Maternity services in the UK during the coronavirus disease 2019 pandemic : a national survey of modifications to standard care
© 2020 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd..
OBJECTIVE: 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.
DESIGN: National survey.
SETTING: UK maternity services during the COVID-19 pandemic.
POPULATION OR SAMPLE: Healthcare professionals working within maternity services.
METHODS: 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.
MAIN OUTCOME MEASURES: Service modifications made during the pandemic.
RESULTS: 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.
CONCLUSIONS: 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.
TWEETABLE ABSTRACT: A national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID-19.
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:128 |
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| Enthalten in: |
BJOG : an international journal of obstetrics and gynaecology - 128(2021), 5 vom: 11. Apr., Seite 880-889 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Jardine, J [VerfasserIn] |
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| Links: |
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| Themen: |
Coronavirus disease 2019 |
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| Anmerkungen: |
Date Completed 15.03.2021 Date Revised 15.03.2021 published: Print-Electronic CommentIn: BJOG. 2021 Apr;128(5):936-937. - PMID 33524219 Citation Status MEDLINE |
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| doi: |
10.1111/1471-0528.16547 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 245 | 1 | 0 | |a Maternity services in the UK during the coronavirus disease 2019 pandemic |b a national survey of modifications to standard care |
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| 500 | |a Date Revised 15.03.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: BJOG. 2021 Apr;128(5):936-937. - PMID 33524219 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2020 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd. | ||
| 520 | |a OBJECTIVE: 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 | ||
| 520 | |a DESIGN: National survey | ||
| 520 | |a SETTING: UK maternity services during the COVID-19 pandemic | ||
| 520 | |a POPULATION OR SAMPLE: Healthcare professionals working within maternity services | ||
| 520 | |a METHODS: 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 | ||
| 520 | |a MAIN OUTCOME MEASURES: Service modifications made during the pandemic | ||
| 520 | |a RESULTS: 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 | ||
| 520 | |a CONCLUSIONS: 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 | ||
| 520 | |a TWEETABLE ABSTRACT: A national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID-19 | ||
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| 650 | 4 | |a Coronavirus disease 2019 | |
| 650 | 4 | |a maternity | |
| 650 | 4 | |a service modifications | |
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