{"id":"https://openalex.org/W4307777876","doi":null,"title":"Perinatal Outcomes Associated With Institutional Changes Early in the COVID-19 Pandemic.","display_name":"Perinatal Outcomes Associated With Institutional Changes Early in the COVID-19 Pandemic.","publication_year":2022,"publication_date":"2022-10-01","ids":{"openalex":"https://openalex.org/W4307777876","pmid":"https://pubmed.ncbi.nlm.nih.gov/36301646"},"language":"en","primary_location":{"id":"pmid:36301646","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36301646","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"WMJ : official publication of the State Medical Society of Wisconsin","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5021105933","display_name":"Jenna L. Racine","orcid":"https://orcid.org/0000-0003-3793-8177","observed_orcids":["https://orcid.org/0000-0003-3793-8177"]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jenna L Racine","raw_affiliation_strings":["Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, jlracine@wisc.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, jlracine@wisc.edu","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007698239","display_name":"Scott Hetzel","orcid":"https://orcid.org/0000-0002-0244-2959","observed_orcids":["https://orcid.org/0000-0002-0244-2959"]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Scott J Hetzel","raw_affiliation_strings":["Department of Biostatistics and Medical Informatics, University of Wisconsin-Madison, Madison, Wisconsin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics and Medical Informatics, University of Wisconsin-Madison, Madison, Wisconsin","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103389942","display_name":"Jesus Igor Iruretagoyena","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jesus I Iruretagoyena","raw_affiliation_strings":["Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin","institution_ids":["https://openalex.org/I135310074"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5082400050","display_name":"Kara Kjersten Hoppe","orcid":"https://orcid.org/0000-0001-7431-2259","observed_orcids":["https://orcid.org/0000-0001-7431-2259"]},"institutions":[{"id":"https://openalex.org/I135310074","display_name":"University of Wisconsin\u2013Madison","ror":"https://ror.org/01y2jtd41","country_code":"US","type":"education","lineage":["https://openalex.org/I135310074"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kara K Hoppe","raw_affiliation_strings":["Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin","institution_ids":["https://openalex.org/I135310074"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I135310074"],"apc_list":null,"apc_paid":null,"fwci":0.7515,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.72489843,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":96},"biblio":{"volume":"121","issue":"3","first_page":"201","last_page":"204"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11987","display_name":"COVID-19 Impact on Reproduction","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11987","display_name":"COVID-19 Impact on Reproduction","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11296","display_name":"COVID-19 and healthcare impacts","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.8970000147819519},{"id":"https://openalex.org/keywords/perinatal-outcomes","display_name":"perinatal outcomes","score":0.9829999804496765},{"id":"https://openalex.org/keywords/obstetric-practice-change","display_name":"obstetric practice change","score":0.8700000047683716},{"id":"https://openalex.org/keywords/institutional-policy-change","display_name":"institutional policy change","score":0.6990000009536743},{"id":"https://openalex.org/keywords/labor-induction","display_name":"labor induction","score":0.6230000257492065},{"id":"https://openalex.org/keywords/expectant-management","display_name":"expectant management","score":0.8870000243186951},{"id":"https://openalex.org/keywords/arrive-trial","display_name":"ARRIVE trial","score":0.5360000133514404},{"id":"https://openalex.org/keywords/prolonged-pregnancy","display_name":"prolonged pregnancy","score":0.460999995470047},{"id":"https://openalex.org/keywords/term-birth","display_name":"term birth","score":0.3490000069141388},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.7160000205039978},{"id":"https://openalex.org/keywords/neonatal-intensive-care-unit-admission","display_name":"neonatal intensive care admission","score":0.718999981880188},{"id":"https://openalex.org/keywords/hypertensive-disorders-of-pregnancy","display_name":"hypertensive disorders of pregnancy","score":0.7160000205039978},{"id":"https://openalex.org/keywords/unplanned-cesarean-delivery","display_name":"unplanned cesarean delivery","score":0.7599999904632568},{"id":"https://openalex.org/keywords/patient-behavior","display_name":"patient behavior","score":0.6449999809265137},{"id":"https://openalex.org/keywords/singleton-pregnancy","display_name":"singleton pregnancy","score":0.38600000739097595}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8285765051841736},{"id":"https://openalex.org/C2777091541","wikidata":"https://www.wikidata.org/wiki/Q9008292","display_name":"Neonatal intensive care unit","level":2,"score":0.669152021408081},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.6188881397247314},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.6181014776229858},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5998782515525818},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5911542773246765},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.5848006010055542},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5400517582893372},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.45819979906082153},{"id":"https://openalex.org/C3020128735","wikidata":"https://www.wikidata.org/wiki/Q228036","display_name":"Cesarean delivery","level":3,"score":0.4493992328643799},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4303126335144043},{"id":"https://openalex.org/C3017551526","wikidata":"https://www.wikidata.org/wiki/Q1497276","display_name":"Induction of labor","level":3,"score":0.4140360355377197},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.11530008912086487},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.10120594501495361},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005865","descriptor_name":"Gestational Age","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007751","descriptor_name":"Labor, Induced","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057832","descriptor_name":"Watchful Waiting","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":1,"locations":[{"id":"pmid:36301646","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36301646","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"WMJ : official publication of the State Medical Society of Wisconsin","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3127994145","https://openalex.org/W4200449415","https://openalex.org/W3087526383","https://openalex.org/W3115354908","https://openalex.org/W4294355015","https://openalex.org/W3203690057","https://openalex.org/W3087207256","https://openalex.org/W4210421910","https://openalex.org/W4416933530","https://openalex.org/W4200147143"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Many":[1],"institutions":[2],"implemented":[3],"policy":[4,20,257],"changes":[5,21,33,38,251,258,315],"to":[6,171,179,256],"protect":[7],"patients":[8],"and":[9,22,35,124,131,137,176,183,239,259,291],"clinicians":[10],"during":[11,150,164,262],"the":[12,75,90,151,156,165,196,200,243,263,310],"COVID-19":[13,91,152,166,264],"pandemic.":[14,265],"This":[15],"study":[16,48],"examines":[17],"how":[18],"institutional":[19],"patient":[23,260],"behaviors":[24,261],"affected":[25,39],"perinatal":[26,40,98,197,322],"outcomes.":[27,41,323],"We":[28,43,248,300],"hypothesized":[29],"that":[30,36,269],"obstetric":[31],"practice":[32,254,318],"occurred":[34,149],"these":[37,314],"METHODS:":[42],"conducted":[44],"a":[45,54,97,213,303],"retrospective":[46],"cohort":[47],"of":[49,60,108,155,186,276,306],"singleton":[50],"pregnancies":[51],"delivered":[52],"at":[53,110,219,295],"single":[55],"institution":[56,268],"with":[57,161],"low":[58],"incidence":[59],"COVID-19.":[61,162],"Deliveries":[62],"occurring":[63,79,218],"from":[64,80],"December":[65],"15,":[66,82,86],"2019":[67],"through":[68,84],"March":[69,81],"14,":[70],"2020":[71],"were":[72,88,135,159,168],"designated":[73,89],"as":[74,101],"pre-COVID-19":[76],"group.":[77,92],"Those":[78],"2020,":[83,87],"June":[85],"The":[93],"primary":[94],"outcome":[95],"is":[96],"composite":[99,198],"defined":[100],"delivery":[102,132,240],"\u2265":[103],"41":[104,222,298],"weeks,":[105],"hypertensive":[106],"disorder":[107],"pregnancy":[109],"term,":[111],"unplanned":[112],"Cesarean":[113],"delivery,":[114],"term":[115],"neonatal":[116,126,184],"intensive":[117],"care":[118],"unit":[119],"admission,":[120],"42-day":[121],"maternal":[122],"readmission,":[123],"7-day":[125],"readmission.":[127],"Additional":[128],"maternal,":[129,237],"neonatal,":[130,238],"composites":[133,241],"also":[134,189,301],"analyzed,":[136],"we":[138,282],"evaluated":[139],"all":[140],"individual":[141],"outcomes":[142,244],"secondarily.":[143],"RESULTS:":[144],"Of":[145],"2,268":[146],"deliveries,":[147],"1,210":[148,157],"period.":[153],"Four":[154],"(0.3%)":[158],"diagnosed":[160],"Women":[163],"period":[167],"more":[169,286,292],"likely":[170,178],"present":[172],"in":[173,195,216,236,252,289,316],"spontaneous":[174],"labor":[175,290],"less":[177],"undergo":[180],"induction.":[181],"Maternal":[182],"length":[185,305],"stay":[187,308],"was":[188,192,212,233],"shorter.":[190],"There":[191,211,232],"no":[193,234],"difference":[194,235],"between":[199],"2":[201],"groups":[202],"(36.3%":[203],"vs":[204,225],"36.7%":[205],"[OR":[206,227],"1.05;":[207],"95%":[208,229],"CI,":[209,230],"0.86-1.21]).":[210],"significant":[214,250],"increase":[215],"deliveries":[217],"or":[220,242,296],"after":[221,297],"weeks":[223],"(4.7%":[224],"6.9%":[226],"1.83;":[228],"1.00-3.34]).":[231],"assessed":[245],"individually.":[246],"CONCLUSIONS:":[247],"demonstrated":[249],"clinical":[253,317],"secondary":[255],"As":[266],"an":[267],"globally":[270],"adopted":[271],"ARRIVE":[272],"(A":[273],"Randomized":[274],"Trial":[275],"Induction":[277],"Versus":[278],"Expectant":[279],"Management)":[280],"practices,":[281],"noted":[283,302],"fewer":[284],"inductions,":[285],"women":[287,293],"presenting":[288],"delivering":[294],"weeks.":[299],"shorter":[304],"hospital":[307],"for":[309],"mother-baby":[311],"dyad.":[312],"Overall,":[313],"did":[319],"not":[320],"affect":[321]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2022-11-05T00:00:00"}
