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Provision of obstetrics and gynaecology services during the COVID‐19 pandemic : a survey of junior doctors in the UK National Health Service
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UKARCOG Members (Including:
). (2020) Provision of obstetrics and gynaecology services during the COVID‐19 pandemic : a survey of junior doctors in the UK National Health Service. BJOG: An International Journal of Obstetrics & Gynaecology . doi:10.1111/1471-0528.16313 (In Press)
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WRAP-Provision-obstetrics-gynaecology-services-COVID-19-NHS-Al-Wattar-2020.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (169Kb) | Preview |
Official URL: http://dx.doi.org/10.1111/1471-0528.16313
Abstract
Objective
The coronavirus disease 2019 (COVID‐19) pandemic is disrupting health services worldwide. We aimed to evaluate the provision of obstetrics and gynaecology services in the UK during the acute phase of the COVID‐19 pandemic.
Design
Interview‐based national survey.
Setting
Women's healthcare units in the National Health Service.
Population
Junior doctors in obstetrics and gynaecology.
Methods
Participants were interviewed by members of the UK Audit and Research in Obstetrics and Gynaecology trainees' collaborative between 28 March and 7 April 2020. We used a quantitative analysis for closed‐ended questions and a thematic framework analysis for open comments.
Results
We received responses from 148/155 units (95%), most of the participants were in years 3–7 of training (121/148, 82%). Most completed specific training drills for managing obstetric and gynaecological emergencies in women with COVID‐19 (89/148, 60.1%) and two‐person donning and doffing of Personal Protective Equipment (PPE) (96/148, 64.9%). The majority of surveyed units implemented COVID‐19‐specific protocols (130/148, 87.8%), offered adequate PPE (135/148, 91.2%) and operated dedicated COVID‐19 emergency theatres (105/148, 70.8%). Most units reduced face‐to‐face antenatal clinics (117/148, 79.1%) and suspended elective gynaecology services (131/148, 88.5%). The 2‐week referral pathway for oncological gynaecology was not affected in half of the units (76/148, 51.4%), but half reported a planned reduction in oncology surgery (82/148, 55.4%).
Conclusion
The provision of obstetrics and gynaecology services in the UK during the acute phase of the COVID‐19 pandemic seems to be in line with current guidelines, but strategic planning is needed to restore routine gynaecology services and ensure safe access to maternity care in the long term.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RG Gynecology and obstetrics |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Biomedical Sciences > Cell & Developmental Biology Faculty of Medicine > Warwick Medical School > Biomedical Sciences Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | COVID-19 (Disease), Gynecology, National health services, Obstetrics | ||||||||
| Journal or Publication Title: | BJOG: An International Journal of Obstetrics & Gynaecology | ||||||||
| Publisher: | Wiley-Blackwell Publishing, Inc | ||||||||
| ISSN: | 1470-0328 | ||||||||
| Official Date: | 2020 | ||||||||
| Dates: |
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| Date of first compliant deposit: | 2 June 2020 | ||||||||
| DOI: | 10.1111/1471-0528.16313 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | In Press | ||||||||
| Access rights to Published version: | Open Access |
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