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Association Between Number of In-Person Health Care Visits and SARS-CoV-2 Infection in Obstetrical Patients

Educational Objective
To understand how COVID-19 has affected the rate of in-person health care visits for obstetrical patients
1 Credit CME

A major concern that has emerged from the coronavirus disease 2019 pandemic is patient avoidance of necessary medical care.1 Data regarding how in-person visits to medical facilities influence the risk of contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are limited. Obstetrical patients are a unique group who have required frequent in-person health care visits during the pandemic. The aim of this analysis was to examine whether the number of in-person health care visits was associated with the risk of SARS-CoV-2 infection.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Sharon C. Reale, MD, Brigham and Women’s Hospital, 75 Francis St, CWN L1, Boston, MA 02115 (screale@bwh.harvard.edu).

Accepted for Publication: July 28, 2020.

Published Online: August 14, 2020. doi:10.1001/jama.2020.15242

Author Contributions: Dr Reale and Ms Fields had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Reale, Lumbreras-Marquez, Huybrechts, Bateman.

Acquisition, analysis, or interpretation of data: Reale, Fields, Lumbreras-Marquez, King, Burns, Bateman.

Drafting of the manuscript: Reale, Bateman.

Critical revision of the manuscript for important intellectual content: Reale, Fields, Lumbreras-Marquez, King, Burns, Huybrechts, Bateman.

Statistical analysis: Reale, Fields, Burns, Huybrechts, Bateman.

Administrative, technical, or material support: Reale, Lumbreras-Marquez, Burns, Bateman.

Supervision: Reale, Bateman.

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank Julian Robinson, MD (Department of Obstetrics and Gynecology, Brigham and Women’s Hospital), and Ilona Goldfarb, MD (Department of Obstetrics and Gynecology, Massachusetts General Hospital), for comments on an earlier version of the manuscript. Neither of these individuals was compensated for their contributions.

References
1.
Baum  A , Schwartz  MD .  Admissions to Veterans Affairs hospitals for emergency conditions during the COVID-19 pandemic.   JAMA. 2020;324(1):96-99. doi:10.1001/jama.2020.9972PubMedGoogle ScholarCrossref
2.
Massachusetts Department of Public Health. Archive of COVID-19 cases in Massachusetts. Accessed May 18, 2020. https://www.mass.gov/info-details/archive-of-covid-19-cases-in-massachusetts#march-2020-
3.
Commonwealth of Massachusetts. COVID-19 essential services FAQs. Accessed May 18, 2020. https://www.mass.gov/info-details/covid-19-essential-services-faqs
4.
Rubin  DB .  Multiple Imputation for Nonresponse in Surveys. Wiley; 1987. doi:10.1002/9780470316696
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