{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T09:06:47Z","timestamp":1740128807669,"version":"3.37.3"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T00:00:00Z","timestamp":1637107200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Center for Women\u2019s Reproductive Health"},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The purpose of this study was to estimate prevalence of asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among patients admitted to obstetric inpatient units throughout the United States as detected by universal screening. We sought to describe the relationship between obstetric inpatient asymptomatic infection rates and publicly available surrounding community infection rates.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional study in which medical centers reported rates of positive SARS-CoV-2 testing in asymptomatic pregnant and immediate postpartum patients over a 1\u20133-month time span in 2020. Publicly reported SARS-CoV-2 case rates from the relevant county and state for each center were collected from the COVID Act Now dashboard and the COVID Tracking Project for correlation analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Data were collected from 9 health centers, encompassing 18 hospitals. Participating health centers were located in Alabama, California, Illinois, Louisiana, New Jersey, North Carolina, Pennsylvania, Rhode Island, Utah, and Washington State. Each hospital had an active policy for universal SARS-CoV-2 testing on obstetric inpatient units. A total of 10\u2005147 SARS-CoV-2 tests were administered, of which 124 were positive (1.2%). Positivity rates varied by site, ranging from 0\u20133.2%. While SARS-CoV-2 infection rates were lower in asymptomatic obstetric inpatient groups than the surrounding communities, there was a positive correlation between positivity rates in obstetric inpatient units and their surrounding county (P=.003, r=.782) and state (P=.007, r=.708).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Given the correlation between community and obstetric inpatient rates, the necessity of SARS-CoV-2\u2013related healthcare resource utilization in obstetric inpatient units may be best informed by surrounding community infection rates.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/cid\/ciab955","type":"journal-article","created":{"date-parts":[[2021,11,15]],"date-time":"2021-11-15T20:15:16Z","timestamp":1637007316000},"page":"e322-e328","source":"Crossref","is-referenced-by-count":1,"title":["Universal Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Testing for Obstetric Inpatient Units Across the United States"],"prefix":"10.1093","volume":"75","author":[{"given":"Jennifer","family":"Gilner","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Duke University , Durham, North Carolina , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8223-3873","authenticated-orcid":false,"given":"Namita","family":"Kansal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Duke University , Durham, North Carolina , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph R","family":"Biggio","sequence":"additional","affiliation":[{"name":"Section of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Women\u2019s Service Line, Ochsner Health , New Orleans, Louisiana , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shani","family":"Delaney","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Washington , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chad A","family":"Grotegut","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Duke University , Durham, North Carolina , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Hardy","sequence":"additional","affiliation":[{"name":"Departments of Medicine and Obstetrics and Gynecology, Division of Infectious Disease, Women & Infants Hospital , Providence, Rhode Island , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adi","family":"Hirshberg","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Hospital of the University of Pennsylvania , Philadelphia, Pennsylvania , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alisa","family":"Kachikis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Washington , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvia M","family":"LaCourse","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Washington , Seattle, Washington , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Martin","sequence":"additional","affiliation":[{"name":"Section of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Women\u2019s Service Line, Ochsner Health , New Orleans, Louisiana , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torri D","family":"Metz","sequence":"additional","affiliation":[{"name":"University of Utah Health, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , Salt Lake City, Utah , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily S","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Northwestern University Feinberg School of Medicine , Chicago, Illinois , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary E","family":"Norton","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California , San Francisco, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Sinkey","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Alabama at Birmingham , Birmingham, Alabama , USA and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasim C","family":"Sobhani","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California , San Francisco, California , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon L","family":"Son","sequence":"additional","affiliation":[{"name":"University of Utah Health, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine , Salt Lake City, Utah , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sindhu","family":"Srinivas","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine, Hospital of the University of Pennsylvania , Philadelphia, Pennsylvania , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Tita","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Alabama at 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