Perceptions of obstetricians, midwives, and patients towards the delivery table shield: survey on a novel protective equipment

Yıl 2022, Cilt: 19 Sayı: 1, 1127 - 1134, 25.03.2022

Gülin Feykan Yegin , Pinar Yalcin Bahat , Atakan Tanacan , Elcin İslek Secen , Seyit Ahmet Erol , Hüseyin Levent Keskin , İsmail Özdemir Özlem Moraloğlu Tekin , Dilek Sahin

https://doi.org/10.38136/jgon.1023508

Öz

Objective: This study aimed to evaluate perceptions of doctors, midwives, and patients regarding our designed delivery table shield (DTS) during second stage of vaginal deliveries of women with suspected or confirmed COVID-19.
Methods: In this cross-sectional double-center study, semi-structured questionnaires were administered to doctors/midwives (n = 224) and patients with suspected or confirmed COVID-19 (n = 154) with experience on use of DTS during second stage. All statistical analyses were performed using the chi-square test to compare the categorical variables and pair-wise comparisons were performed via the chi-square test. A p-value < 0.05 were considered statistically significant.
Results: Of the sample healthcare providers, 180 (80.4%) stated being safe with DTS; 204 (91.1%) stated not encountering any problem using the shield; 171 (76.3 %) thought the DTS does not complicate the intervention in any obstetric urgency. 131 (85%) of patients stated feeling safe and not having any problem; 141 (91.6%) stated that DTS did not affect mother-baby bonding and suggested vaginal delivery with DTS to expectant mothers.
Conclusion: The study supported that using DTS during second stage of vaginal delivery of women with suspected or confirmed COVID-19, is advantageous for obstetricians and midwives without compromising optimal labor conditions.

Anahtar Kelimeler

COVID-19, delivery, personal protective equipment, midwifery

Kadın doğum uzmanları, ebeler ve hastaların doğum masası kalkanına yönelik algıları: yeni bir koruyucu ekipman ile ilgili anket çalışması

Öz

Amaç: Bu çalışma, COVID-19 şüphesi olan veya doğrulanmış kadınların vajinal doğumlarının ikinci aşaması sırasında kullanımı için tasarladığımız doğum masası siperliğine (DTS) ilişkin doktorların, ebelerin ve hastaların algılarını değerlendirmeyi amaçladı.
Yöntemler: Bu kesitsel çift merkezli çalışmada, ikinci evrede DTS kullanımı deneyimi olan doktorlara/ebelere (n = 224) ve COVID-19 şüphesi olan veya doğrulanmış COVID-19 hastalarına (n = 154) yarı yapılandırılmış anketler uygulandı. . Tüm istatistiksel analizler, kategorik değişkenleri karşılaştırmak için ki-kare testi kullanılarak yapıldı ve ikili karşılaştırmalar ki-kare testi ile yapıldı. p değeri < 0.05 istatistiksel olarak anlamlı kabul edildi.
Bulgular: Örneklemdeki sağlık hizmeti sunucularından 180'i (%80,4) DTS ile güvende hissettiğini belirtti; 204 (%91,1)'ü DTS kullanımında herhangi bir sorunla karşılaşmadığını; 171 (%76.3) DTS'nin herhangi bir obstetrik aciliyette müdahaleyi karmaşıklaştırmadığını düşündüğünü bildirdi. Hastaların 131'i (%85) kendilerini güvende hissettiklerini ve herhangi bir sorun yaşamadıklarını; 141 (%91,6)'i DTS'nin anne-bebek bağını etkilemediğini belirtmiş ve anne adaylarına DTS ile vajinal doğumu önermişlerdir.
Sonuç: Çalışma, COVID-19 şüphesi olan veya doğrulanan kadınların vajinal doğumlarının ikinci evresinde DTS kullanımının, optimal doğum koşullarından ödün vermeden kadın doğum uzmanları ve ebeler için avantajlı olduğunu desteklemiştir.

Anahtar Kelimeler

Covid-19, doğum, ebelik, kişisel koruyucu ekipman

Kaynakça

• 1. Yu F, Yan L, Wang N, Yang S, Wang L, Tang Y, Gao G, Wang S, Ma C, Xie R, Wang F, Tan C, Zhu L, Guo Y, Zhang F. Quantitative Detection and Viral Load Analysis of SARS-CoV-2 in Infected Patients. Clin Infect Dis. 2020 Jul 28;71(15):793-798. doi: 10.1093/cid/ciaa345.
• 2. Albott CS, Wozniak JR, McGlinch BP, Wall MH, Gold BS, Vinogradov S. Battle Buddies: Rapid Deployment of a Psychological Resilience Intervention for Health Care Workers During the COVID-19 Pandemic. Anesth Analg. 2020 Jul;131(1):43-54.
• 3. Coxon K, Turienzo CF, Kweekel L, Goodarzi B, Brigante L, Simon A. The impact of the coronavirus (COVID-19) pandemic on maternity care in Europe. Midwifery 2020; 88: 102779.
• 4. Brown J, Pope C. Personal protective equipment and possible routes of airborne spread during the COVID-19 pandemic. Anaesthesia. 2020; 75(8): 1116-7.
• 5. Jessop ZM, Dobbs TD, Ali SR, Combellack E, Clancy R, Ibrahim N, et al. Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing. Br J Surg 2020; 107(10): 1262-80.
• 6. MacIntyre CR, Chughtai AA. A rapid systematic review of the efficacy of face masks and respirators against coronaviruses and other respiratory transmissible viruses for the community, healthcare workers and sick patients. Int J Nurs Stud 2020; 108: 103629.
• 7. Sinha MS, Bourgeois FT, Sorger PK. Personal Protective Equipment for COVID-19: Distributed Fabrication and Additive Manufacturing. Am J Public Health 2020; 110(8): 1162-4.
• 8. Boelig RC, Manuck T, Oliver EA, Di Mascio D, Saccone G, Bellussi F, et al. Labor and delivery guidance for COVID-19. Am J Obstet Gynecol MFM 2020; 2(2): 100110.
• 9. Sahin D, Ahmet Erol S, Tanacan A, Ozcan N, Keskin HL, et al. Protective equipment to use in the vaginal delivery of the pregnant woman with suspected or diagnosed coronavirus disease 2019: delivery table shield. Am J Obstet Gynecol 2020; 223(4): 599-601.
• 10. Sahin D, Tanacan A, Erol SA, Anuk AT, Yetiskin FDY, Keskin HL, et al. Updated experience of a tertiary pandemic center on 533 pregnant women with COVID-19 infection: A prospective cohort study from Turkey. Int J Gynecol Obstet 2021; 152(3): 328-34.
• 11. Sahin D, Tanacan A, Erol SA, Anuk AT, Eyi EG, Ozgu-Erdinc AS, et al. A pandemic center's experience of managing pregnant women with COVID-19 infection in Turkey: A prospective cohort study. Int J Gynecol Obstet 2020; 151(1): 74-82.
• 12. World Health Organization. Modes of transmission of virus causing COVID-19 implications for IPC precaution recommendations. WHO. 2020. [ Cited 15 November 2020]. Available from URL: https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19 implications-for-ipc-precaution-recommendations.
• 13. ACOG practice advisory. Novel coronavirus 19. ACOG 2020. [Cited 11 November 2020] Available from URL: https://www.acog.org/clinical/clinicalguidance/practiceadvisory/articles/2020/03/novel-coronavirus-2019.
• 14. Knight M, Bunch K, Vousden N, Morris E, Simpson N, Gale C, et al; UK Obstetric Surveillance System. SARS-CoV-2 Infection in Pregnancy Collaborative Group. Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study. BMJ 2020; 369: 2107.
• 15. Qi H, Luo X, Zheng Y, Zhang H, Li J, Zou L, et al. Safe delivery for pregnancies affected by COVID-19. BJOG 2020; 127(8): 927-929.
• 16. Centers for Disease Control and Prevention. Coronovirus Disease 2019 (COVID 19). 2020. [Cited 11 November 2020.] Available from URL: https://www.cdc.gov/coronavirus/2019-ncov.
• 17. European Centre for Disease Prevention and Control. COVID- 19 pandemic. 2020. [Cited 11 November 2020.] Available from URL: https://www.ecdc.europa.eu/en/covid-19-pandemic.
• 18. Tanacan A, Erol SA, Turgay B, Anuk AT, Secen EI, Yegin GF, et al. The rate of SARS-CoV-2 positivity in asymptomatic pregnant women admitted to hospital for delivery: Experience of a pandemic center in Turkey. Eur J Obstet Gynecol Reprod Biol 2020; 253: 31-4.
• 19. Cawcutt KA, Starlin R, Rupp ME. Fighting fear in healthcare workers during the COVID-19 pandemic. Infect Control Hosp Epidemiol 2020; 41(10): 1192-3. 20. Koh D. Occupational risks for COVID-19 infection. Occup Med (Lond) 2020; 70: 3.
• 21. Harper CA, Satchell LP, Fido D, Latzman RD. Functional Fear Predicts Public Health Compliance in the COVID-19 Pandemic. Int J Ment Health Addict 2020; 1- 14.
• 22. Ornaghi S, Fumagalli S, Nespoli A, Vergani P. Delivery table shield to assist suspected and confirmed severe acute respiratory syndrome coronavirus 2-positive women in labor. Am J Obstet Gynecol 2020; 223(5): 777-8.
• 23. Sahin D, Tanacan A, Moraloglu Tekin O. Response to concerns about the use of delivery table shield in the vaginal delivery of the pregnant women with suspected/diagnosed COVID-19. Am J Obstet Gynecol 2020; 223(5): 778-9.