Racial Disparities and Risk for COVID-19 Among Pregnant Patients: Results from the Michigan Statewide Collaborative

Ismailova, Inara; Sokol, Robert J.; Gudicha, Dereje W.; Hasbini, Yasmin; Tarca, Adi L.; Green, Pooja M.; Jones, Theodore B.; Goyert, Gregory; Thiel, Lisa; Townsel, Courtney; Vengalil, Shyla; Paladino, Paige; Wright, Andrew Martin; Ayyash, Mariam; Vadlamudi, Gayathri; Szymanska, Marta; Sajja, Sonia; Sterenberg, Grace; Baracy, Michael; Grace, Karlee; Houston, Kaitlyn; Norman, Jessica; Bahado‐Singh, Ray O.; Hassan, Sonia S.

doi:10.1016/j.ajog.2021.11.332

Cited by 1 publication

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“…Additionally, these women reported a higher prevalence of preterm deliveries, underlining the correlation between socioeconomic disparity and adverse pregnancy outcomes [45]. In Michigan, a study involving 1131 females demonstrated that African American women had nearly twice the risk of contracting COVID-19 compared with their White counterparts, even after adjustments for comorbidities [46]. These findings underscore the urgent need to explore the influence of COVID-19 on pregnancy among groups who, because of structural racism, often face inequitable birth outcomes.…”

Section: Racial Financial and Social Aspects Of Covid-19 And Pregnancymentioning

confidence: 99%

Impact of COVID-19 on Pregnancy Outcomes across Trimesters in the United States

Virk,

Gangu,

Nasrullah

et al. 2023

Biomedicines

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Background: Current knowledge regarding the association between trimester-specific changes during pregnancy and COVID-19 infection is limited. We utilized the National Inpatient Sample (NIS) database to investigate trimester-specific outcomes among hospitalized pregnant women diagnosed with COVID-19. Results: Out of 3,447,771 pregnant women identified, those with COVID-19 exhibited higher in-hospital mortality rates in their third trimester compared with those without the virus. Notably, rates of mechanical ventilation, acute kidney injury, renal replacement therapy, and perinatal complications (preeclampsia, HELLP syndrome, and preterm birth) were significantly elevated across all trimesters for COVID-19 patients. COVID-19 was found to be more prevalent among low-income, Hispanic pregnant women. Conclusions: Our findings suggest that COVID-19 during pregnancy is associated with increased risk of maternal mortality and complications, particularly in the third trimester. Furthermore, we observed significant racial and socioeconomic disparities in both COVID-19 prevalence and pregnancy outcomes. These findings emphasize the need for equitable healthcare strategies to improve care for diverse and socioeconomically marginalized groups, ultimately aiming to reduce adverse COVID-19-associated maternal and fetal outcomes.

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Section: Racial Financial and Social Aspects Of Covid-19 And Pregnancymentioning

confidence: 99%