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Leveraging the Massachusetts perinatal quality collaborative to address the COVID-19 pandemic among diverse populations.
Sullivan, Katherine; Belfort, Mandy B; Melvin, Patrice; Angelidou, Asimenia; Peaceman, Aviel; Shui, Jessica E; Vaidya, Ruben; Singh, Rachana; Bartolome, Ruby; Patrizi, Silvia; Chaudhary, Neha; Goldfarb, Ilona Telefus; Culic, Ivana; Yanni, Diana; Gupta, Munish; Hudak, Mark; Parker, Margaret G.
  • Sullivan K; Department of Pediatrics, UMass Memorial Health Center, UMass Memorial Medical School, Worcester, MA, USA. Katherine.Sullivan@umassmemorial.org.
  • Belfort MB; Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Melvin P; Center for Applied Pediatric Quality Analytics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
  • Angelidou A; Department of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
  • Peaceman A; Precision Vaccines Program, Division of Infectious Diseases, Boston Children's Hospital, Boston, MA, USA.
  • Shui JE; Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
  • Vaidya R; Department of Pediatrics, Division of Neonatology and Newborn Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
  • Singh R; Department of Pediatrics, University of Massachusetts Medical Center-Baystate, Springfield, MA, USA.
  • Bartolome R; Department of Pediatrics, University of Massachusetts Medical Center-Baystate, Springfield, MA, USA.
  • Patrizi S; Department of Pediatrics, Tufts Children's Hospital, Boston, MA, USA.
  • Chaudhary N; Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
  • Goldfarb IT; Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Culic I; Department of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
  • Yanni D; Department of Pediatrics, Cambridge Health Alliance, Cambridge, MA, USA.
  • Gupta M; Deparatment of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
  • Hudak M; Department of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
  • Parker MG; Department of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
J Perinatol ; 41(11): 2674-2683, 2021 11.
Article in English | MEDLINE | ID: covidwho-1297293
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Prognostic study Limits: Female / Humans / Infant / Infant, Newborn / Pregnancy Language: English Journal: J Perinatol Journal subject: Perinatology Year: 2021 Document Type: Article Affiliation country: S41372-021-01136-0

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Prognostic study Limits: Female / Humans / Infant / Infant, Newborn / Pregnancy Language: English Journal: J Perinatol Journal subject: Perinatology Year: 2021 Document Type: Article Affiliation country: S41372-021-01136-0