Leveraging the Massachusetts perinatal quality collaborative to address the COVID-19 pandemic among diverse populations
Department of Pediatrics, Division of Pediatric Neonatalogy
Epidemiology | Health Services Administration | Health Services Research | Infectious Disease | Maternal and Child Health | Pediatrics | Virus Diseases
OBJECTIVE: We leveraged the Massachusetts perinatal quality collaborative (PQC) to address the COVID-19 pandemic. Our goals were to: (1) implement perinatal practices thought to reduce mother-to-infant SARS-CoV-2 transmission while limiting disruption of health-promoting practices and (2) do so without inequities attributable to race/ethnicity, language status, and social vulnerability.
METHODS: Main outcomes were cesarean and preterm delivery, rooming-in, and breastfeeding. We examined changes over time overall and according to race/ethnicity, language status, and social vulnerability from 03/20-07/20 at 11 hospitals.
RESULTS: Of 255 mothers with SARS-CoV-2, 67% were black or Hispanic and 47% were non-English speaking. Cesarean decreased (49% to 35%), while rooming-in (55% to 86%) and breastfeeding (53% to 72%) increased. These changes did not differ by race/ethnicity, language, or social vulnerability.
CONCLUSIONS: Leveraging the Massachusetts PQC led to rapid changes in perinatal care during the COVID-19 crisis in a short time, representing a novel use of statewide PQC structures.
Health policy, Paediatrics, Scientific community, Viral infection, COVID-19
DOI of Published Version
Sullivan K, Belfort MB, Melvin P, Angelidou A, Peaceman A, Shui JE, Vaidya R, Singh R, Bartolome R, Patrizi S, Chaudhary N, Goldfarb IT, Culic I, Yanni D, Gupta M, Hudak M, Parker MG. Leveraging the Massachusetts perinatal quality collaborative to address the COVID-19 pandemic among diverse populations. J Perinatol. 2021 Jul 5:1–10. doi: 10.1038/s41372-021-01136-0. Epub ahead of print. PMID: 34226648; PMCID: PMC8255338. Link to article on publisher's site
Journal of perinatology : official journal of the California Perinatal Association
Sullivan K, Vaidya R, Singh R. (2021). Leveraging the Massachusetts perinatal quality collaborative to address the COVID-19 pandemic among diverse populations. COVID-19 Publications by UMass Chan Authors. https://doi.org/10.1038/s41372-021-01136-0. Retrieved from https://escholarship.umassmed.edu/covid19/265