Covid-19 changes to maternity care: Experiences of Australian doctors

Background: The COVID-19 pandemic meant rapid changes to Australian maternity services. All maternity services have undertaken significant changes in relation to policies, service delivery and practices and increased use of personal protective equipment. Aims: The aim of this study was to explore an...

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Main Authors: Szabo, R.A., Wilson, A.N., Homer, C., Vasilevski, V., Sweet, L., Wynter, K., Hauck, Yvonne, Kuliukas, Lesley, Bradfield, Zoe
Format: Journal Article
Language:English
Published: WILEY 2021
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/89724
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author Szabo, R.A.
Wilson, A.N.
Homer, C.
Vasilevski, V.
Sweet, L.
Wynter, K.
Hauck, Yvonne
Kuliukas, Lesley
Bradfield, Zoe
author_facet Szabo, R.A.
Wilson, A.N.
Homer, C.
Vasilevski, V.
Sweet, L.
Wynter, K.
Hauck, Yvonne
Kuliukas, Lesley
Bradfield, Zoe
author_sort Szabo, R.A.
building Curtin Institutional Repository
collection Online Access
description Background: The COVID-19 pandemic meant rapid changes to Australian maternity services. All maternity services have undertaken significant changes in relation to policies, service delivery and practices and increased use of personal protective equipment. Aims: The aim of this study was to explore and describe doctors’ experiences of providing maternity care during the COVID-19 pandemic in Australia. Methods: A national online survey followed by semi-structured interviews with a cohort of participants was conducted during the first wave of the COVID-19 pandemic in Australia (May–June 2020). Participants were recruited through social media networks. Eighty-six doctors completed the survey, and eight were interviewed. Results: Almost all doctors reported rapid development of new guidelines and major changes to health service delivery. Professional colleges were the main source of new information about COVID-19. Most (89%) doctors felt sufficiently informed to care for women with COVID-19. Less than half of doctors felt changes would be temporary. Doctors described workforce disruptions with associated personal and professional impacts. The ability to access and process up-to-date, evidence-based information was perceived as important. Doctors acknowledged that altered models of care had increased pregnant women’s anxiety and uncertainty. All doctors described silver linings from sector changes. Conclusions: This study provides unique insights into doctors’ experiences of providing maternity care during the COVID-19 pandemic in Australia. Findings have immediate relevance to the maternity sector now and into the future. Lessons learnt provide an opportunity to reshape the maternity sector to better prepare for future public health crises.
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spelling curtin-20.500.11937-897242023-01-27T06:39:34Z Covid-19 changes to maternity care: Experiences of Australian doctors Szabo, R.A. Wilson, A.N. Homer, C. Vasilevski, V. Sweet, L. Wynter, K. Hauck, Yvonne Kuliukas, Lesley Bradfield, Zoe Science & Technology Life Sciences & Biomedicine Obstetrics & Gynecology COVID-19 healthcare worker maternity service obstetric doctor Background: The COVID-19 pandemic meant rapid changes to Australian maternity services. All maternity services have undertaken significant changes in relation to policies, service delivery and practices and increased use of personal protective equipment. Aims: The aim of this study was to explore and describe doctors’ experiences of providing maternity care during the COVID-19 pandemic in Australia. Methods: A national online survey followed by semi-structured interviews with a cohort of participants was conducted during the first wave of the COVID-19 pandemic in Australia (May–June 2020). Participants were recruited through social media networks. Eighty-six doctors completed the survey, and eight were interviewed. Results: Almost all doctors reported rapid development of new guidelines and major changes to health service delivery. Professional colleges were the main source of new information about COVID-19. Most (89%) doctors felt sufficiently informed to care for women with COVID-19. Less than half of doctors felt changes would be temporary. Doctors described workforce disruptions with associated personal and professional impacts. The ability to access and process up-to-date, evidence-based information was perceived as important. Doctors acknowledged that altered models of care had increased pregnant women’s anxiety and uncertainty. All doctors described silver linings from sector changes. Conclusions: This study provides unique insights into doctors’ experiences of providing maternity care during the COVID-19 pandemic in Australia. Findings have immediate relevance to the maternity sector now and into the future. Lessons learnt provide an opportunity to reshape the maternity sector to better prepare for future public health crises. 2021 Journal Article http://hdl.handle.net/20.500.11937/89724 10.1111/ajo.13307 English WILEY restricted
spellingShingle Science & Technology
Life Sciences & Biomedicine
Obstetrics & Gynecology
COVID-19
healthcare worker
maternity service
obstetric doctor
Szabo, R.A.
Wilson, A.N.
Homer, C.
Vasilevski, V.
Sweet, L.
Wynter, K.
Hauck, Yvonne
Kuliukas, Lesley
Bradfield, Zoe
Covid-19 changes to maternity care: Experiences of Australian doctors
title Covid-19 changes to maternity care: Experiences of Australian doctors
title_full Covid-19 changes to maternity care: Experiences of Australian doctors
title_fullStr Covid-19 changes to maternity care: Experiences of Australian doctors
title_full_unstemmed Covid-19 changes to maternity care: Experiences of Australian doctors
title_short Covid-19 changes to maternity care: Experiences of Australian doctors
title_sort covid-19 changes to maternity care: experiences of australian doctors
topic Science & Technology
Life Sciences & Biomedicine
Obstetrics & Gynecology
COVID-19
healthcare worker
maternity service
obstetric doctor
url http://hdl.handle.net/20.500.11937/89724