Maternity services in the UK during the coronavirus disease 2019 pandemic: a national survey of modifications to standard care
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...
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| Published in: | BJOG : an international journal of obstetrics and gynaecology Vol. 128; no. 5; pp. 880 - 889 |
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| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
Wiley Subscription Services, Inc
01.04.2021
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| Subjects: | |
| ISSN: | 1470-0328, 1471-0528, 1471-0528 |
| Online Access: | Get full text |
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| Abstract | 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
A national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID‐19.
Tweetable
A national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID‐19.
This article includes Author Insights, a video available at https://vimeo.com/rcog/authorinsights16547 |
|---|---|
| AbstractList | ObjectiveTo 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.DesignNational survey.SettingUK maternity services during the COVID‐19 pandemic.Population or sampleHealthcare professionals working within maternity services.MethodsA 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 measuresService modifications made during the pandemic.ResultsA 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.ConclusionsThis 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 abstractA national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID‐19. A national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID‐19. This article includes Author Insights, a video abstract available at https://vimeo.com/rcog/authorinsights16547 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 A national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID‐19. Tweetable A national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID‐19. This article includes Author Insights, a video available at https://vimeo.com/rcog/authorinsights16547 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.OBJECTIVETo 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.DESIGNNational survey.UK maternity services during the COVID-19 pandemic.SETTINGUK maternity services during the COVID-19 pandemic.Healthcare professionals working within maternity services.POPULATION OR SAMPLEHealthcare 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.METHODSA 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.MAIN OUTCOME MEASURESService 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.RESULTSA 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.CONCLUSIONSThis 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.TWEETABLE ABSTRACTA national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID-19. 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. |
| Author | Relph, S Draycott, T Khalil, A Morris, E Jardine, J Ross‐Davie, M Magee, LA Dadelszen, P |
| Author_xml | – sequence: 1 givenname: J orcidid: 0000-0002-9932-6865 surname: Jardine fullname: Jardine, J organization: London School of Hygiene and Tropical Medicine – sequence: 2 givenname: S orcidid: 0000-0002-2007-9647 surname: Relph fullname: Relph, S organization: King’s College London – sequence: 3 givenname: LA orcidid: 0000-0002-1355-610X surname: Magee fullname: Magee, LA organization: King’s College London – sequence: 4 givenname: P orcidid: 0000-0003-4136-3070 surname: Dadelszen fullname: Dadelszen, P organization: King’s College London – sequence: 5 givenname: E surname: Morris fullname: Morris, E organization: Norfolk and Norwich University Hospital – sequence: 6 givenname: M surname: Ross‐Davie fullname: Ross‐Davie, M organization: Royal College of Midwives – sequence: 7 givenname: T orcidid: 0000-0002-1825-4864 surname: Draycott fullname: Draycott, T organization: Royal College of Obstetricians and Gynaecologists – sequence: 8 givenname: A orcidid: 0000-0003-2802-7670 surname: Khalil fullname: Khalil, A email: akhalil@sgul.ac.uk organization: St George’s, University of London |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32992408$$D View this record in MEDLINE/PubMed |
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| PublicationYear | 2021 |
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| References | 2010; 12 2020; 127 2020; 324 2006; 18 2012; 18 2015 2020; 167 2013; 13 2020 2018; 20 e_1_2_7_6_1 e_1_2_7_5_1 e_1_2_7_4_1 e_1_2_7_3_1 e_1_2_7_9_1 e_1_2_7_8_1 e_1_2_7_7_1 e_1_2_7_19_1 e_1_2_7_18_1 e_1_2_7_17_1 e_1_2_7_16_1 e_1_2_7_2_1 e_1_2_7_15_1 e_1_2_7_14_1 e_1_2_7_13_1 e_1_2_7_12_1 e_1_2_7_11_1 e_1_2_7_10_1 e_1_2_7_26_1 e_1_2_7_27_1 e_1_2_7_28_1 e_1_2_7_29_1 Dowswell T (e_1_2_7_33_1) 2015 e_1_2_7_30_1 e_1_2_7_25_1 e_1_2_7_31_1 e_1_2_7_24_1 e_1_2_7_32_1 e_1_2_7_23_1 e_1_2_7_22_1 e_1_2_7_34_1 e_1_2_7_21_1 e_1_2_7_35_1 e_1_2_7_20_1 e_1_2_7_36_1 e_1_2_7_37_1 e_1_2_7_38_1 e_1_2_7_39_1 33524219 - BJOG. 2021 Apr;128(5):936-937 |
| References_xml | – volume: 13 start-page: 22 year: 2013 article-title: A randomized controlled study about the use of eHealth in the home health care of premature infants publication-title: BMC Med Inform Decis Mak – volume: 324 start-page: 705 year: 2020 end-page: 6 article-title: Change in the incidence of stillbirth and preterm delivery during the COVID‐19 pandemic publication-title: JAMA – volume: 167 start-page: 108353 year: 2020 article-title: Testing for gestational diabetes during the COVID‐19 pandemic. An evaluation of proposed protocols for the United Kingdom, Canada and Australia publication-title: Diabetes Res Clin Pract – volume: 18 start-page: 59 issue: 1 year: 2006 end-page: 82 article-title: How many interviews are enough?: An experiment with data saturation and variability publication-title: Filed Methods – volume: 18 start-page: 125 year: 2012 end-page: 7 article-title: Clinical use of Skype: a review of the evidence base publication-title: J Telemed Telecare – volume: 12 year: 2010 article-title: Health information technology to facilitate communication involving health care providers, caregivers, and pediatric patients: a scoping review publication-title: J Med Internet Res – volume: 127 start-page: 1123 year: 2020 end-page: 1128 article-title: Provision of obstetrics and gynaecology services during the COVID‐19 pandemic: a survey of junior doctors in the UK National Health Service publication-title: BJOG – volume: 20 issue: 4 year: 2018 article-title: Real‐world implementation of video outpatient consultations at Macro, Meso, and Micro levels: mixed‐method study publication-title: J Med Internet Res – year: 2020 – start-page: CD000934 issue: 7 year: 2015 article-title: Alternative versus standard packages of antenatal care for low‐risk pregnancy publication-title: Cochrane Database Syst Rev – ident: e_1_2_7_20_1 – ident: e_1_2_7_29_1 – start-page: CD000934 issue: 7 year: 2015 ident: e_1_2_7_33_1 article-title: Alternative versus standard packages of antenatal care for low‐risk pregnancy publication-title: Cochrane Database Syst Rev – ident: e_1_2_7_14_1 – ident: e_1_2_7_3_1 – ident: e_1_2_7_18_1 doi: 10.1177/1525822X05279903 – ident: e_1_2_7_36_1 doi: 10.1258/jtt.2012.SFT101 – ident: e_1_2_7_11_1 – ident: e_1_2_7_25_1 – ident: e_1_2_7_22_1 – ident: e_1_2_7_28_1 – ident: e_1_2_7_15_1 doi: 10.1111/1471-0528.16313 – ident: e_1_2_7_17_1 – ident: e_1_2_7_4_1 – ident: e_1_2_7_7_1 – ident: e_1_2_7_34_1 doi: 10.2196/jmir.9897 – ident: e_1_2_7_8_1 – ident: e_1_2_7_5_1 – ident: e_1_2_7_35_1 doi: 10.2196/jmir.1390 – ident: e_1_2_7_10_1 – ident: e_1_2_7_16_1 – ident: e_1_2_7_37_1 doi: 10.1186/1472-6947-13-22 – ident: e_1_2_7_2_1 – ident: e_1_2_7_39_1 doi: 10.1016/j.diabres.2020.108353 – ident: e_1_2_7_13_1 – ident: e_1_2_7_21_1 – ident: e_1_2_7_38_1 – ident: e_1_2_7_24_1 – ident: e_1_2_7_27_1 – ident: e_1_2_7_30_1 doi: 10.1001/jama.2020.12746 – ident: e_1_2_7_32_1 – ident: e_1_2_7_19_1 – ident: e_1_2_7_6_1 – ident: e_1_2_7_9_1 – ident: e_1_2_7_26_1 – ident: e_1_2_7_12_1 – ident: e_1_2_7_23_1 – ident: e_1_2_7_31_1 – reference: 33524219 - BJOG. 2021 Apr;128(5):936-937 |
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To explore the modifications to maternity services across the UK, in response to the coronavirus disease 2019 (COVID‐19) pandemic, in the context of... A national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID‐19. This article includes Author... 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... ObjectiveTo explore the modifications to maternity services across the UK, in response to the coronavirus disease 2019 (COVID‐19) pandemic, in the context of... |
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| SubjectTerms | Appointments and Schedules Coronaviridae Coronavirus disease 2019 Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control Diabetes mellitus Female Gestational diabetes Health Care Surveys Health Workforce Hospitalization - statistics & numerical data Humans Maternal child nursing Maternal Health Services - organization & administration Maternal Health Services - standards Maternal Health Services - trends maternity Organizational Innovation Pandemics Practice Guidelines as Topic Pregnancy Remote Consultation - statistics & numerical data SARS-CoV-2 service modifications State Medicine - trends United Kingdom - epidemiology workforce survey |
| Title | Maternity services in the UK during the coronavirus disease 2019 pandemic: a national survey of modifications to standard care |
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| Volume | 128 |
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