Impact of Telehealth on the Delivery of Prenatal Care During the COVID-19 Pandemic: Mixed Methods Study of the Barriers and Opportunities to Improve Health Care Communication in Discussions About Pregnancy and Prenatal Genetic Testing

Caitlin G Craighead   ¹ , MPH ;   Christina Collart   ¹ , MEd ;   Richard Frankel   ² , PhD ;   Susannah Rose   ³ , PhD ;   Anita D Misra-Hebert   ⁴ , MD, MPH ;   Brownsyne Tucker Edmonds   ⁵ , MD, MPH ;   Marsha Michie   ⁶ , PhD ;   Edward Chien   ¹ , MD, MBA ;   Marissa Coleridge   ^{1, 7} , MS ;   Oluwatosin Goje   ¹ , MD ;   Angela C Ranzini   ⁸ , MD ;   Ruth M Farrell   ^{1, 7, 9} , MD, MA

¹ Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States

² Research Innovation and Education, Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, United States

³ Center for Patience Experience, Cleveland Clinic, Cleveland, OH, United States

⁴ Department of Internal Medicine, Cleveland Clinic Community Care, Cleveland Clinic, Cleveland, OH, United States

⁵ Department of Obstetrics and Gynecology, Indiana University, Indianapolis, IN, United States

⁶ Department of Bioethics, Case Western Reserve University, Cleveland, OH, United States

⁷ Genomic Medicine Institute, Cleveland Clinic, Cleveland, OH, United States

⁸ Department of Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, OH, United States

⁹ Center for Bioethics, Cleveland Clinic, Cleveland, OH, United States