Abstract
There is a substantial body of quality research on covid-19 and pregnancy,1 but as is broadly the case in public health,2 a primary focus has been on individual risk factors for adverse maternal and perinatal outcomes, rather than on the contribution of policies and norms on health outcomes. Engjom et al’s individual patient meta-analysis in BMJ Medicine (doi:10.1136/bmjmed-2023-000733) provides compelling evidence that national public health policies had a substantial role in women's risks of hospital admissions due to covid-19.3 Their work also highlights inadequate use of SARS-CoV-2 directed medical treatment for pregnant women with covid-19.3

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