Table 1.
Summary of junior doctors' responses on the provision of obstetrics and gynaecology services in the NHS response during the acute phase of the COVID‐19 pandemic
| Question |
Yes n (%) |
No n (%) |
Unsure n (%) |
|---|---|---|---|
| Training and support | |||
| Have you carried out any COVID‐19 training drills for obstetric and gynaecological emergencies? | 89 (60) | 59 (40) | 0 (0) |
| Have you been face‐fit tested for an FFP3 or equivalent mask? | 119 (80.4) | 29 (19.6) | 0 (0) |
| Have you received training in two‐person donning and doffing of PPE? | 96 (64.9) | 52 (35.1) | 0 (0) |
| Have you received specific training on the care for a woman with COVID‐19? | 68 (45.9) | 78 (52.7) | 2 (1.4) |
| Labour ward | |||
| Do you have a dedicated COVID‐19 operating theatre for obstetric emergencies? | 105 (70.9) | 42 (28.4) | 1 (0.7) |
| Do you have access to PPE on the labour ward? | 135 (91.2) | 11 (7.4) | 2 (1.4) |
| Has there been a clear protocol for management of suspected and confirmed COVID‐19 patients on the labour ward in your unit? | 130 (87.8) | 18 (12.2) | 0 (0) |
| Have there been any planned changes in the number of inductions of labour and/or elective caesarean sections? | 62 (41.9) | 83 (56.1) | 3 (2) |
| Antenatal and postnatal care | |||
| Did you start providing antenatal care service over the phone/ videoconferencing? | 105 (70.9) | 33 (22.3) | 10 (6.8) |
| Has there been a planned reduction in attendance to antenatal care? | 117 (79.1) | 19 (12.8) | 12 (8.1) |
| Have there been any changes to antenatal screening pathways at your unit? | 66 (44.6) | 59 (39.9) | 23 (15.5) |
| Has there been clear protocol to speed up inpatient discharge postnatally? | 59 (39.9) | 75 (50.7) | 14 (9.5) |
| Are there dedicated bays or areas to care for women with suspected or confirmed COVID‐19? | 116 (78.4) | 21 (14.2) | 11 (7.4) |
| Benign gynaecology | |||
| Has the unit stopped all elective work including urogynaecology and fertility services? | 131 (88.5) | 12 (8.1) | 5 (3.4) |
| Have there been protocols to avoid the use of emergency laparoscopy in women with suspected or confirmed COVID‐19? | 65 (43.9) | 73 (49.3) | 10 (6.8) |
| Has there been protocol to offer medical management of miscarriage as a first‐line treatment? | 87 (58.8) | 51 (34.5) | 10 (6.8) |
| Has there been protocol to offer medical management of confirmed ectopic pregnancy as a first‐line treatment? | 42 (28.4) | 89 (60.1) | 17 (11.5) |
| Oncology gynaecology | |||
| Have you changed your Two‐Week Wait referral pathway and/or services? | 59 (39.9) | 76 (51.4) | 13 (8.8) |
| Have you reduced your oncology theatre lists? | 82 (55.4) | 53 (35.8) | 13 (8.8) |
| Have you moved gynae‐oncology operating to a different site or trust? | 37 (25) | 102 (68.9) | 9 (6.1) |
| Have you changed the ward where gynae‐oncology patients are cared for postoperatively? | 39 (26.4) | 100 (67.6) | 9 (6.1) |
| General | |||
| As a junior doctor in obstetrics and gynaecology, do you feel well supported facing this pandemic? | 93 (62.8) | 45 (30.4) | 10 (6.8) |
| Median score | Range of scores | ||
|
How do you rate your confidence in how your unit is managing this pandemic on a scale from 1 to 9? 1 being no confidence and 9 being very confident |
6 | 1–9 | |
|
How do you rate your anxiety at present on a scale from 1 to 9? 1 being severe anxiety and 9 being no anxiety |
6 | 1–9 | |