Evidence map›Paper›PMID 34226648›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

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

Katherine Sullivan, Mandy B Belfort, Patrice Melvin, Asimenia Angelidou, Aviel Peaceman, Jessica E Shui, Ruben Vaidya, Rachana Singh, Ruby Bartolome, Silvia Patrizi and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Frontiers in health services · 2022
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 1 country.

Katherine SullivanDepartment of Pediatrics, UMass Memorial Health Center, UMass Memorial Medical School, Worcester, MA, USA. Katherine.Sullivan@umassmemorial.org.ORCID 0000-0003-3709-3805
Mandy B BelfortDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-8799-3313
Patrice MelvinCenter for Applied Pediatric Quality Analytics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Asimenia AngelidouDepartment of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-6716-6561
Aviel PeacemanDepartment of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
Jessica E ShuiDepartment of Pediatrics, Division of Neonatology and Newborn Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Ruben VaidyaDepartment of Pediatrics, University of Massachusetts Medical Center-Baystate, Springfield, MA, USA.ORCID 0000-0001-6674-4692
Rachana SinghDepartment of Pediatrics, University of Massachusetts Medical Center-Baystate, Springfield, MA, USA.
Ruby BartolomeDepartment of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
Silvia PatriziDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Neha ChaudharyDepartment of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Ilona Telefus GoldfarbDeparatment of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Ivana CulicDepartment of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Diana YanniDepartment of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Munish GuptaDepartment of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Mark HudakDepartment of Pediatrics, University of Florida Health, University of Florida College of Medicine, Jacksonville, FL, USA.ORCID 0000-0001-9405-3522
Margaret G ParkerDepartment of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
Beth Israel Deaconess Medical Center · USBoston University · USBaystate Medical Center · USBoston Children's Hospital · USBrigham and Women's Hospital · USHarvard University · USCambridge Health Alliance · USUMass Memorial Health Care · USUniversity of Florida Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe 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.

methodsMain 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.

resultsOf 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.

conclusionsLeveraging 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.

Indexed as

COVID-19FemaleHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalPandemicsPregnancySARS-CoV-2Social Vulnerability

Identifiers

PMID34226648
PMCPMC8255338
OpenAlexW3181032206

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.