Evidence mapPaperPMID 42476512Full record

ArticleAmerican journal of perinatology2026

COVID-19 and Global Perinatal Health: Lessons Learned on Maternal-Neonatal Outcomes, Infant Feeding Practices, and Health Care Economics across Income Settings.

Vignesh Gunasekaran, Soowan Woo, Avinash K Shetty, David Kaufman, Parvesh Mohan Garg

Abstract read
In one paragraph

Article in American journal of perinatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Vignesh Gunasekaran *West Virginia University School of Medicine, Department of Pediatrics, West Virginia, United States, Martinsburg.ORCID 0000-0003-1263-1822
Soowan Woo *SUNY Downstate Health Sciences University, Department of Pediatrics, New York, United States, New York.ORCID 0009-0004-4038-7673
Avinash K ShettyAtrium Health Wake Forest Baptist, Wake Forest School of Medicine, Department of Pediatrics/Infectious Disease, North Carolina, United States, Winston-Salem.
David KaufmanUniversity of Virginia School of Medicine, Department of Pediatrics, Virginia, United States, Charlottesville.
Parvesh Mohan GargAtrium Health Wake Forest Baptist, Wake Forest School of Medicine, Department of Pediatrics, North Carolina, United States, Winston-Salem.

Funding

Tracking and Evaluation CoreU54GM115428 · UNIVERSITY OF MISSISSIPPI MED CTR · 2025 to 2025
$3.6M
NIGMS NIH HHS U54 GM115428NIGMS of the NIH U54GM115428
6 · The paper itself

Abstract

The coronavirus disease 2019 (COVID-19) pandemic fundamentally disrupted health care systems worldwide, with disproportionate consequences for maternal and newborn health. Pregnant individuals and neonates faced both direct clinical consequences of severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection and indirect effects of health system disruption. This narrative review synthesizes global evidence on the pandemic's impact on perinatal outcomes, neonatal care, breastfeeding practices, and financial burden on health care institutions, contrasting high-income countries (HICs) and low- and middle-income countries (LMICs). PubMed, the World Health Organization (WHO), the American Academy of Pediatrics (AAP), and the Centers for Disease Control and Prevention (CDC) databases were searched for peer-reviewed publications through early 2026. The pandemic increased maternal mortality, stillbirth, and neonatal morbidity, particularly in LMICs, alongside paradoxical preterm birth reductions in some HICs. Vertical SARS-CoV-2 transmission remained infrequent. Neonatal admissions fell while acuity and length of stay increased. Breastfeeding was profoundly disrupted by inconsistent separation policies and infection control measures. Health care institutions absorbed substantial additional costs from screening programs and care pathway reorganization. COVID-19 exposed and exacerbated existing global health inequities in maternal and neonatal care. Evidence-based, context-sensitive policies from the WHO, AAP, and CDC are essential to preserve perinatal care quality during future health emergencies. · COVID-19 worsened maternal and neonatal outcomes, with LMICs bearing the greatest burden.. · Separation policies disrupted breastfeeding; breast milk was confirmed safe and protective.. · Vaccination in pregnancy reduced hospitalization by 62% and stillbirth risk by up to 45%..

Identifiers

PMID42476512
PMCPMC13431881

What Socratic holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.