Evidence map›Paper›PMID 41000296›Full record

ArticleO&G open2025

Association Between the New York State Coronavirus Disease 2019 (COVID-19) Lockdown and Rates of Preterm Birth and Stillbirth Among Individuals With Medicaid Insurance.

Renata E Howland, Matthew R Lamb, Teresa Janevic, Jeanette Stingone, Sherry Glied

Abstract read
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Article in O&G open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Renata E HowlandDepartment of Population Health, NYU Grossman School of Medicine, the Department of Epidemiology and ICAP-Columbia University, Mailman School of Public Health, Columbia University, and NYU Wagner Graduate School of Public Service, New York, New York.
Matthew R LambDepartment of Population Health, NYU Grossman School of Medicine, the Department of Epidemiology and ICAP-Columbia University, Mailman School of Public Health, Columbia University, and NYU Wagner Graduate School of Public Service, New York, New York.
Teresa JanevicDepartment of Population Health, NYU Grossman School of Medicine, the Department of Epidemiology and ICAP-Columbia University, Mailman School of Public Health, Columbia University, and NYU Wagner Graduate School of Public Service, New York, New York.
Jeanette StingoneDepartment of Population Health, NYU Grossman School of Medicine, the Department of Epidemiology and ICAP-Columbia University, Mailman School of Public Health, Columbia University, and NYU Wagner Graduate School of Public Service, New York, New York.
Sherry GliedDepartment of Population Health, NYU Grossman School of Medicine, the Department of Epidemiology and ICAP-Columbia University, Mailman School of Public Health, Columbia University, and NYU Wagner Graduate School of Public Service, New York, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the association between the New York State coronavirus disease 2019 (COVID-19) lockdown and preterm birth rates among individuals with Medicaid insurance overall and by onset of delivery, and to investigate contemporaneous changes in stillbirth rates.

methodsWe used New York State Medicaid claims to conduct a quasi-experimental study of 2018-2020 hospital deliveries of liveborn neonates. We estimated the effect of the state's lockdown policy (New York State on PAUSE) on preterm birth by comparing changes in preterm birth rates before (January 1-March 21, 2020) and during the lockdown (March 22-June 8, 2020) with changes before and during the same dates in the 2 years earlier using difference-in-difference models. We stratified models into spontaneous and medically indicated preterm births. As a secondary outcome, we estimated the effect of the lockdown on stillbirth rates per 100 live births.

resultsThere were 38,272 hospital deliveries to individuals with Medicaid insurance from January 1 to June 8, 2020, and 81,054 on the same dates in 2018 and 2019. From January to March 21, 2020, the preterm birth rate was 10.0%; roughly half were spontaneous. Using difference-in-difference models, New York State on PAUSE was associated with a nearly 1 percentage point decline (-0.93, 95% CI, -1.64 to -0.21) in the preterm birth rate. The overall difference was larger when the time period was limited to the first half of the lockdown (-1.07, 95% CI, -1.95 to -0.20). Rates of both spontaneous and medically indicated preterm birth decreased, but only the change in the rate of medically indicated preterm births was statistically significant (-0.58, 95% CI, -1.08 to -0.08). New York State on PAUSE was not associated with any change in stillbirth rates.

conclusionThe New York State COVID-19 lockdown was associated with a modest decline in preterm birth rates, particularly medically indicated preterm birth; there was no change in stillbirth rates. This association was particularly strong in the early part of the pandemic and was slightly more weighted toward medically indicated preterm births.

Identifiers

PMID41000296
PMCPMC12456529

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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.