Evidence map›Paper›PMID 29346121›Full record

ArticleClinical obstetrics and gynecology2018

Reducing Disparities in Severe Maternal Morbidity and Mortality.

Elizabeth A Howell

4 registry-linked trialsAbstract read
In one paragraph

Article in Clinical obstetrics and gynecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 369 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
369citing papers in PubMed, 5 pooled it
56.9field-weighted citation impact, top 1% 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.

NCT06310720 naterminatednot on this mapstarted 2024, after this paper: background citation

You Matter: Using Video Education to Improve Patient Knowledge of Severe Maternal Morbidity Warning Signs in High Risk Populations

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2024 to 2025Enrolled50ConditionsPostpartum Hemorrhage, Postpartum Depression, Postpartum Sepsis, Postpartum PreeclampsiaArmsVideo Education
NCT06859359 narecruitingnot on this mapstarted 2024, after this paper: background citation

Improving Maternal Cardiovascular Outcomes Through the Implementation of a Hypertensive Disorders of Pregnancy Bundle in Nigeria

TypeinterventionalSponsorWashington University School of MedicineRan2024 to 2029Enrolled1,200ConditionsHypertensive Disorder of PregnancyArmsHypertension Disorders of Pregnancy (HDP) Implementation Bundle
NCT07606027 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Postpartum Remote Monitoring and Integration of Mobile Health With Engagement From Community Health Workers for Regulating Elevated Blood Pressure

TypeinterventionalSponsorUniversity of NebraskaRan2026 to 2031Enrolled404ConditionsHypertensive Disorders of Pregnancy (HDP), Hypertension, Pregnancy Induced, Severe Maternal Morbidity, Postpartum HypertensionArmsCollaborative care, Standard of Care (SOC)
NCT07747519 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Addressing Postpartum Visit Attendance Through Mobile Health: A Feasibility Pilot Randomized Controlled Trial of Postpartum Mobile Van Visits

TypeinterventionalSponsorWomen and Infants Hospital of Rhode IslandRan2026 to 2027Enrolled100ConditionsPostpartum, NeonatalArmsClinic Postpartum Care, Mobile Postpartum Care
3 · Its place in the literature

Who cites it

369 citing papers in PubMed, 5 syntheses or guidelines pooled it, 696 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. 'Uncooperative' Labouring Women: The Moral Judgement Embedded in Modern Obstetrics.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article
  15. Clinically-integrated breastfeeding peer counseling contributes to more equitable hospital-based lactation care.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

309 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Elizabeth A HowellDepartments of Population Health Science & Policy.
Icahn School of Medicine at Mount Sinai · US

Funding

Hospital Quality and Racial/Ethnic Disparities in Severe Maternal MorbidityR01MD007651 · NIMHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HOWELL, ELIZABETH A · 2014 to 2018
$2.1M
NIMHD NIH HHS R01 MD007651
6 · The paper itself

Abstract

Significant racial and ethnic disparities in maternal morbidity and mortality exist in the United States. Black women are 3 to 4 times more likely to die a pregnancy-related death as compared with white women. Growing research indicates that quality of health care, from preconception through postpartum care, may be a critical lever for improving outcomes for racial and ethnic minority women. This article reviews racial and ethnic disparities in severe maternal morbidities and mortality, underlying drivers of these disparities, and potential levers to reduce their occurrence.

Indexed as

Healthcare DisparitiesMaternal MortalityQuality ImprovementCommunicationCultural CompetencyDecision MakingDelivery, ObstetricFemaleHumansObstetricsPostnatal CarePreconception CarePregnancyPregnancy ComplicationsPrenatal CareQuality of Health Care

Identifiers

PMID29346121
PMCPMC5915910
OpenAlexW2793929865

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.