We investigated maternal COVID-19 related experiences during delivery hospitalizations, and whether experiences differed by maternal race and ethnicity.
Data from the Pregnancy Risk Assessment Monitoring System among women with live births between April–December 2020 were used. Adjusted prevalence ratios (aPR) and 95% confidence intervals (CI) estimated associations between maternal race and ethnicity and COVID-19 related delivery experiences.
Among 12,879 women, 3.6% reported infant separation and 1.8% reported not being allowed support persons. Compared with non-Hispanic White women, American Indian/Alaska Native (AI/AN) (aPR = 2.7; CI: 1.2–6.2), Hispanic (aPR = 2.2; CI: 1.5–3.1), non-Hispanic Black (aPR = 2.4; CI: 1.7–3.6), and non-Hispanic Asian (aPR = 2.8; CI: 1.6–4.9) women reported more infant separation due to COVID-19. Not being allowed support persons was more common among AI/AN (aPR = 5.2; CI: 1.8–14.8) and non-Hispanic Black (aPR = 2.3; CI: 1.3–4.1) women.
COVID-19 related delivery hospitalization experiences were unequally distributed among racial and ethnic minorities.
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We thank the Pregnancy Risk Assessment Monitoring System (PRAMS) team, Women’s Health and Fertility Branch, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, for its administration of the PRAMS surveillance system, including collection of the data and technical support.
The authors declare no competing interests.
Ethics approval and consent to participate
The PRAMS study protocol was approved by the Institutional Review Boards of Centers for Disease Control and Prevention and participating jurisdictions. An informed consent document is included with the mailed questionnaire or read over the telephone. Consent is assumed with questionnaire completion.
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Simeone, R.M., Meghani, M., Meeker, J.R. et al. Differences in delivery hospitalization experiences during the COVID-19 pandemic by maternal race and ethnicity, Pregnancy Risk Assessment Monitoring System, 2020. J Perinatol (2023). https://doi.org/10.1038/s41372-023-01763-9