaecol Obstet. 2022 Dec;159 Suppl 1(Suppl 1):97-112. doi: 10.1002/ijgo.14461. |
| 36530009 | Derived | Otelea MR, Simionescu AA, Mariani I, Valente EP, Nanu MI, Nanu I, Handra CM, Covi B, Lazzerini M; IMAgiNE EURO Study Group. 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. Int J Gynaecol Obstet. 2022 Dec;159 Suppl 1(Suppl 1):126-136. doi: 10.1002/ijgo.14482. |
| 36530007 | Derived | Lazzerini M, Valente EP, Covi B, Rozee V, Costa R, Otelea MR, Abderhalden-Zellweger A, Wegrzynowska M, Linden K, Arendt M, Brigidi S, Miani C, Pumpure E, Radetic J, Drandic D, Cerimagic A, Nedberg IH, Liepinaitiene A, Rodrigues C, de Labrusse C, Baranowska B, Zaigham M, Castaneda LM, Batram-Zantvoort S, Jakovicka D, Ruzicic J, Juciute S, Santos T, Gemperle M, Tataj-Puzyna U, Elden H, Mizgaitiene M, Lincetto O, Sacks E, Mariani I; IMAgiNE EURO study group. 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. Int J Gynaecol Obstet. 2022 Dec;159 Suppl 1(Suppl 1):22-38. doi: 10.1002/ijgo.14458. |
| 36530003 | Derived | Drandic D, Drglin Z, Mihevc Ponikvar B, Bohinec A, Cerimagic A, Radetic J, Ruzicic J, Kurbanovic M, Covi B, Valente EP, Mariani I, Lazzerini M; IMAgiNE EURO study group. Women's perspectives on the quality of hospital maternal and newborn care around the time of childbirth during the COVID-19 pandemic: Results from the IMAgiNE EURO study in Slovenia, Croatia, Serbia, and Bosnia-Herzegovina. Int J Gynaecol Obstet. 2022 Dec;159 Suppl 1(Suppl 1):54-69. doi: 10.1002/ijgo.14457. |
| 36461061 | Derived | Chertok IA, Artzi-Medvedik R, Arendt M, Sacks E, Otelea MR, Rodrigues C, Costa R, Linden K, Zaigham M, Elden H, Drandic D, Grylka-Baeschlin S, Miani C, Valente EP, Covi B, Lazzerini M, Mariani I. Factors associated with exclusive breastfeeding at discharge during the COVID-19 pandemic in 17 WHO European Region countries. Int Breastfeed J. 2022 Dec 2;17(1):83. doi: 10.1186/s13006-022-00517-1. |
| 35396296 | Derived | Valente EP, Covi B, Mariani I, Morano S, Otalea M, Nanu I, Nanu MI, Elden H, Linden K, Zaigham M, Vik ES, Kongslien S, Nedberg I, Costa R, Rodrigues C, Dias H, Drandic D, Kurbanovic M, Sacks E, Muzigaba M, Lincetto O, Lazzerini M; IMAgiNE EURO Study Group. WHO Standards-based questionnaire to measure health workers' perspective on the quality of care around the time of childbirth in the WHO European region: development and mixed-methods validation in six countries. BMJ Open. 2022 Apr 8;12(4):e056753. doi: 10.1136/bmjopen-2021-056753. |
| 34977838 | Derived | Lazzerini M, Covi B, Mariani I, Drglin Z, Arendt M, Nedberg IH, Elden H, Costa R, Drandic D, Radetic J, Otelea MR, Miani C, Brigidi S, Rozee V, Ponikvar BM, Tasch B, Kongslien S, Linden K, Barata C, Kurbanovic M, Ruzicic J, Batram-Zantvoort S, Castaneda LM, Rochebrochard E, Bohinec A, Vik ES, Zaigham M, Santos T, Wandschneider L, Viver AC, Cerimagic A, Sacks E, Valente EP; IMAgiNE EURO study group. Quality of facility-based maternal and newborn care around the time of childbirth during the COVID-19 pandemic: online survey investigating maternal perspectives in 12 countries of the WHO European Region. Lancet Reg Health Eur. 2022 Feb;13:100268. doi: 10.1016/j.lanepe.2021.100268. Epub 2021 Dec 24. |