ArticleJournal of midwifery & women's health2021
Experiences of Quality Perinatal Care During the US COVID-19 Pandemic.
Article in Journal of midwifery & women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- The Perpetual Cycle of Racial Bias in Healthcare and Healthcare Education: A Systematic Review.Journal of racial and ethnic health disparities · 2026Pooled it
- Parental experiences with changes in maternity care during the Covid-19 pandemic: A mixed-studies systematic review.Women and birth : journal of the Australian College of Midwives · 2023Pooled it
- COVID-19 Impact On Black and Latina Women: Pregnancy and Parenting.Journal of racial and ethnic health disparities · 2026Article
- Understanding the experiences of birthing care during COVID-19: A qualitative systematic review.International journal of nursing studies advances · 2025Review
- Obstetric outcomes in breastfeeding women in the first hour of delivery before and during the COVID-19 pandemic.BMC pregnancy and childbirth · 2025Article
- Applying authoritative knowledge to better understand preparation for breastfeeding.Frontiers in global women's health · 2025Article
- Respectful Patient-Provider Communication and Patient Portal Usage in Pregnant People of Color.Health equity · 2025Article
- The Social Context of Pregnancy, Respectful Maternity Care, Biomarkers of Weathering, and Postpartum Mental Health Inequities: A Scoping Review.International journal of environmental research and public health · 2024Article
- "I was able to take it back": Seeking VBAC after experiencing dehumanizing maternity care in a primary cesarean.SSM. Qualitative research in health · 2023Article
- Influence of the COVID-19 pandemic on prenatal and postpartum patient experiences and well-being.Birth (Berkeley, Calif.) · 2023Article
- Establishing a clinical informatics umbilical cord: lessons learned in launching infrastructure to support dyadic mother/infant primary care.JAMIA open · 2023Article
- "This is not what I imagined motherhood would look like": pregnancy, postpartum, and parenting during COVID-19 - a qualitative analysis of the first year since birth.BMC pregnancy and childbirth · 2023Article
- COVID-19 Impact on Group Prenatal Education: A Comparison of Virtual and In-Person Formats.The Journal of perinatal education · 2023Article
- Influence of the COVID-19 pandemic on labor and childbirth care practices in Brazil: a cross-sectional study.BMC pregnancy and childbirth · 2023Article
- The impact of the COVID-19 pandemic on perinatal services and maternal mental health in the UK.BJPsych open · 2023Article
- Racial Disparities in Respectful Maternity Care During Pregnancy and Birth After Cesarean in Rural United States.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2023Observational
- "It changed the atmosphere surrounding the baby I did have": Making sense of reproduction during the COVID-19 pandemic.Journal of marriage and the family · 2022Article
- Women's view on shared decision making and autonomy in childbirth: cohort study of Belgian women.BMC pregnancy and childbirth · 2022Article
- Birth during the Covid-19 pandemic: What childbearing people in the United States needed to achieve a positive birth experience.Birth (Berkeley, Calif.) · 2022Article
- Inequities in quality perinatal care in the United States during pregnancy and birth after cesarean.PloS one · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
introductionQuality perinatal care is recognized as an important birth process and outcome. During the coronavirus disease 2019 (COVID-19) pandemic, quality of perinatal care was compromised as the health care system grappled with adapting to an ever-changing, uncertain, and unprecedented public health crisis.
methodsThe aim of this study was to explore the quality of perinatal care received during the COVID-19 pandemic in the United States. Data were collected via an online questionnaire completed by people who gave birth in the United States after March 15, 2020. The questionnaire included the Mothers on Respect Index and the Mothers Autonomy in Decision Making validated measures. Low-quality perinatal care was defined as decreased respect and/or autonomy in the perinatal care received. Responses were geocoded by zip code to determine COVID-19 case-load in the county on the date of birth. Multivariate regression analyses described associations between respect and autonomy in decision-making for perinatal care and levels of COVID-19 outbreak across the United States.
resultsParticipants (N = 707) from 46 states and the District of Columbia completed the questionnaire. As COVID-19 cases increased, participants' experiences of autonomy in decision-making for perinatal care decreased significantly (P = .04). Participants who identified as Black, Indigenous, and people of color, those who had an obstetrician provider, and those who gave birth in a hospital were more likely to experience low-quality perinatal care. Those with a midwife provider or who had a home birth were more likely to experience high-quality perinatal care in adjusted models. DISCUSSION: Variability in experiences of high-quality perinatal care by sociodemographic characteristics, birth setting, and provider type may relate to implicit bias, structural racism, and inequities in maternal health and COVID-19 outcomes for birthing people from marginalized communities.
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Registered trials
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.