Balancing restrictions and access to maternity care for women and birthing partners during the COVID-19 pandemic: the psychosocial impact of suboptimal care

J. Lalor*, S. Ayers, J. Celleja Agius, S. Downe, O. Gouni, K. Hartmann, M. Nieuwenhuijze, M. Oosterman, J. D. Turner, S. I. Karlsdottir, A. Horsch

*Corresponding author for this work

Research output: Contribution to JournalComment / Letter to the editorAcademic

Abstract

Key points
1 Maternity services across Europe during the pandemic has undergone changes to limit virus transmission; however, many changes are not evidence-based.
2 Although these changes were introduced to keep women, babies and healthcare staff safe, the exclusion of companions and the separation of mothers and babies is particularly antithetical to a human rights-based approach to quality care.
3 A poll of COST Action 18211 network members showed that inconsistency in the application of restrictions was high, and there were significant deviations from the recommendations of authoritative bodies.
4 Concerns have emerged that restrictions in practice may have longer term negative impacts on mothers and their families and, in particular, may impact on the long-term health of babies.
5 When practice changes deviate from evidence-based frameworks that underpin quality care, they must be monitored, appraised and evaluated to minimise unintended iatrogenic effects.
Original languageEnglish
Pages (from-to)1720-1725
Number of pages6
JournalBJOG : An International Journal of Obstetrics and Gynaecology
Volume128
Issue number11
Early online date16 Jul 2021
DOIs
Publication statusPublished - Oct 2021

Bibliographical note

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

Funding

Online Open publication funded by COST Action 18211. Online Open publication funded by COST Action 18211. All authors are members of the management committee of COST Action CA18211 and JL is the Action Chair. This commentary is based on contributions from members of the network. Open access funding provided by IReL.

FundersFunder number
European Cooperation in Science and TechnologyCA18211, 18211

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