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

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 witho...

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Bibliographic Details
Published in:Journal of perinatology 2021-11, Vol.41 (11), p.2674-2683
Main Authors: 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.
Format: Article
Language:English
Subjects:
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Breast feeding
Breastfeeding & lactation
Care and treatment
Collaboration
Control
Coronaviruses
COVID-19
Disease transmission
Epidemics
Ethnicity
Female
Health promotion
Humans
Infant
Infant, Newborn
Infectious Disease Transmission, Vertical
Language
Maternal health services
Medical care
Medicine
Medicine & Public Health
Minority & ethnic groups
Minority women
Pandemics
Pediatric Surgery
Pediatrics
Perinatal infection
Practice guidelines (Medicine)
Pregnancy
Quality Improvement
Quality Improvement Article
Quality management
Race
SARS-CoV-2
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Social Vulnerability
United States
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Summary: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.
ISSN:0743-8346
1476-5543
DOI:10.1038/s41372-021-01136-0