Evidence map›Paper›PMID 41504755›Full record

ArticleMedical care2026

Peripartum Telehealth Care Utilization During the COVID-19 Pandemic, by Hypertension Status, PCORnet®, 2018 to 2023.

Elena V Kuklina, Akaki Lekiachvili, Angela Rohan, Lindsay S Womack-Martenson, Sandra L Jackson, Elizabeth A Clark, Jason P Block, Thomas Carton, Lindsay Cowell, Christine Draper and 5 more

Abstract read
In one paragraph

Article in Medical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

15 authors.

Elena V KuklinaDivision for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.ORCID 0000-0002-9686-6495
Akaki LekiachviliOffice of Medical Director, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Angela RohanDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Lindsay S Womack-MartensonDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Sandra L JacksonDivision for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Elizabeth A ClarkDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Jason P BlockDepartment of Population Medicine, Division of Chronic Disease Research Across the Lifecourse, Harvard Pilgrim Health Care Institute, Harvard Medical School, Boston, MA.
Thomas CartonLouisiana Public Health Institute, New Orleans, LA.
Lindsay CowellDepartment of Population and Data, Sciences and Department of Immunology, University of Texas Southwestern Medical Center, Dallas, TX.
Christine DraperDepartment of Population Medicine, Division of Therapeutics Research and Infectious Disease Epidemiology, Harvard Pilgrim Health Care Institute, Boston, MA.
Sonja A RasmussenJohns Hopkins School of Medicine, Baltimore, MD.
Samantha SmithDepartment of Population Medicine, Division of Therapeutics Research and Infectious Disease Epidemiology, Harvard Pilgrim Health Care Institute, Boston, MA.
Deepika ThackerNemours Cardiac Center, Nemours Children's Health System, Wilmington, DE.
Jennifer L WiltzOffice of Medical Director, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
PCORnet writing committee coauthors, on behalf of PCORnet Network Partners

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine telehealth care utilization during pregnancy and in the 6 months postpartum during the COVID-19 pandemic. RESEARCH

designWe used a repeated cross-sectional design to assess aggregated and standardized electronic health records (EHR) from 28 participating US health systems in the PCORnet®, National Patient-Centered Clinical Research Network. SUBJECTS: We studied women aged 18-55 years with delivery records from 2018 to 2019 (prepandemic), 2020-2021 (early pandemic), and 2022-2023 (late/postpandemic). Women with hypertension in pregnancy (HTN-PREG) were identified as those with documented hypertension 1 year prepregnancy or during pregnancy (40 wk predelivery). MEASURES: We used the International Classification of Disease Clinical Modification/Procedure Classification codes, a normalized naming system for drug names (RXnorm), and the Current Procedural Terminology/Healthcare Common Procedure Coding System to identify deliveries, hypertension, and telehealth visits.

resultsWe examined 1,028,426 deliveries, of which 108,606 had HTN-PREG. The proportion of women with 1+ pregnancy telehealth use was higher in the early pandemic (15.8%) and late/postpandemic (16.4%) periods compared with prepandemic (0.2%). Telehealth use among HTN-PREG women was higher than among all women (0.24% prepandemic, 24.9% early pandemic, 26.8% late/postpandemic).. Among HTN-PREG women, telehealth use was lower among Hispanic women (19.2% and 23.2%) compared with NH Black (26.5% and 29.3%) or NH White (24.5% and 26.1%) women during the early and late/postpandemic periods, respectively. We observed similar patterns postpartum. All P values for comparisons were <0.001.

conclusionsThese findings underscore the value of aggregate PCORnet® data infrastructure and other standardized electronic health records in analyzing health care utilization trends and racial and ethnic differences among pregnant women.

Indexed as

COVID-19HypertensionPatient Acceptance of Health CarePeripartum PeriodTelemedicineAdolescentAdultCross-Sectional StudiesDigital HealthElectronic Health RecordsFemaleHumansMiddle AgedPandemicsPregnancySARS-CoV-2care utilizationhypertensionpandemicpostpandemicpostpartumpregnancyprepandemicTelehealth

Identifiers

PMID41504755
PMCPMC12783361

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.