{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T17:04:44Z","timestamp":1778087084760,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T00:00:00Z","timestamp":1643587200000},"content-version":"vor","delay-in-days":30,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010001","name":"Federal Office of Rural Health Policy","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010001","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["U66RH31459"],"award-info":[{"award-number":["U66RH31459"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Clinical Practice"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. The SARS\u2010CoV\u20102 (COVID\u201019) pandemic resulted in major shifts in service delivery for patient care not involving COVID\u201019 illness. The preexisting telehealth infrastructure in Mississippi allowed the state to rapidly expand the scope of telehealth programs. Little research has been done to examine the use of telehealth during the COVID\u201019 pandemic and its impact on the delivery of care during pregnancy and outcomes associated with pregnancy. The objectives of this study are to (1) describe prenatal care practices during the height of the first wave of the COVID\u201019 pandemic, compared to the immediate prepandemic time period, and (2) explore maternal and birth outcomes during these time periods. <jats:italic>Methods<\/jats:italic>. This study was conducted as a retrospective historical cohort study from medical records at one Maternal Care Level IV (Regional Perinatal Health Care Center) in Mississippi and its affiliated centers. The participant cohort was inclusive of women who received prenatal care prior to a single birth delivery between May 1, 2020, and January 31, 2021. The pandemic cohort was defined through the timeframe of the included participants\u2019 end\u2010term prenatal care, with reference to the beginning of the COVID\u201019 pandemic. The prepandemic cohort received a majority of their prenatal care prior to the COVID\u201019 pandemic. <jats:italic>Results<\/jats:italic>. There were 1,894 women included. Among them, 620 (32.77%) completed the majority of their end\u2010term pregnancy in the pre\u2010COVID\u201019 time period and 1,272 (67.23%) completed the end\u2010term pregnancy during the pandemic. The odds ratio for patients from the pandemic cohort of scheduling telehealth visits compared to not scheduling telehealth visits is 8.19 (95% CI: 3.98, 16.86) times the odds ratio for patients from the prepandemic cohort. The pandemic exposure as well as infant\u2019s gestational age and very low birth weight (VLBW) show significant effects on the infant\u2019s living status in the univariate logistic regression. However, after controlling for the infant\u2019s gestational age and VLBW, we did not detect a significant effect of pandemic exposure. <jats:italic>Conclusion<\/jats:italic>. This study demonstrated a very small reliance of telehealth for the medical supervision of pregnant women during the COVID\u201019 pandemic. This is likely because of the essential physical examinations that occur in women who are considered to be at high risk for poor maternal and birth outcomes. Additional studies on the impact of COVID\u201019 infection on maternal and infant outcomes are also needed as there may be important risk factors not yet identified for poor maternal or birth outcomes.<\/jats:p>","DOI":"10.1155\/2022\/3535700","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T06:53:58Z","timestamp":1644389638000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Use of Telehealth Services for Prenatal Care in Mississippi: Comparison of Pre\u2010COVID\u201019 Pandemic and Pandemic Obstetric Management"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3617-5681","authenticated-orcid":false,"given":"Jennifer C.","family":"Reneker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2614-5246","authenticated-orcid":false,"given":"Yunxi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorthy K.","family":"Young","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaojian","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth A.","family":"Lutz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,1,31]]},"reference":[{"key":"e_1_2_10_1_2","volume-title":"Mississippi State Department of Health Office of Vital Records and Statistics. Mississippi Statistically Automated Health Resource System","author":"Birth Table","year":"2018"},{"key":"e_1_2_10_2_2","volume-title":"Mississippi Maternal Mortality Report 2013-2016","author":"Mississippi State Department of Health","year":"2019"},{"key":"e_1_2_10_3_2","volume-title":"Infant Mortality Report 2019","author":"Mississippi State Department of Health","year":"2020"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-09301-4"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7007a3"},{"key":"e_1_2_10_6_2","volume-title":"Preterm Birth: Causes, Consequences, and Prevention","author":"Institute of Medicine Committee on Understanding Premature Birth and Assuring Healthy Outcomes","year":"2007"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000003646"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003671"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1712939"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1712121"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004410"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.11.05018"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57080796"},{"key":"e_1_2_10_14_2","first-page":"396","article-title":"COVID-19 and pregnancy: the UMMC experience - 50 cases and counting","volume":"61","author":"Morris R. 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