ArticleMaternal and child health journal2019
Oregon's Expansion of Prenatal Care Improved Utilization Among Immigrant Women.
Article in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 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
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Facilitators and barriers of maternal and infant healthcare access for undocumented migrants in the first 1000 days of life: a systematic review of the literature.Sexual and reproductive health matters · 2025Pooled it
- Publicly-Funded Services Providing Sexual, Reproductive, and Maternal Healthcare to Immigrant Women in the United States: A Systematic Review.Journal of immigrant and minority health · 2022Pooled it
- Federal, State, and Local Immigrant-Related Policies and Child Health Outcomes: a Systematic Review.Journal of racial and ethnic health disparities · 2022Pooled it
- Health insurance expansion for migrants and maternal, perinatal, and infant health outcomes in Colombia: a national cohort study (2013-2020).Lancet regional health. Americas · 2026Article
- Defining Prenatal Care Surveillance Metrics Using Electronic Health Record Data.JAMA health forum · 2026Article
- State Public Coverage of Pregnant Undocumented Immigrants and Prenatal Insurance Uptake.The Milbank quarterly · 2025Article
- Public Health Insurance Coverage for Immigrants during Pregnancy, Childhood, and Adulthood: A Discussion of Relevant Policies and Evidence.Journal of health politics, policy and law · 2025Article
- Emergency department use during pregnancy by medicaid type.BMC pregnancy and childbirth · 2025Article
- Undocumented Patients with Access to Primary Care and Avoidable Emergency Department Visits: Evidence from a Safety-Net System.Journal of health care for the poor and underserved · 2025Article
- The impact of immigrant-specific policies and programmes on maternal, perinatal and paediatric outcomes: a scoping review.BMJ public health · 2025Article
- Emergency department use during pregnancy by Medicaid type.Research square · 2024Article
- Perinatal Health Insurance And Health Care Use By Immigration Status In 6 US States, 2020-22.Health affairs (Project Hope) · 2024Article
- Navigating the Labyrinth of Pregnancy-Related Coverage for Undocumented Immigrants: An Assessment of Current State and Federal Policies.American journal of public health · 2024Article
- Restricting Immigrant Access to Pregnancy-Related Insurance Has Public Health Consequences.American journal of public health · 2024Article
- A Scoping Review to Identify Community- and Societal-Level Strategies Evaluated from 2013 to 2023 for Their Potential Impact on Child Well-Being in the United States.Children (Basel, Switzerland) · 2024Article
- Defining, measuring, and evaluating prenatal care in insurance claims data.Current epidemiology reports · 2024Article
- Analysis of State Medicaid Expansion and Access to Timely Prenatal Care Among Women Who Were Immigrant vs US Born.JAMA network open · 2022Article
- Association of Prenatal Care Expansion With Use of Antidiabetic Agents During Pregnancies Among Latina Emergency Medicaid Recipients With Gestational Diabetes.JAMA network open · 2022Article
- Analysis of Contraceptive Use Among Immigrant Women Following Expansion of Medicaid Coverage for Postpartum Care.JAMA network open · 2021Observational
- State Policymaking and Stated Reasons: Prenatal Care for Undocumented Immigrants in an Era of Abortion Restriction.The Milbank quarterly · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Objectives To determine whether expanding Emergency Medicaid to cover prenatal care in Oregon affected maternal health outcomes for unauthorized immigrants. Methods This study takes place in Oregon from 2003 to 2015 and includes all Emergency Medicaid and Medicaid claims for women aged 12-51 with a pregnancy related claim. To isolate the effect of expanding access to prenatal care, we utilized a difference-in-differences approach that exploits the staggered rollout of the prenatal care program. The primary outcome was a composite measure of severe maternal morbidity and mortality. Additional outcomes include adequacy of prenatal care, detection of pregnancy complications and birth outcomes. Results A total of 213,746 pregnancies were included, with 35,182 covered by Emergency Medicaid, 12,510 covered by Emergency Medicaid Plus (with prenatal care), and 166,054 covered by standard Medicaid. Emergency Medicaid Plus coverage did not affect severe maternal morbidity (all pregnancies 0.05%, CI - 0.29; 0.39; high-risk pregnancies 2.20%, CI - 0.47; 4.88). The program did reduce inadequate care among all pregnancies (- 31.75%, 95% CI - 34.47; - 29.02) and among high risk pregnancies (- 38.60%, CI - 44.17; - 33.02) and increased diagnosis of gestational diabetes (6.24%, CI 4.36; 8.13; high risk pregnancies 10.48%, CI 5.87; 15.08), and poor fetal growth (7.37%, CI 5.69; 9.05; high risk pregnancies 5.34%, CI 1.00; 9.68). The program also increased diagnosis of pre-existing diabetes mellitus (all pregnancies 2.93%, CI 2.16; 3.69), hypertensive diseases of pregnancy (all pregnancies 1.28%, CI 0.52; 2.04) and a history of preterm birth (all pregnancies 0.87%, CI 0.27; 1.47). Conclusions for Practice Oregon's prenatal care expansion program produced positive effects for unauthorized immigrant women and their children.
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Identifiers
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Registered trials
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