TY - JOUR
T1 - Quality of maternal and newborn care around the time of childbirth for migrant versus nonmigrant women during the COVID-19 pandemic
T2 - results of the IMAgiNE EURO study in 11 countries of the WHO European region
AU - the IMAgiNE EURO study group
AU - Costa, Raquel
AU - Rodrigues, Carina
AU - Dias, Heloísa
AU - Covi, Benedetta
AU - Mariani, Ilaria
AU - Valente, Emanuelle Pessa
AU - Zaigham, Mehreen
AU - Vik, Eline Skirnisdottir
AU - Grylka-Baeschlin, Susanne
AU - Arendt, Maryse
AU - Santos, Teresa
AU - Wandschneider, Lisa
AU - Drglin, Zalka
AU - Drandić, Daniela
AU - Radetic, Jelena
AU - Rozée, Virginie
AU - Elden, Helen
AU - Mueller, Antonia N.
AU - Barata, Catarina
AU - Miani, Céline
AU - Bohinec, Anja
AU - Ruzicic, Jovana
AU - de La Rochebrochard, Elise
AU - Linden, Karolina
AU - Geremia, Sara
AU - de Labrusse, Claire
AU - Batram-Zantvoort, Stephanie
AU - Ponikvar, Barbara Mihevc
AU - Sacks, Emma
AU - Lazzerini, Marzia
N1 - Funding Information:
CB reports receiving a PhD grant from Fundação para a Ciência e a Tecnologia (FCT) and the European Social Fund (ESF) (grant number SFRH/BD/128600/2017) and an unpaid Board Member position for Associação Portuguesa pelos Direitos da Mulher na Gravidez e Parto (APDMGP). CM reports funding from Bielefeld University to support the junior research group leader position and contribute to article processing charges. Other authors declare no conflicts of interest.
Funding Information:
IMAgiNE EURO project was supported by the Ministry of Health, Rome - Italy, in collaboration with the Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste - Italy. This study was supported by Portuguese fundings through FCT - Fundação para a Ciência e a Tecnologia, IP, in the scope of the projects EPIUnit - UIDB/04750/2020, ITR - LA/P/0064/2020, and HEI-Lab - UIDB/05380/2020, respectively; and by the European Social Fund (ESF) and FCT (SFRH/BPD/117597/2016; RC postdoctoral fellowship). The funders had no role in writing the manuscript or the decision to submit it to publication. We would like to thank all IMAgiNE EURO project partners, the volunteers who helped develop the questionnaire, and all women who took the time to respond to this survey despite the burden of the COVID-19 pandemic. Special thanks to the IMAgiNE EURO study group for their contribution to the development of this project and support for this manuscript. We would also like to thank the following colleagues who volunteered with different aspects of the project: Valbona Nushi-Stavileci who helped with survey translation into Albanian; Aleksandra Wilk-Przybysz and Meg Mielczarek who helped with survey translation into Polish; Marie-Laure Trudel, Sarah Féron, and Gilles Garrouste who helped with survey dissemination; Antonia Leiße who helped with survey translation into German and dissemination; Rebecca Lundin for back-translation of the Italian questionnaires; Elisabetta Danielli for her technical support; Michele Bava for IT support; Barbara Tasch for help with dissemination; Associação Portuguesa pelos Direitos da Mulher na Gravidez e Parto (APDMGP) for support with survey dissemination; Louise Semião for back-translation of the Portuguese questionnaires; Marit Kongslien for back-translation of the Norwegian questionnaire; Sinziana Ionita-Ciurez, Ana Maita, Cristina Biciila, Raluca Dumitrescu (members of SAMAS Association) for their commitment and dissemination of the Romanian questionnaire; Observatorio de la violencia obstétrica (OVO) - Spain, Medical Anthropology Research Center (MARC, URV), and Institut Català d'Antropologia (ICA) for support with survey dissemination in Spain; and Emma Pitchforth who helped with translation of marketing materials.
Funding Information:
IMAgiNE EURO project was supported by the Ministry of Health, Rome ‐ Italy, in collaboration with the Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste ‐ Italy. This study was supported by Portuguese fundings through FCT ‐ Fundação para a Ciência e a Tecnologia, IP, in the scope of the projects EPIUnit ‐ UIDB/04750/2020, ITR ‐ LA/P/0064/2020, and HEI‐Lab ‐ UIDB/05380/2020, respectively; and by the European Social Fund (ESF) and FCT (SFRH/BPD/117597/2016; RC postdoctoral fellowship). The funders had no role in writing the manuscript or the decision to submit it to publication.
Publisher Copyright:
© 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
PY - 2022/12/18
Y1 - 2022/12/18
N2 - Objective: To describe the perception of quality of maternal and newborn care (QMNC) around the time of childbirth among migrant and nonmigrant women in Europe. Methods: Women who gave birth at a health facility in 11 countries of the WHO European Region from March 2020 to July 2021 were invited to answer an online questionnaire including demographics and childbirth experience. Data were analyzed and compared for 1781 migrant and 20 653 nonmigrant women. Results: Migrant women who experienced labor perceived slightly more difficulties in attending routine antenatal visits (41.2% vs 39.4%; P = 0.001), more barriers in accessing facilities (32.9% vs 29.9%; P = 0.001), lack of timely care (14.7% vs 13.0%; P = 0.025), inadequate room comfort and equipment (9.2% vs 8.5%; P = 0.004), inadequate number of women per room (9.4% vs 8.6%; P = 0.039), being prevented from staying with their baby as they wished (7.8% vs 6.9%; P = 0.011), or suffering abuse (14.5% vs 12.7%; P = 0.022) compared with nonmigrant women. For women who had a prelabor cesarean, migrant women were more likely not to receive pain relief after birth (16.8% vs.13.5%; P = 0.039) and less likely to provide informal payment (1.8% vs 4.4%; P = 0.005) compared with nonmigrant women. Overall, the QMNC index was not significantly different for migrant compared with nonmigrant women. Conclusion: Gaps in overall QMNC were reported by both migrant and nonmigrant women, with improvements to healthcare necessary for all.
AB - Objective: To describe the perception of quality of maternal and newborn care (QMNC) around the time of childbirth among migrant and nonmigrant women in Europe. Methods: Women who gave birth at a health facility in 11 countries of the WHO European Region from March 2020 to July 2021 were invited to answer an online questionnaire including demographics and childbirth experience. Data were analyzed and compared for 1781 migrant and 20 653 nonmigrant women. Results: Migrant women who experienced labor perceived slightly more difficulties in attending routine antenatal visits (41.2% vs 39.4%; P = 0.001), more barriers in accessing facilities (32.9% vs 29.9%; P = 0.001), lack of timely care (14.7% vs 13.0%; P = 0.025), inadequate room comfort and equipment (9.2% vs 8.5%; P = 0.004), inadequate number of women per room (9.4% vs 8.6%; P = 0.039), being prevented from staying with their baby as they wished (7.8% vs 6.9%; P = 0.011), or suffering abuse (14.5% vs 12.7%; P = 0.022) compared with nonmigrant women. For women who had a prelabor cesarean, migrant women were more likely not to receive pain relief after birth (16.8% vs.13.5%; P = 0.039) and less likely to provide informal payment (1.8% vs 4.4%; P = 0.005) compared with nonmigrant women. Overall, the QMNC index was not significantly different for migrant compared with nonmigrant women. Conclusion: Gaps in overall QMNC were reported by both migrant and nonmigrant women, with improvements to healthcare necessary for all.
KW - Childbirth
KW - COVID-19
KW - IMAgiNE EURO study
KW - Maternal health care
KW - Migrant women
KW - Migrant-friendly health systems
KW - Neonatal health care
KW - Pregnancy
UR - http://www.scopus.com/inward/record.url?scp=85144416963&partnerID=8YFLogxK
U2 - 10.1002/ijgo.14472
DO - 10.1002/ijgo.14472
M3 - Article
C2 - 36530012
AN - SCOPUS:85144416963
VL - 159
SP - 39
EP - 53
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
SN - 0020-7292
IS - S1
ER -