ArticleMaternal and child health journal2018
Prenatal and Postpartum Care Disparities in a Large Medicaid Program.
Article in Maternal and child health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 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
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Addressing the U.S. maternal health crisis: a systematic review of healthcare access barriers, disparate outcomes, and effective interventions.Frontiers in public health · 2026Pooled it
- Inhibitors and facilitators to the utilization of postpartum care in China: an integrative review.Archives of public health = Archives belges de sante publique · 2022Pooled it
- Prevalence of Access to Prenatal Care in the First Trimester of Pregnancy Among Black Women Compared to Other Races/Ethnicities: A Systematic Review and Meta-Analysis.Public health reviews · 2022Pooled it
- A Systematic Review of Patient-, Provider-, and Health System-Level Predictors of Postpartum Health Care Use by People of Color and Low-Income and/or Uninsured Populations in the United States.Journal of women's health (2002) · 2021Pooled it
- Implementation of postpartum navigation for low-income individuals at an urban academic medical center.PloS one · 2023Trial
- North Carolina Trends in Prenatal Care: The Need for Greater Equity in Prenatal Care Access for Women of Color.Journal of racial and ethnic health disparities · 2026Article
- Spatial bias in quality of estimated delivery date records in the electronic health record.JAMIA open · 2026Article
- Telehealth Uptake and Rural-Urban and Racial/Ethnic Disparities in Postpartum Care Access Among Medicaid Beneficiaries in South Carolina, 2018-2022.Medical care · 2026Article
- South Asian Women's Perspectives and Recommendations on Gestational Diabetes Care and Postpartum Type 2 Diabetes Prevention in Aotearoa New Zealand: A Qualitative Study.Journal of diabetes research · 2026Article
- Mortality patterns in patients with type 2 diabetes mellitus and late-onset Alzheimer's disease in the United States: a retrospective analysis from 1999 to 2020.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Article
- Health insurance, race, and receipt of a postpartum visit among patients giving birth in a referral hospital in the US South.Social science & medicine (1982) · 2025Article
- Assessing the Quality of Care of Pregnant Patients With Thyrotoxicosis at an Urban Safety Net Hospital.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025Article
- Cannabis Use and Trajectories of Depression and Stress Across the Prenatal Period.JAMA network open · 2024Article
- Disparities in Postpartum Care Visits: The Dynamics of Parental Leave Duration and Postpartum Care Attendance.Maternal and child health journal · 2024Article
- Racial and skin color mediated disparities in pulse oximetry in infants and young children.Paediatric respiratory reviews · 2024Review
- Implementation and early effects of medicaid policy interventions to promote racial equity in pregnancy and early childhood outcomes in Pennsylvania: protocol for a mixed methods study.BMC health services research · 2024Article
- Evaluating Racial Disparities in Implementation and Monitoring of a Remote Blood Pressure Program in a Pregnant Population-A Retrospective Cohort Study.Ochsner journal · 2024Article
- "The Name of This is Fourth Trimester. A Lot of People Don't Know About it": A Qualitative Analysis to Inform the Development of a Web-Based Tool.Maternal and child health journal · 2023Article
- Black maternal health scholars on fire: Building a network for collaboration and activism.Health services research · 2023Article
- Postpartum care visits among commercially insured women in the United States.AJOG global reports · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
Objectives Pennsylvania's maternal mortality, infant mortality, and preterm birth rates rank 24th, 35th, and 25th in the country, and are higher among racial and ethnic minorities. Provision of prenatal and postpartum care represents one way to improve these outcomes. We assessed the extent of disparities in the provision and timeliness of prenatal and postpartum care for women enrolled in Pennsylvania Medicaid. Methods We performed a cross-sectional evaluation of representative samples of women who delivered live births from November 2011 to 2015. Our outcomes were three binary effectiveness-of-care measures: prenatal care timeliness, frequency of prenatal care, and postpartum care timeliness. Pennsylvania's Managed Care Organizations (MCOs) were required to submit these outcomes to the state after reviewing administrative and medical records through a standardized, validated sampling process. We assessed for differences in outcomes by race, ethnicity, region, year, and MCO using logistic regression. Results We analyzed data for 12,228 women who were 49% White, 31% Black/African American, 4% Asian, and 15% Hispanic/Latina. Compared to Black/African American women, white and Asian women had higher odds of prenatal and postpartum care. Hispanic/Latina women had higher frequency of prenatal care than non-Hispanic women. Pennsylvania's Southeast had lower prenatal care and Northwest had lower postpartum care than other regions. Prenatal care significantly decreased in 2014 and increased in 2015. We observed differences between MCOs, and as MCO performance diminished, racial disparities within each plan widened. We explored hypotheses for observed disparities in secondary analyses. Conclusions for Practice Our data demonstrate that interventions should address disparities by race, region, and MCO in equity-promoting measures.
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Registered trials
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