ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Maternity Care Deserts and Pregnancy-Associated Mortality in Louisiana.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed.
- Differential effects of a stakeholder-informed intensive perinatal eHealth behavioral weight gain intervention between non-Hispanic Black and non-Hispanic White individuals: a secondary analysis of a randomized clinical trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Trial
- Examining trends, outcomes and barriers to midwifery integration within Louisiana hospitals: a mixed-methods study protocol.BMJ open · 2026Article
- Abortion bans and maternal mortality rates in U.S. states, 2018-2021.SSM - population health · 2026Article
- Abortion policy, political control, and maternal and infant mortality in the United States: a cross-sectional ecological study.Reproductive health · 2026Article
- Planned Community Birth and Birth Outcomes.JAMA pediatrics · 2026Article
- Spatial Analysis of Flood Risk, Neighborhood Characteristics, and Chronic Health Conditions in North Carolina.GeoHealth · 2026Article
- The Impact of Restrictive Abortion Laws on Medical Residency Applications and Healthcare Access: Implications for Maternal Health Equity.Journal of pregnancy · 2026Review
- Planning a Perinatal Mental Health Intervention for a Post-Disaster Rural Community: Caregivers' and Women's Perspectives.Journal of community psychology · 2025Article
- Prenatal care experiences of first-time mothers navigating socioeconomic challenges during pregnancy in New Brunswick: a qualitative descriptive study.BMC pregnancy and childbirth · 2025Article
- State-Level Prevalence of Maternity Care Deserts: Association With Healthcare Access, Utilization, and Outcomes Among Medicaid Recipients.AJPM focus · 2025Article
- Severe maternal morbidity in Louisiana by race, rurality, poverty, and availability of care.Public health · 2025Article
- The Geographic Distribution of Family Physicians Providing Maternity Care and Opportunities for Expanding Access to Care in Rural Areas.Annals of family medicine · 2025Article
- Examining digital care relationships of medicaid participants in the pre/postnatal care period: a qualitative study.BMC pregnancy and childbirth · 2025Article
- Call to Action to Quantify Non-Severe and Severe Maternal Morbidity.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2025Article
- Mapping maternity care deserts: Driving distance and health outcomes in North Carolina.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Black/African American Women's Woes: Women's Perspectives of Black/African American Maternal Mortality in the USA.Journal of racial and ethnic health disparities · 2025Article
- Mental health disparities among maternal populations following heatwave exposure in North Carolina (2011-2019): a matched analysis.Lancet regional health. Americas · 2025Article
- Student and Physician Views of How the Dobbs Decision Affects Training and Practice Location Preferences: Cross-Sectional Questionnaire Study.Interactive journal of medical research · 2025Article
- Tackling Cardiovascular Care Deserts in Romania: Expanding Population Access in Underserved Areas.Healthcare (Basel, Switzerland) · 2024Article
- Not-So-Simple Solutions for Improving Maternal Morbidity in Maternity Care Deserts.Family medicine · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundMaternal mortality is an issue of growing concern in the United States, where the incidence of death during pregnancy and postpartum seems to be increasing. The purpose of this analysis was to explore whether residing in a maternity care desert (defined as a county with no hospital offering obstetric care and no OB/GYN or certified nurse midwife providers) was associated with risk of death during pregnancy and up to 1 year postpartum among women in Louisiana from 2016 to 2017.
methodsData provided by the March of Dimes were used to classify Louisiana parishes by level of access to maternity care. Using data on all pregnancy-associated deaths verified by the Louisiana Department of Health (n = 112 from 2016 to 2017) and geocoded live births occurring in Louisiana during the same time period (n = 101,484), we fit adjusted modified Poisson regression models with generalized estimating equations and exploratory spatial analysis to identify significant associations between place of residence and risk of death.
resultsWe found that the risk of death during pregnancy and up to 1 year postpartum owing to any cause (pregnancy-associated mortality) and in particular death owing to obstetric causes (pregnancy-related mortality) was significantly elevated among women residing in maternity care deserts compared with women in areas with greater access (adjusted risk ratio [aRR] for pregnancy-associated mortality, 1.91; 95% confidence interval [CI], 1.15-3.18; aRR for pregnancy-related mortality, 3.37; 95% CI, 1.71-6.65). A large racial inequity in risk persisted above and beyond differences in geographic access to maternity care (non-Hispanic Black vs. non-Hispanic White aRR for pregnancy-associated mortality, 2.22; 95% CI, 1.39-3.56; aRR for pregnancy-related mortality, 2.66; 95% CI, 1.16-6.12).
conclusionsEnsuring access to maternity care may be an important step toward maternal mortality prevention, but may alone be insufficient for achieving maternal health equity.
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