Further, there weren’t any significant changes in the primary health outcomes (i.e., preeclampsia and eclampsia, severe maternal morbidity, cesarean delivery, and preterm birth) except for NICU admission rates, which increased from the first pandemic period (T2, 8.3%) to the second (T3, 8.6%). Mean number blood pressure measurements, GD, and depression screenings remained similar across the T2 and T3 groups. Further, there were insignificant differences in the sociodemographic and clinical characteristics between individuals in the partially exposed and fully exposed groups compared to those who were unexposed. In addition, the researchers evaluated gestational hypertension, gestational diabetes (GD), depression, venous thromboembolism, newborn Apgar score (<7), transient tachypnea, and birth weight. Throughout the 3 groups, rates of preeclampsia and eclampsia, severe maternal morbidity, cesarean delivery, preterm birth, and neonatal intensive care unit (NICU) admission were examined. The proportion of telemedicine visits increased from 11.1% to 21.3%. These patients were divided into 3 groups who utilized different models and had different time intervals: T1, unexposed, from July 1, 2018, to FebruT2, partially exposed (did not experience the multimodal model for the entire duration of pregnancy), from March 1, 2020, to Decemand T3, fully exposed (experienced the multimodal model for the entire duration of pregnancy), from December 6, 2020, to October 21, 2021. The study included 151,464 individuals who delivered a live birth or stillbirth between July 1, 2018, and October 21, 2021 The study evaluated a multimodal model of in-office visits and telemedicine prenatal health care during the pandemic as well as its association with maternal and newborn outcomes.
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