ArticleObstetrics and gynecology2020
Race and Ethnicity, Medical Insurance, and Within-Hospital Severe Maternal Morbidity Disparities.
Article in Obstetrics and gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.
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Who cites it
62 citing papers in PubMed, 1 synthesis or guideline pooled it, 121 citations in OpenAlex.
- A Systematic Policy Review of Black Maternal Health-Related Policies Proposed Federally and in Massachusetts: 2010-2020.Frontiers in public health · 2021Pooled it
- Understanding and Addressing Severe Maternal Morbidity Among Black Women in Texas: Findings From a System Dynamics Group Model Building Study.Journal of racial and ethnic health disparities · 2026Article
- A technical framework for using electronic medical records to create and maintain a cross-sectional research cohort of pregnant people in the Gulf South.JAMIA open · 2026Article
- Cultural Tailoring of a Mobile Health Application to Support Postpartum Symptom Monitoring.Studies in health technology and informatics · 2026Article
- The Relationship Between Provider and Patient Racial Concordance and Receipt of Postpartum Care.Journal of racial and ethnic health disparities · 2025Article
- Impact of a Maternal Early Warning System and Severe Hypertension Safety Bundle on Timely Treatment of Hypertensive Emergencies: A Quality Improvement and Health Equity Initiative.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Severe Maternal Morbidity by Race and Ethnicity and Birth Mode Among Individuals With a Prior Cesarean Birth.JAMA network open · 2025Article
- Are racial and ethnic disparities in brachial plexus birth injuries explained by known risk factors?Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- The Association of the COVID-19 Pandemic With Disparities in Maternal Outcomes.Anesthesia and analgesia · 2025Article
- MOMs Chat & Care Study: Rationale and design of a pragmatic randomized clinical trial to prevent severe maternal morbidity among Black birthing people.Contemporary clinical trials · 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
- Centering Birthing Experiences of Women of Color: Protocol for a Qualitative Maternal Near Miss Study.JMIR research protocols · 2025Article
- Developing an interactive reproductive health equity session for pre-clerkship medical students.Medical education online · 2024Article
- Public Maternal Health Dashboards in the United States: Descriptive Assessment.Journal of medical Internet research · 2024Article
- Sociodemographic Differences in Perspectives on Postpartum Symptom Reporting.Applied clinical informatics · 2024Article
- Global inequities in adverse pregnancy outcomes: what can we do?AJOG global reports · 2024Article
- Racial Disparity in Severe Maternal Morbidity Associated with Hypertensive Disorders in Washington State: A Retrospective Cohort Study.Maternal and child health journal · 2024Article
- Association of race, ethnicity and insurance status with outcomes for patients with acute pulmonary embolism treated by PERT: a retrospective observational study.Respiratory research · 2024Observational
- Association of Postpartum Mental Illness Diagnoses with Severe Maternal Morbidity.Journal of women's health (2002) · 2024Article
- Understanding Symptom Self-Monitoring Needs Among Postpartum Black Patients: Qualitative Interview Study.Journal of medical Internet research · 2024Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors at 1 institution in 2 countries.
Funding
Abstract
objectiveTo examine within-hospital racial and ethnic disparities in severe maternal morbidity rates and determine whether they are associated with differences in types of medical insurance.
methodsWe conducted a population-based, cross-sectional study using linked 2010-2014 New York City discharge and birth certificate data sets (N=591,455 deliveries) to examine within-hospital black-white, Latina-white, and Medicaid-commercially insured differences in severe maternal morbidity. We used logistic regression to produce risk-adjusted rates of severe maternal morbidity for patients with commercial and Medicaid insurance and for black, Latina, and white patients within each hospital. We compared these within-hospital adjusted rates using paired t-tests and conditional logit models.
resultsSevere maternal morbidity was higher among black and Latina women than white women (4.2% and 2.9% vs 1.5%, respectively, P<.001) and among women insured by Medicaid than those commercially insured (2.8% vs 2.0%, P<.001). Women insured by Medicaid compared with those with commercial insurance had similar risk for severe maternal morbidity within the same hospital (P=.54). In contrast, black women compared with white women had significantly higher risk for severe maternal morbidity within the same hospital (P<.001), as did Latina women (P<.001). Conditional logit analyses confirmed these findings, with black and Latina women compared with white women having higher risk for severe maternal morbidity (adjusted odds ratio [aOR] 1.52; 95% CI 1.46-1.62 and aOR 1.44; 95% CI 1.36-1.53, respectively) and women insured by Medicaid compared with those commercially insured having similar risk.
conclusionWithin hospitals in New York City, black and Latina women are at higher risk of severe maternal morbidity than white women; this is not associated with differences in types of insurance.
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