Table 3

Characteristics of quantitative studies, quantitative thematic/content analysis, descriptive analysis and mixed methods

Study author
Country/Region or city
Stated method
research design
Data collectionData analysisAimSample/Type of samplingSetting of midwifery serviceMode of telehealth
used
Type of care pertinent to study
Bailey et al28


Australia, State of Victoria
Quantitative


Cross-sectional design


First phase of an explanatory sequential future mixed methods study
Online non-validated survey


Data collected April to September 2017
Descriptive statistics and non-parametric statistics


χ2, Mann-Whitney U and Kruskal-Wallis H tests to analyse relationships between variables
To gather the experiences and practices of midwives in their management of triagen=230 practicing midwives surveyed


Purposive
Public and private hospital and practice settings with low-risk, medium-risk and high-risk populationsTelephoneLabour and delivery and triage
Bradfield et al30


Australia, nationwide including urban, regional, rural and remote areas
Quantitative


Cross-sectional design with descriptive analysis
Online non-validated survey and semi-structured interviews


May to June 2020
Descriptive statistics


Transcripts analysed with four-stage thematic analysis
To explore and describe Australian midwives’ experience of providing maternity care during COVID-19 pandemicn=620 midwives (16 of 620 were interviewed)


Convenience
Public and private hospitals, group practices, private practice and out-of-hospital birthTelephone and videoconferencingAntenatal, labour and delivery, post partum
Galle et al*22


Nigeria, Costa Rica, Norway, Uganda, Kenya, Bangladesh, Germany, USA, Nepal, France and Argentina†
71 countries surveyed
Quantitative


Cross-sectional design with thematic analysis
Online non-validated survey


5 July 2020 to 10 September 2020
Descriptive statistics and qualitative thematic analysis of open text questionsTo document the experiences with providing telemedicine for maternal and newborn healthcare during COVID-19 among healthcare professionals worldwideMidwife/nurse-midwife
n=257 (25% of total N)


Total N=1060 maternal and newborn health professionals surveyed


Nurse n=312 (29%) obstetrician/
gynaecologists n=223 (21%)
neonatologist/
paediatrician
n=73 (7%)


Medical doctor (no specialisation) n=126 (12%)


Other n=54 (5%)
Convenience
Unknown


Not specified by midwife in descriptive statistics
Telephone and video conferencing and text and instant messaging (WhatsApp)Not specified by midwife in descriptive statistics, regarding type maternal and newborn care. Areas represented in thematic data include antenatal, postpartum, newborn care, abortion, childbirth preparation and labour triage
Gemperle et al29


Switzerland
Nationwide
Quantitative


Cross-sectional with content/thematic analysis
Online non-validated survey and open-ended questionsDescriptive statistics and χ2 test of independence, effect size with Cramer’s V, post hoc Bonferroni correction


Integrative content analysis
To explore midwives’ perceptions of telemedicine during the COVID-19 pandemic in Switzerland and differences by age, professional experience and work settingN=630 midwives, community and hospital based


Convenience
Work solely in hospital or community or bothTelephone, instant messaging (eg, WhatsApp, online chat), text/short message service (eg, SMS), videoconferenceLabour and delivery, and/or post partum
Henry et al24


Australia, Sydney
Mixed methods


Quantitative survey and qualitative Braun and Clark thematic analysis
Online non-validated survey and semi-structured interviews


Data collected October 2020 to March 2021
Descriptive statistics


χ2 with subgroups: hospital of practice, type of professional, length of time working professionally


Thematic analysis
To assess COVID-19 domestic and family violence and mental health screening and service provision from provider perspective and explore telehealth in antenatal care and future application of telehealthMidwives n=75 (69% of total N)


Interview
n=17 interviews
10/17 midwives
3/17 obstetric medical staff
4/17 allied health workers (social work, physiotherapy and other)


Convenience (survey)
Purposive (interviews)
Three hospitals, maternity unitsTelephone and videoconferencingAntenatal and mental health screening
Rousseau et al31


France, all regions represented
Mixed methods


Quantitative survey and qualitative grounded theory analysis
Online non-validated survey


April 29 to 15 May 2020


Semi-structured interviews by Zoom May to July 2020
Descriptive statistics and univariate and multivariate recession models


Inductive content analysis
To measure and understand the determinants of the implementation of teleconsultations, and secondary is understand and measure for the determinants for its continued useIndependent midwives n=1491 (22 out of 1491 interviewed)


Convenience (survey)
Purposive (interviews)
Hospital, maternal welfare agencies, independent and group clinical practice, homeTelephone and video conferencing (Skype, Zoom, Facetime) and instant messaging (WhatsApp/
Messenger) and dedicated software (Doctolib, Prédis, Covaliaweb, etc)
QUANT: antenatal, post partum, early gynaecology, group and individual birth prep, family planning and psychological support


QUAL: ante partum, post partum, early gyn follow-up, childbirth prep, post-abortion, group and individual
  • *Contacted author for additional survey results for midwives, only published text results available. Relevant thematic analysis results that were exemplified by midwifery quotes with specific countries represented added to the review.

  • †Published survey results did not distinguish by provider type, contacted author who sent additional survey data for midwives. Relevant qualitative results that were exemplified by midwifery quotes were added to the review. Only published data was used for this review.