ArticleEpidemiology (Cambridge, Mass.)2024
Maternal Health During the COVID-19 Pandemic in the United States: An Interrupted Time-series Analysis.
Article in Epidemiology (Cambridge, Mass.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Methodological considerations for investigating the impact of abortion restrictions on outcomes using aggregate panel data.American journal of epidemiology · 2026Article
- Critical Windows for Perinatal Health: Evaluating the Impacts of Timing of Poverty Alleviation Benefits.American journal of preventive medicine · 2026Article
- Explaining Racial and Ethnic Disparities in Hypertension and Diabetes during Pregnancy in the United States (2016-2022): A Decomposition Analysis.Journal of racial and ethnic health disparities · 2025Article
- Maternal Outcomes of WIC Recipients Before and During the COVID-19 Pandemic.International journal of environmental research and public health · 2025Article
- The need for more research into health information technology and maternal health outcomes.Women's health (London, England)Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe COVID-19 pandemic, and subsequent policy responses aimed at curbing disease spread and reducing economic fallout, had far-reaching consequences for maternal health. There has been little research to our knowledge on enduring disruptions to maternal health trends beyond the early pandemic and limited understanding of how these impacted pre-existing disparities in maternal health.
methodsWe leveraged rigorous interrupted time-series methods and US National Center for Health Statistics Vital Statistics Birth Data Files of all live births for 2015-2021 (N = 24,653,848). We estimated whether changes in maternal health trends after the onset of the COVID-19 pandemic (March 2020) differed from predictions based on pre-existing temporal trends. Outcomes included gestational diabetes, hypertensive disorders of pregnancy, gestational weight gain, and adequacy of prenatal care.
resultsWe found an increased incidence of gestational diabetes (December 2020 peak: 1.7 percentage points (pp); 95% confidence interval [CI]: 1.3, 2.1), hypertensive disorders of pregnancy (January 2021 peak: 1.3 pp; 95% CI: 0.4, 2.1), and gestational weight gain (March 2021 peak: 0.1 standard deviation; 95% CI: 0.03, 0.1) and declines in inadequate prenatal care (January 2021 nadir: -0.4 pp; 95% CI: -0.7, -0.1). Key differences by subgroups included greater and more sustained increases in gestational diabetes among Black, Hispanic, and less educated individuals.
conclusionThese patterns in maternal health likely reflect not only effects of COVID-19 infection but also changes in healthcare access, health behaviors, remote work, economic security, and maternal stress. Further research about causal pathways and longer-term trends will inform public health and clinical interventions to address maternal disease burden and disparities.
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