Table 2 Snapshot of healthcare access, childbirth concerns, and childbirth decision-making across data collection wave
|  | June–July 2020 n = 433 N (%) | December 2020–January 2021 n = 387 N (%) | p-value | Sig. |
|---|---|---|---|---|
Prenatal healthcare access | ||||
 Provider has begun remote visits |  |  | 0.10 |  |
  Yes | 190 (43.9) | 148 (38.2) |  |  |
  No | 191 (44.1) | 175 (45.2) |  |  |
  Unsure / no answer | 52 (12.0) | 64 (16.5) |  |  |
 Provider has reduced number of prenatal visits |  |  | < 0.001 | *** |
  Yes | 147 (34.0) | 90 (23.3) |  |  |
  No | 209 (48.3) | 183 (47.3) |  |  |
  Unsure / no answer | 77 (17.8) | 114 (29.5) |  |  |
 I seek care for health issues outside pregnancy |  |  | 0.02 | * |
  Always | 46 (10.6) | 43 (11.1) |  |  |
  Sometimes / Often | 108 (24.9) | 122 (31.5) |  |  |
  Rarely / Never | 240 (55.4) | 186 (48.1) |  |  |
  Does not apply / I don’t know | 39 (9.0) | 36 (9.3) |  |  |
 I schedule extra prenatal visits if concerned |  |  | 0.06 | t |
  Always | 60 (13.9) | 57 (14.7) |  |  |
  Sometimes / Often | 75 (17.3) | 85 (22.0) |  |  |
  Rarely / Never | 231 (53.4) | 183 (47.3) |  |  |
  Does not apply / I don’t know | 67 (15.5) | 62 (16.0) |  |  |
Concerns about childbirth healthcare access | ||||
 I worry about missing support person during birth |  |  | < 0.001 | *** |
  Always | 89 (20.6) | 65 (16.8) |  |  |
  Sometimes / Often | 208 (48.0) | 143 (37.0) |  |  |
  Rarely / Never | 130 (30.0) | 169 (43.7) |  |  |
  Does not apply / I don’t know | 6 (1.4) | 10 (2.6) |  |  |
 I worry about provider being unavailable during birth |  |  | 0.82 |  |
  Always | 19 (4.4) | 19 (4.9) |  |  |
  Sometimes / Often | 121 (27.9) | 99 (25.6) |  |  |
  Rarely / Never | 281 (64.9) | 252 (65.1) |  |  |
  Does not apply / I don’t know | 12 (2.8) | 17 (4.4) |  |  |
 I worry provider won’t have resources during birth |  |  | 0.82 |  |
  Always | 16 (3.7) | 18 (4.7) |  |  |
  Sometimes / Often | 90 (20.8) | 80 (20.7) |  |  |
  Rarely / Never | 320 (73.9) | 276 (71.3) |  |  |
  Does not apply / I don’t know | 7 (1.6) | 13 (3.4) |  |  |
Childbirth decision-making | ||||
 I am thinking about not having my baby in a hospital |  |  | 0.06 | t |
  Always | 21 (4.9) | 15 (3.9) |  |  |
  Sometimes / Often | 52 (12.0) | 33 (8.5) |  |  |
  Rarely / Never | 338 (78.1) | 319 (82.4) |  |  |
  Does not apply / I don’t know | 22 (5.1) | 20 (5.2) |  |  |
 Planned location of birth |  |  | 0.35 |  |
  Hospital | 402 (92.8) | 368 (95.6) |  |  |
  Birth center | 19 (4.4) | 12 (3.1) |  |  |
  Homebirth | 6 (1.4) | 3 (.8) |  |  |
  Unsure / no answer | 6 (1.4) | 2 (.5) |  |  |
 COVID-19 changed my plans for where to give birth a |  |  | 1.00 |  |
  Changed plans to birth center | 2 (8.0) | 2 (13.3) |  |  |
  Changed plan to a homebirth | 3 (12.0) | 1 (6.7) |  |  |
  COVID did not change planned place of birth | 20 (80.0) | 12 (80.0) |  |  |