The purpose of this study was to gain insight into the experiences of women who gave birth in the United States during coronavirus disease-2019 . A mixedmethods study was performed using online surveys and interviews. Data were analyzed using descriptive statistics and interview transcripts were analyzed by thematic analysis resulting in major themes. Participants (n = 32) were women who had given birth on or after March 13, 2020. Of the participants, 34% experienced depression, 46% experienced mild to moderate anxiety, and 28% experienced severe anxiety symptoms. Four major themes emerged: expectations versus reality, early versus late COVID-19 experience, mental distress versus mental health, and

CONCLUSION: Pregnant women seeking acute migraine treatment experienced a higher rate of preterm delivery, preeclampsia and low birthweight but a lower rate of cesarean delivery than the general population. However, there were no independent associations with chronic migraine or status migrainosus. Nonetheless, with more than half of patients in this study experiencing some type of adverse birth outcome pregnancies in such patients should be considered high risk.