Leveraging the Massachusetts perinatal quality collaborative to address the COVID-19 pandemic among diverse populations
UMass Chan AffiliationsDepartment of Pediatrics, Division of Pediatric Neonatalogy
Health Services Administration
Health Services Research
Maternal and Child Health
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AbstractOBJECTIVE: 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.
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
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/27463
Full author list omitted for brevity. For the full list of authors, see article.