Optimising maternity services and maternal and newborn outcomes in a pandemic: A rapid analytic scoping review

, Mary J. Renfrew, Helen Cheyne, Billie Hunter, Soo Downe, Jane Sandall, Helen Spiby, Fiona Dykes, Tina Lavender, Lesley Page

    Research output: Other contribution

    Abstract

    Childbearing women and newborn infants continue to require care during the current COVID-19 pandemic. When staff and services are under extreme stress there is a real risk of increasing avoidable harm, including an increased risk of infection and reductions in the overall quality of care. Safety, quality, and avoiding harm must be key priorities in decision-making.

    Review questions
    Three related review questions were addressed. All considered safety, quality and minimising avoidable harm in the provision of midwifery services:
    1. What is the evidence on the impact of community care vs centralisation of care during pandemics, for childbearing women, newborn infants, families, staff, and resources?
    2. How to optimise availability of midwifery expertise when staffing becomes heavily affected by the midwifery workforce being off sick, self-isolating, fear of pandemic or other major unavoidable events?
    3. What is the evidence on viral load of SARS-COV-2 in domestic settings and hospitals, relevant to informing the safety of community and hospital settings for health professionals?
    Original languageEnglish
    TypeClinical guidance briefing
    PublisherRoyal College of Midwives
    Number of pages21
    Publication statusPublished - 8 Apr 2020

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  • Cite this

    Royal College of Midwives, Renfrew, M. J., Cheyne, H., Hunter, B., Downe, S., Sandall, J., Spiby, H., Dykes, F., Lavender, T., & Page, L. (2020, Apr 8). Optimising maternity services and maternal and newborn outcomes in a pandemic: A rapid analytic scoping review. Royal College of Midwives. https://www.rcm.org.uk/media/3869/rapid-review-optimising-maternity-services-for-rcm-v4-8-april.pdf