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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The United Kingdom and the Netherlands maternity care responses to COVID-19: A comparative study
Women and Birth, Volume 36, No. 1, Year 2023
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Description
Background: The national health care response to coronavirus (COVID-19) has varied between countries. The United Kingdom (UK) and the Netherlands (NL) have comparable maternity and neonatal care systems, and experienced similar numbers of COVID-19 infections, but had different organisational responses to the pandemic. Understanding why and how similarities and differences occurred in these two contexts could inform optimal care in normal circumstances, and during future crises. Aim: To compare the UK and Dutch COVID-19 maternity and neonatal care responses in three key domains: choice of birthplace, companionship, and families in vulnerable situations. Method: A multi-method study, including documentary analysis of national organisation policy and guidance on COVID-19, and interviews with national and regional stakeholders. Findings: Both countries had an infection control focus, with less emphasis on the impact of restrictions, especially for families in vulnerable situations. Differences included care providers’ fear of contracting COVID-19; the extent to which community- and personalised care was embedded in the care system before the pandemic; and how far multidisciplinary collaboration and service-user involvement were prioritised. Conclusion: We recommend that countries should 1) make a systematic plan for crisis decision-making before a serious event occurs, and that this must include authentic service-user involvement, multidisciplinary collaboration, and protection of staff wellbeing 2) integrate women's and families’ values into the maternity and neonatal care system, ensuring equitable inclusion of the most vulnerable and 3) strengthen community provision to ensure system wide resilience to future shocks from pandemics, or other unexpected large-scale events. © 2023 The Authors
Authors & Co-Authors
Moncrieff, Gill
United Kingdom, Preston
University of Central Lancashire
Downe, Soo M.
United Kingdom, Preston
University of Central Lancashire
Ellison, George T.H.
United Kingdom, Preston
University of Central Lancashire
Fenton, Alan Charles
United Kingdom, Newcastle
The Newcastle Upon Tyne Hospitals Nhs Foundation Trust
Heazell, Alexander E.
United Kingdom, Manchester
The University of Manchester
Matthews, Zoë
United Kingdom, Southampton
University of Southampton
Wright, Alison
United Kingdom, London
Royal Free London
Sandall, Jane
United Kingdom, London
King's College London
Thornton, Jim G.
United Kingdom, Nottingham
University of Nottingham
Draycott, Tim J.
United Kingdom, London
Royal College of Obstetricians and Gynaecologists
Franx, Arie
United Kingdom, Liverpool
University of Liverpool
Frith, Lucy J.
United Kingdom, Liverpool
University of Liverpool
Homer, Caroline S.E.
Australia, Melbourne
Burnet Institute
Knight, Marian
United Kingdom, Oxford
University of Oxford Medical Sciences Division
Marlow, Neil
United Kingdom, London
University College London
Statistics
Citations: 4
Authors: 15
Affiliations: 18
Identifiers
Doi:
10.1016/j.wombi.2022.03.010
ISSN:
18715192
Research Areas
Covid
Health System And Policy
Maternal And Child Health
Participants Gender
Female