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Improving MAternal Newborn carE In the in the WHO European Region During COVID-19 Pandemic

IMAGINE EURO (Improving MAternal Newborn carE In the EURO Region): Maternal and Newborn Health Service Preparedness, Quality and Resilience, Among Countries of the WHO European Region, During the COVID-19 Pandemic

Status
UNKNOWN
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04847336
Acronym
IMAgiNE-EURO
Enrollment
10000
Registered
2021-04-19
Start date
2020-09-02
Completion date
2022-09-02
Last updated
2021-04-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Quality of Care During Childbirth

Brief summary

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 * This project has been developed in coordination with WHO Regional Office for Europe (EURO) and other partners, and ultimately aims at making available and disseminate data that can help improving the quality of MN health services in the Region. Collecting data on the quality of essential MN health services across different countries within the WHO European Region will help addressing specific gaps and planning coordinate response to improve quality of MN care and improve MN health outcomes. * The project will also offer the opportunity to develop tools and methods to monitor the quality of MN health care across different countries and settings. * The project will establish and consolidate a research network 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

Interventions

No intervention is planned

Sponsors

IRCCS Burlo Garofolo
CollaboratorOTHER
NGO Babysteps
CollaboratorUNKNOWN
Roda - Parents in Action
CollaboratorUNKNOWN
INED - Institut National d'Etudes Démographiques
CollaboratorUNKNOWN
School of Public Health, Bielefeld University
CollaboratorUNKNOWN
Riga Stradins University
CollaboratorOTHER
BLL-Beruffsverband vun den Laktationsberoderinnen zu Lëtzebuerg asbl
CollaboratorUNKNOWN
UiT The Arctic University of Norway
CollaboratorOTHER
Childbirth with Dignity Foundation
CollaboratorUNKNOWN
Instituto de Saude Publica da Universidade do Porto
CollaboratorOTHER
Administraçao Regional de Saude do Algarve - ACES Central - URAP - Albufeira
CollaboratorUNKNOWN
Associação Portuguesa pelos Direitos da Mulher na Gravidez e Parto
CollaboratorUNKNOWN
Universidade Europeia, Lisbon
CollaboratorUNKNOWN
SAMAS Association
CollaboratorUNKNOWN
Centar za mame
CollaboratorUNKNOWN
National Institute of Public Health, Slovenia
CollaboratorOTHER_GOV
Medical Anthropology Research Center (MARC, URV)
CollaboratorUNKNOWN
Göteborg University
CollaboratorOTHER
University of Exeter
CollaboratorOTHER
WHO Collaborating Centre for Maternal and Child Health, Trieste
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

1. Women of any age who gave births in hospitals, from 1 march 2020 2. Health workers directly involved in assistance at childbirth (pregnancy, childbirth and peripartum) at hospital level, from 1 march 2020

Exclusion criteria

1. For women: refusal to participate; home births 2. For health workers: personnel not directly involved in the routine care t childbirth (es physiotherapist, philologist), refusal to participate; absence from work for more than 2 months out of the 4 months immediately before the survey; less than 1 year of experience

Design outcomes

Primary

MeasureTime frameDescription
Quality of Maternal and Newborn Care Index - meanMarch 2020 to March 2021variable from 0 to 100 points

Secondary

MeasureTime frameDescription
Quality of Maternal and Newborn Care Index - total valueMarch 2020 to March 2021variable from 0 to 400 points
Index of Quality of Maternal and Newborn Care - value by domainsMarch 2020 to March 2021* Index for availability of human and physical resources (variable from 0 to 100 points) * Index for provision of care (variable from 0 to 100 points) * Index for experience of care (variable from 0 to 100 points) * Index for COVID-19 related care (variable from 0 to 100 points)
Frequency of specific indicators/quality measureMarch 2020 to March 2021* Caesarean section rate * Episiotomy rate * Availability of specific resources

Countries

Italy

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 19, 2026