Maternity services in the UK during the coronavirus disease 2019 pandemic: a national survey of modifications to standard care.
Appointments and Schedules
COVID-19
/ epidemiology
Female
Health Care Surveys
Health Workforce
Hospitalization
/ statistics & numerical data
Humans
Maternal Health Services
/ organization & administration
Organizational Innovation
Practice Guidelines as Topic
Pregnancy
Remote Consultation
/ statistics & numerical data
SARS-CoV-2
State Medicine
/ trends
United Kingdom
/ epidemiology
Coronavirus disease 2019
maternity
service modifications
workforce survey
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
accepted:
20
08
2020
pubmed:
30
9
2020
medline:
16
3
2021
entrez:
29
9
2020
Statut:
ppublish
Résumé
To explore the modifications to maternity services across the UK, in response to the coronavirus disease 2019 (COVID-19) pandemic, in the context of the pandemic guidance issued by the Royal College of Obstetricians and Gynaecologists (RCOG), Royal College of Midwives (RCM) and NHS England. National survey. UK maternity services during the COVID-19 pandemic. Healthcare professionals working within maternity services. A national electronic survey was developed to investigate local modifications to general and specialist maternity care during the COVID-19 pandemic, in the context of the contemporaneous national pandemic guidance. After a pilot phase, the survey was distributed through professional networks by the RCOG and co-authors. The survey results were presented descriptively in tabular and graphic formats, with proportions compared using chi-square tests. Service modifications made during the pandemic. A total of 81 respondent sites, 42% of the 194 obstetric units in the UK, were included. They reported substantial and heterogeneous maternity service modifications. Seventy percent of units reported a reduction in antenatal appointments and 56% reported a reduction in postnatal appointments; 89% reported using remote consultation methods. A change to screening pathways for gestational diabetes mellitus was reported by 70%, and 59% had temporarily removed the offer of births at home or in a midwife-led unit. A reduction in emergency antenatal presentations was experienced by 86% of units. This national survey documents the extensive impact of the COVID-19 pandemic on maternity services in the UK. More research is needed to understand the impact on maternity outcomes and experience. A national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID-19.
Identifiants
pubmed: 32992408
doi: 10.1111/1471-0528.16547
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
880-889Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2020 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.
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