key: cord-1051525-sziqwvu1
authors: Stafford, Irene A.; Coselli, Jennie O.; Wilson, Danielle F.; Wang, Courtney Y.; Sibai, Baha M.
title: Comparison of Sexually Transmitted Infections and Adverse Perinatal Outcomes in Underserved Pregnant Patients Before vs During the COVID-19 Pandemic in Texas
date: 2022-02-15
journal: JAMA Netw Open
DOI: 10.1001/jamanetworkopen.2022.0568
sha: 48710575eb9990c5ae28ee28f0b33c2c90661ed3
doc_id: 1051525
cord_uid: sziqwvu1

This cohort study assesses the rates of sexually transmitted infections (STI) and associated adverse perinatal outcomes among underserved pregnant patients during the COVID-19 pandemic in a public health system in Southeastern Texas.

Patients were identified using ICD-10 codes related to STI screened for during pregnancy (N. gonorrhea, C. trachomatis, Human Immunodeficiency virus, syphilis, hepatitis B virus) Hepatitis C screening was not implemented until 2020 therefore it was not queried for this project. HSV was not queried due to inability to discern serologic evidence of infection versus history of infection using ICD-10 codes. In addition, ICD-10 codes were used to identify maternal and neonatal comorbidities of interest. Because ICD10 codes are reliant on healthcare providers or the billing department selecting a diagnosis code, the ICD-10 code selection was expanded to include diagnosis such as diabetes, gestational diabetes, hypertensive disorders, including mild and severe preeclampsia and eclampsia and chronic hypertension. Also, ICD-10 was used to identify prior preterm birth, prior cesarean delivery, thyroid disease and Sars-Co-V2 positive status. Procedural codes and demographic variables that were available via EMR search were used with IRB approval. These were used to also capture mode of delivery and maternal/neonatal intensive care admission and ICD-10 codes were used to query neonatal outcomes as contained in chart below. Chart review was performed on 2021 charts to confirm validity and accuracy of coding and ICD-10 codes with patient diagnoses by PI. A power analysis was not performed a priori as the study population for this observational study was restricted by a fixed time period (pre and during the pandemic) 

Small for gestational age P05

Intrauterine fetal demise O36