Pre and post natal care and new organizational models during COVID-19 pandemic: the experience of the Autonomous Province of Trento

Abstract

The COVID-19 pandemic had a great impact on pre and post-natal care, and, more generally, on the female population. Health services have been characterized by significant changes that have involved a review and reorganization of care pathways and clinical practices. The midwife continued to play a key role for the health of women and children, for the continuity of care and for a health-oriented approach throughout their life. The experience of the Pre and Post Natal Care of the Autonomous Province of Trento ensured the continuity of care during the pandemic thanks to the activation of a well-established Hospital-Territory network. The dedicated Case Manager Midwife allowed continuity and appropriateness of care during all phases of the birth pathway. The possibility of having the first interview electronically led to a continuous annual increase in the first interviews. In addition, for all women in the third trimester of pregnancy, the antenatal classes are organized remotely, using simple IT supports, in videoconferencing mode, maintaining homogeneous contents and objectives throughout the territory. The involvement of fathers from the early stages of pregnancy has shown the value of co-parenting even during the pandemic. This organizational model rooted in the territory and in the network of connection between the Territory and the Hospital proved to be a resource to withstand the impact of the emergency and guaranteed appropriate and timely assistance to women, fathers and the family.