Title

Leveraging the Massachusetts perinatal quality collaborative to address the COVID-19 pandemic among diverse populations

UMMS Affiliation

Department of Pediatrics, Division of Pediatric Neonatalogy

Publication Date

2021-07-05

Document Type

Article

Disciplines

Epidemiology | Health Services Administration | Health Services Research | Infectious Disease | Maternal and Child Health | Pediatrics | Virus Diseases

Abstract

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.

Keywords

Health policy, Paediatrics, Scientific community, Viral infection, COVID-19

DOI of Published Version

10.1038/s41372-021-01136-0

Source

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/Book/Conference Title

Journal of perinatology : official journal of the California Perinatal Association

Comments

Full author list omitted for brevity. For the full list of authors, see article.

Related Resources

Link to Article in PubMed

PubMed ID

34226648

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