ArticleBirth (Berkeley, Calif.)2019
Strong Start in birth centers: Socio-demographic characteristics, care processes, and outcomes for mothers and newborns.
Article in Birth (Berkeley, Calif.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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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.
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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.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Targeted health and social care interventions for women and infants who are disproportionately impacted by health inequalities in high-income countries: a systematic review.International journal for equity in health · 2023Pooled it
- Pooled it
- Barriers to Medicaid Participation for Community Midwives in California.Journal of midwifery & women's health · 2026Article
- Can early prenatal care initiation reduce racial inequalities in birth outcomes? A causal decomposition approach.SSM - population health · 2025Article
- Postpartum care for parent-infant dyads: A community midwifery model.Birth (Berkeley, Calif.) · 2024Article
- Developmental Strategy and Validation of the Midwifery Interventions Classification (MIC): A Delphi Study Protocol and Results from the Developmental Phase.Healthcare (Basel, Switzerland) · 2023Article
- Scaling the Strong Start Birth Centers: Promoting Equitable Maternity Outcomes.American journal of public health · 2022Article
- The Impact of Culturally-Centered Care on Peripartum Experiences of Autonomy and Respect in Community Birth Centers: A Comparative Study.Maternal and child health journal · 2022Article
- Are perinatal quality collaboratives collaborating enough? How including all birth settings can drive needed improvement in the United States maternity care system.Birth (Berkeley, Calif.) · 2022Article
- Associations between prolonged second stage of labor and maternal and neonatal outcomes in freestanding birth centers: a retrospective analysis.BMC pregnancy and childbirth · 2022Article
- Freestanding Birth Centers: An Evidence-Based Option for Birth.The Journal of perinatal education · 2022Article
- Social-ecological considerations for the sleep health of rural mothers.Journal of behavioral medicine · 2021Article
- The role of pandemic-related pregnancy stress in preference for community birth during the beginning of the COVID-19 pandemic in the United States.Birth (Berkeley, Calif.) · 2021Article
- Next Steps for Transforming Maternity Care: What Strong Start Birth Center Outcomes Tell Us.Journal of midwifery & women's health · 2020Article
- Strong Start in birth centers: Socio-demographic characteristics, care processes, and outcomes for mothers and newborns.Birth (Berkeley, Calif.) · 2019Article
- The CHOICES Black Midwifery Fellowship: An Innovative Model for Training Midwives in Reproductive Justice and Community-Centered Care.Journal of midwifery & women's healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA recent Center for Medicare and Medicaid Innovation report evaluated the four-year Strong Start for Mothers and Newborns Initiative, which sought to improve maternal and newborn outcomes through exploration of three enhanced, evidence-based care models. This paper reports the socio-demographic characteristics, care processes, and outcomes for mothers and newborns engaged in care with American Association of Birth Centers (AABC) sites.
methodsThe authors examined data for 6424 Medicaid or Children's Health Insurance Program (CHIP) beneficiaries in birth center care who gave birth between 2013 and 2017. Using data from the AABC Perinatal Data Registry™, descriptive statistics were used to evaluate socio-behavioral and medical risks, and core perinatal quality outcomes. Comparisons are made between outcomes in the AABC sample and national data during the study period.
resultsChildbearing mothers enrolled at AABC sites had diverse socio-behavioral risk factors similar to the national profile. The AABC sites exceeded national quality benchmarks for low birthweight (3.28%), preterm birth (4.42%), and primary cesarean birth (8.56%). Racial disparities in perinatal indicators were present within the Strong Start sample; however, they were at narrower margins than in national data. The enhanced model of care was notable for use of midwifery-led prenatal, labor, and birth care and decreased hospital admission.
conclusionsBirth center care improves population health, patient experience, and value. The model demonstrates the potential to decrease racial disparity and improve population health. Reduction of regulatory barriers and implementation of sustainable reimbursement are warranted to move the model to scale for Medicaid beneficiaries nationwide.
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Registered trials
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