Background
Methods
Screening and recruitment
Ethics statement
Survey instrument
Statistical analysis
Results
Characteristics | Survey | Registeredb | |||
---|---|---|---|---|---|
n = 1491 | n = 5264 | p-value | |||
Age in years, median [25-75.th percentile] | 41 | [34–50] | 39 | [31–50] | < 0.001 |
Experience in years, median [25-75.th percentile] | 18 | [10–27] | |||
Female gender, n (%) | 1463 | (98.12) | 5064/5204 | (97.31) | 0.077 |
Office practice, n (%) | |||||
Single | 575 | (38.56) | |||
In midwife-only group | 386 | (25.89) | |||
In a multi-disciplinary group | 530 | (35.55) | |||
Early-pandemic area, n (%) | 609 | (40.8) | 1762 | (33.5) | < 0.001 |
Cancelled or postponed pregnancy consultation, n (%) | 27/1375a | (1.96) | |||
Cancelled or postponed Early Prenatal Interviews, n (%) | 159/1394a | (11.41) |
No difficulty n (line %) | Same difficulty as before n (line %) | New difficulties during the pandemic n (line %) | |
---|---|---|---|
Referral to ambulatory care | |||
to social workers | 580 (38.90) | 418 (28.03) | 493 (33.07) |
to specialist physicians | 644 (43.19) | 387 (25.96) | 460 (30.85) |
to psychologists | 691 (46.34) | 362 (24.28) | 438 (29.38) |
to medical test laboratories | 1149 (77.06) | 47 (3.15) | 295 (19.79) |
to sonographers | 1235 (82.83) | 105 (7.04) | 151 (10.13) |
to family physicians | 1172 (78.60) | 181 (12.14) | 138 (9.26) |
Referral to hospital care | 1091 (73.17) | 159 (10.67) | 241 (16.16) |
n (line %) | None | Worse than before | Same as before | Better than before |
---|---|---|---|---|
Transmission of health data | 155 (10.40) | 399 (26.76) | 886 (59.42) | 51 (3.42) |
Requests for medical expertise | 130 (8.72) | 326 (21.86) | 913 (61.23) | 122 (8.18) |
Organisation of unscheduled care in hospital | 218 (14.62) | 386 (25.89) | 820 (55.00) | 67 (4.49) |
Implementation of common protocols | 475 (31.86) | 210 (14.08) | 677 (45.41) | 129 (8.65) |
Independent midwives' individual characteristics | No loss of opportunity n, (line %) N = 802 | Loss of opportunity n, (line %) N = 689 | OR univariate (95%CI) | OR multivariate (95%CI)a | |
---|---|---|---|---|---|
Age | < 40 years | 325 (49.8) | 328 (50.2) | ||
≥ 40 years | 477 (56.9) | 361 (43.1) | 0.75 (0.61 – 0.92) | ||
Experience | < 20 years | 429 (51.2) | 409 (48.8) | ||
≥ 20 years | 373 (57.1) | 280 (42.9) | 0.79 (0.64 – 0.97) | 0.78 (0.63 – 0.96) | |
Office practice | Single | 305 (53.0) | 270 (47.0) | 1.05 (0.85 – 1.29) | 0.69 (0.32 – 1.47) |
In midwife-only group | 205 (53.1) | 181 (46.9) | 1.04 (0.82 – 1.31) | 0.98 (0.76 – 1.27) | |
In a multi-disciplinary group | 292 (55.1) | 238 (44.9) | 0.92 (0.74 – 1.14) | 0.87 (0.69 – 1.11) | |
Crisis area | Early pandemic area | 328 (53.9) | 281 (46.1) | ||
Later pandemic area | 474 (53.7) | 408 (46.3) | 1.00 (0.81 – 1.22) | 1.00 (0.81 – 1.23) | |
Independent midwives' organisational characteristics | |||||
Adaptation of obstetric consultations | Maintained | 728 (53.8) | 620 (46.2) | ||
Postponed | 15 (55.6) | 12 (44.4) | 0.93 (0.42 – 2.00) | ||
Adaptation of Early Prenatal Interviews | Maintained | 715 (53.7) | 617 (46.3) | ||
Postponed | 87 (54.7) | 72 (45.3) | 0.96 (0.69 – 1.33) | ||
Referral to social worker | None or same | 558 (55.9) | 440 (44.1) | ||
New difficulties | 244 (49.5) | 249 (50.5) | 1.29 (1.04 – 1.61) | ||
Referral to specialist physician | None or same | 577 (56.0) | 454 (44.0) | ||
New difficulties | 225 (48.9) | 235 (51.1) | 1.33 (1.07 – 1.66) | ||
Referral to psychologist | None or same | 573 (54.4) | 480 (45.6) | ||
New difficulties | 229 (52.3) | 209 (47.7) | 1.09 (0.87 – 1.36) | ||
Referral to medical test laboratory | None or same | 658 (55.0) | 538 (45.0) | ||
New difficulties | 144 (48.8) | 151 (51.2) | 1.28 (0.99 – 1.66) | ||
Referral to sonographer | None or same | 731 (54.6) | 609 (45.4) | ||
New difficulties | 71 (47.0) | 80 (53.0) | 1.35 (0.97 – 1.90) | ||
Referral to family physician | None or same | 738 (54.5) | 615 (45.5) | ||
New difficulties | 64 (46.4) | 74 (53.6) | 1.39 (0.98 – 1.98) | ||
Referral to ambulatory care | None or same | 319 (57.0) | 241 (43.0) | ||
New difficulties | 483 (51.9) | 448 (48.1) | 1.23 (0.99 – 1.52) | ||
Referral to hospital care | None or same | 693 (55.4) | 557 (44.6) | ||
New difficulties | 109 (45.2) | 132 (54.8) | 1.17 (0.94 – 1.47) | ||
Transmission of health results | None or same | 598 (54.8) | 494 (45.2) | ||
New difficulties | 204 (51.1) | 195 (48.9) | 1.16 (0.92 – 1.46) | ||
Requests for medical expertise | None or same | 646 (55.5) | 519 (44.5) | ||
New difficulties | 156 (47.9) | 170 (52.1) | 1.36 (1.06 – 1.74) | ||
Organisation of unscheduled care in hospital | None or same | 606 (54.8) | 499 (45.2) | ||
New difficulties | 196 (50.8) | 190 (49.2) | 1.18 (0.93 – 1.48) | ||
Adoption of common protocols | None or same | 682 (53.2) | 599 (46.8) | ||
New difficulties | 120 (57.1) | 90 (42.9) | 0.85 (0.63 – 1.15) |