TABLE 5.
Reorganizational changes due to COVID‐19. Quality measures common to both women who experienced labor and women with prelabor cesarean (n = 1845)
| Overall (n = 1845) No. (%) | North (n = 542) No. (%) | Center (n = 279) No. (%) | Lisbon (n = 726) No. (%) | Alentejo (n = 84) No. (%) | Algarve (n = 129) No. (%) | Madeira (n = 27) No. (%) | Azores (n = 58) No. (%) | P value a | |
|---|---|---|---|---|---|---|---|---|---|
| 1. Difficulties in attending routine antenatal visits | 870 (47.2) | 262 (48.3) | 136 (48.7) | 312 (43.0) | 41 (48.8) | 70 (54.3) | 15 (55.6) | 34 (58.6) | 0.045 |
| 2. Any barriers in accessing the facility | 593 (32.1) | 175 (32.3) | 82 (29.4) | 221 (30.4) | 25 (29.8) | 56 (43.4) | 12 (44.4) | 22 (37.9) | 0.024 |
| 3. Inadequate info graphics | 641 (34.7) | 170 (31.4) | 103 (36.9) | 256 (35.3) | 22 (26.2) | 56 (43.4) | 12 (44.4) | 22 (37.9) | 0.054 |
| 4. Inadequate wards reorganization | 661 (35.8) | 176 (32.5) | 131 (47.0) | 220 (30.3) | 33 (39.3) | 68 (52.7) | 15 (55.6) | 18 (31.0) | <0.001 |
| 5. Inadequate room reorganization | 686 (37.2) | 193 (35.6) | 130 (46.6) | 218 (30.0) | 38 (45.2) | 77 (59.7) | 17 (63.0) | 13 (22.4) | <0.001 |
|
6. Lacking one functioning accessible hand‐washing station |
182 (9.9) | 51 (9.4) | 30 (10.8) | 65 (9.0) | 11 (13.1) | 18 (14.0) | 3 (11.1) | 4 (6.9) | 0.322 |
| 7. HCP not always using PPE | 201 (10.9) | 49 (9.0) | 28 (10.0) | 75 (10.3) | 12 (14.3) | 21 (16.3) | 4 (14.8) | 12 (20.7) | 0.115 |
| 8. Insufficient HCP number | 513 (27.8) | 127 (23.4) | 89 (31.9) | 201 (27.7) | 30 (35.7) | 40 (31.0) | 7 (25.9) | 19 (32.8) | 0.046 |
|
9. Inadequate communication to contain COVID‐19‐related stress |
660 (35.8) | 163 (30.1) | 124 (44.4) | 266 (36.6) | 34 (40.5) | 42 (32.6) | 8 (29.6) | 23 (39.7) | 0.001 |
| 10. Reduction in QMNC due to COVID‐19 | 864 (46.8) | 220 (40.6) | 153 (54.8) | 336 (46.3) | 44 (52.4) | 70 (54.3) | 17 (63.0) | 24 (41.4) | <0.001 |
Abbreviations: HCP, healthcare provider; PPE, personal protective equipment; QMNC, quality of maternal and newborn care.
a
Alentejo, Madeira, and Azores regions were excluded from comparison due to low sample size.