ArticleJournal of midwifery & women's health
Sudden Shift to Telehealth in COVID-19: A Retrospective Cohort Study of Disparities in Use of Telehealth for Prenatal Care in a Large Midwifery Service.
Article in Journal of midwifery & women's health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 6 citations in OpenAlex.
- A scoping review of studies on secure messaging through patient portals: persistent challenges and potential solutions.npj health systems · 2026Article
- Social determinants of health diagnosis codes in in-person and telehealth visits during pregnancy in the United States, 2020-2025: a repeated cross-sectional and case-control study.BMC pregnancy and childbirth · 2026Article
- Telemedicine implementation and healthcare utilization in Rwanda: interrupted time series of babyl digital health services from 2015 to 2024.BMC primary care · 2026Article
- Digital Health Technology Use Among Spanish Speakers in the US: A Scoping Review.JAMA network open · 2025Article
- Self-management and role of nurses of diabetic patients: a critical narrative literature review during COVID-19 pandemic.Frontiers in medicine · 2025Review
- Racial and Ethnic and Rural Variations in the Use of Hybrid Prenatal Care in the US.JAMA network open · 2024Article
- Evaluating the Impact of Telehealth Prenatal Care at a Federally Qualified Health Center.Journal of midwifery & women's healthArticle
- The evolution of health system planning and implementation of maternal telehealth services during the COVID-19 Pandemic.Digital healthArticle
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
introductionThe coronavirus disease 2019 (COVID-19) pandemic created disruption in health care delivery, including a sudden transition to telehealth use in mid-March 2020. The purpose of this study was to examine changes in the mode of prenatal care visits and predictors of telehealth use (provider-patient messaging, telephone visits, and video visits) during the COVID-19 pandemic among those receiving care in a large, academic nurse-midwifery service.
methodsWe conducted a retrospective cohort study of those enrolled for prenatal care in 2 nurse-midwifery clinics between 2019 and 2021 (n = 3172). Use outcomes included number and type of encounter: in-person and telehealth (primary outcome). Comparisons were made in frequency and types of encounters before and during COVID-19. A negative binomial regression was fit on the outcome of telehealth encounter count, with race/ethnicity, age, language, parity, hypertension, diabetes, and depression as predictors.
resultsWhen comparing pre-COVID-19 (before March 2020) with during COVID-19 (after March 2020), overall encounters increased from 15.9 to 19.5 mean number of encounters per person (P < .001). The increase was driven by telehealth encounters; there were no significant differences for in-person prenatal visit counts before and during the pandemic period. Direct patient-provider messaging was the most common type of telehealth encounter. Predictors of telehealth encounters included English as primary language and diagnoses of diabetes or depression. DISCUSSION: No differences in the frequency of in-person prenatal care visits suggests that telehealth encounters led to more contact with midwives and did not replace in-person encounters. Spanish-speaking patients were least likely to use telehealth-delivered prenatal care during the pandemic; a small, but significant, proportion of patients had no or few telehealth encounters, and a significant proportion had high use of telehealth. Integration of telehealth in future delivery of prenatal care should consider questions of equity, patient and provider satisfaction, access, redundancies, and provider workload.
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