Department of Midwifery, Centre of Postgraduate Medical Education, Warsaw, Poland.
Department of Medical Communication, Medical University of Warsaw, Warsaw, Poland.
Health Care Women Int. 2020 Nov-Dec;41(11-12):1335-1348. doi: 10.1080/07399332.2020.1830096. Epub 2020 Oct 13.
The current COVID-19 pandemic put a burden on healthcare services around the globe and impacted many areas of care delivery, including maternity services. Prioritizing ringfenced community care to keep women away from hospitals may be the best strategic response to ensure pregnant and laboring women receive optimal care. By analyzing the structure of maternity services in Poland and their response to the current crisis, we show that while the available model allows to provide large share of prenatal services outside hospital settings, it allows no alternative to hospital births. In addition, medicalization, inequalities in access and fragmentation of care hinder services' ability to respond in a way it ensures best possible care.
当前的 COVID-19 大流行给全球医疗服务带来了负担，并影响了包括妇产科服务在内的许多医疗服务领域。优先考虑社区隔离护理，让妇女远离医院，可能是确保孕妇和产妇获得最佳护理的最佳战略应对措施。通过分析波兰妇产科服务的结构及其对当前危机的反应，我们表明，虽然现有的模式允许在医院环境之外提供大部分产前服务，但它不允许在医院以外分娩。此外，医疗化、获得机会不平等以及护理碎片化阻碍了服务以确保最佳护理的方式做出回应的能力。
