Evidence map›Paper›PMID 29016491›Full record

ArticleObstetrics and gynecology2017

Expanding Prenatal Care to Unauthorized Immigrant Women and the Effects on Infant Health.

Jonas J Swartz, Jens Hainmueller, Duncan Lawrence, Maria I Rodriguez

Open access · bronzeAbstract read
In one paragraph

Article in Obstetrics and gynecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
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  5. Birth Equity and Maternal Health Among Immigrant Communities in the United States: A Narrative Review.International journal of environmental research and public health · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Jonas J SwartzDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon; and the Department of Political Science, the Immigration Policy Laboratory, and the Graduate School of Business, Stanford University, Stanford, California.
Jens Hainmueller
Duncan Lawrence
Maria I Rodriguez
Oregon Health & Science University · US

Funding

OHSU Women's Reproductive Health Research K12 ProgramK12HD085809 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI Aaron B Caughey · 2015 to 2026
$4.0M
NICHD NIH HHS K12 HD085809NICHD NIH HHS L50 HD059185
6 · The paper itself

Abstract

objectiveTo measure the effect of access to prenatal care on unauthorized and low-income, new legal permanent resident immigrant women and their offspring.

methodsWe used a difference-in-differences design that leverages the staggered rollout of Emergency Medicaid Plus by county from 2008 to 2013 as a natural experiment to estimate the effect on health service utilization for women and health outcomes for their infants. Regular Medicaid pregnancies were used as an additional control in a triple difference design.

resultsOur sample included pregnancies covered by Emergency Medicaid (35,182), Emergency Medicaid Plus (12,510), and Medicaid (166,054). After expansion of access to prenatal care, there was an increase in prenatal visits (7.2 more visits, 95% CI 6.45-7.96), receipt of adequate prenatal care (28% increased rate, CI 26-31), rates of diabetes screening (61% increased rate, CI 56-66), and fetal ultrasonograms (74% increased rate, CI 72-76). Maternal access to prenatal care was also associated with an increased number of well child visits (0.24 more visits, CI 0.07-0.41), increased rates of recommended screenings and vaccines (0.04 increased probability, CI 0.002-0.074), and reduced infant mortality (-1.01/1,000, CI -1.42 to -0.60) and rates of extremely low birth weight (less than 1,000 g) (-1.33/1,000, CI -2.44 to -0.21).

conclusionOur results provide evidence of increased utilization and improved health outcomes for unauthorized immigrants and their children who are U.S. citizens after introduction of prenatal care expansion in Oregon. This study contributes to the debate around reauthorization of the Children's Health Insurance Program in 2017.

Indexed as

AdultEmigrants and ImmigrantsFemaleHealth Services AccessibilityHumansInfantInfant HealthInfant MortalityInfant, NewbornMedicaidOregonPatient Acceptance of Health CarePovertyPregnancyPregnancy OutcomePrenatal Care

Identifiers

PMID29016491
PMCPMC5679477
OpenAlexW2762741907

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.