ArticleMaternal and child health journal2013
Racial disparities in economic and clinical outcomes of pregnancy among Medicaid recipients.
Article in Maternal and child health journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
51 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- SAGES guidelines for the use of laparoscopy during pregnancy.Surgical endoscopy · 2024Guideline
- Air Pollution and Racial Disparities in Pregnancy Outcomes in the United States: A Systematic Review.Journal of racial and ethnic health disparities · 2024Pooled it
- Caesarean section in uninsured women in the USA: systematic review and meta-analysis.BMJ open · 2019Pooled it
- Association between race/skin color and premature birth: a systematic review with meta-analysis.Revista de saude publica · 2018Pooled it
- Continued Disparities in Postpartum Follow-Up and Screening Among Women With Gestational Diabetes and Hypertensive Disorders of Pregnancy: A Systematic Review.The Journal of perinatal & neonatal nursingPooled it
- The wellness incentives and navigation project: design and methods.BMC health services research · 2015Trial
- Complement factor B activation in patients with preeclampsia.Journal of reproductive immunology · 2015Trial
- A study protocol for a predictive model to assess population‑based risk of adverse pregnancy outcomes: The Adverse Pregnancy Outcomes Population Risk Tool (PregPoRT).Diagnostic and prognostic research · 2026Review
- The association between oral risk assessment and obstetric and newborn outcomes.Pregnancy (Hoboken, N.J.) · 2025Article
- Review
- Overreliance on cultural doulas: the paradox of entrusting the communication and care of high-risk migrant women to cultural doulas.BMC pregnancy and childbirth · 2025Article
- Advances in Our Understanding of Cardiovascular Diseases After Preeclampsia.Circulation research · 2025Review
- The association of short-term increases in ambient PM2.5 and temperature exposures with stillbirth: racial/ethnic disparities among Medicaid recipients.American journal of epidemiology · 2024Article
- Using patient portals for large-scale recruitment of individuals underrepresented in biomedical research: an evaluation of engagement patterns throughout the patient portal recruitment process at a single site within the All of Us Research Program.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- The association between maternal insurance status on maternal and neonatal outcomes in women with hypertensive disorders of pregnancy.Journal of human hypertension · 2024Article
- Impact of sex, race, and social determinants of health on neonatal outcomes.Frontiers in pediatrics · 2024Review
- Improving value for underserved populations with a community-based intervention: a retrospective cohort study.Archives of public health = Archives belges de sante publique · 2023Article
- Pre-eclampsia.Nature reviews. Disease primers · 2023Review
- Racial disparities in treatment engagement and outcomes in digital cognitive behavioral therapy for insomnia among pregnant women.Sleep health · 2023Article
- Association of Reproductive Autonomy and Rates of State-Level Racialized Disparities in Preterm Birth and Low Birthweight.Health equity · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
To explore racial-ethnic disparities in adverse pregnancy outcomes among Medicaid recipients, and to estimate excess Medicaid costs associated with the disparities. Cross-sectional study of adverse pregnancy outcomes and Medicaid payments using data from Medicaid Analytic eXtract files on all Medicaid enrollees in fourteen southern states. Compared to other racial and ethnic groups, African American women tended to be younger, more likely to have a Cesarean section, to stay longer in the hospital and to incur higher Medicaid costs. African-American women were also more likely to experience preeclampsia, placental abruption, preterm birth, small birth size for gestational age, and fetal death/stillbirth. Eliminating racial disparities in adverse pregnancy outcomes (not counting infant costs), could generate Medicaid cost savings of $114 to $214 million per year in these 14 states. Despite having the same insurance coverage and meeting the same poverty guidelines for Medicaid eligibility, African American women have a higher rate of adverse pregnancy outcomes than White or Hispanic women. Racial disparities in adverse pregnancy outcomes not only represent potentially preventable human suffering, but also avoidable economic costs. There is a significant financial return-on-investment opportunity tied to eliminating racial disparities in birth outcomes. With the Affordable Care Act expansion of Medicaid coverage for the year 2014, Medicaid could be powerful public health tool for improving pregnancy outcomes.
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