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Racial and Ethnic Disparities in Postpartum Care in the Greater Boston Area During the COVID-19 Pandemic

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Key Points Question How did postpartum care access change during the COVID-19 pandemic, and were these changes different by maternal race and ethnicity? Findings In this cohort study of 45 588… Click to show full abstract

Key Points Question How did postpartum care access change during the COVID-19 pandemic, and were these changes different by maternal race and ethnicity? Findings In this cohort study of 45 588 women, the overall postpartum care attendance rate decreased from 75.2% in January to December 2019 (prepandemic) to 41.7% in January to March 2020 (early pandemic) and subsequently rebounded to 60.9% in April 2020 to November 2021 (late pandemic). Black and Hispanic women showed slower reductions in nonscheduling rates during April 2020 to November 2021 compared with their White counterparts. Meaning The study highlights racial and ethnic disparities in postpartum care access both before and after the onset of the pandemic, raising concerns about disparities in postpartum care–associated maternal and infant outcomes.

Keywords: postpartum care; ethnic disparities; racial ethnic; covid pandemic; care; disparities postpartum

Journal Title: JAMA Network Open
Year Published: 2022

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