ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Bridging the Chasm between Pregnancy and Health over the Life Course: A National Agenda for Research and Action.
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 24 papers.
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Who cites it
24 citing papers in PubMed, 40 citations in OpenAlex.
- Patient Navigation and Postpartum Health Care Outcomes: A Randomized Clinical Trial.JAMA health forum · 2026Trial
- Assessing stakeholder readiness for implementation of a diabetes prevention programme for patients with recent gestational diabetes: a short report.BMJ open quality · 2026Article
- Maternal stress in pregnancy and adverse birth outcomes among women living with HIV during the COVID-19 pandemic.Frontiers in reproductive health · 2026Article
- Prenatal care experiences of first-time mothers navigating socioeconomic challenges during pregnancy in New Brunswick: a qualitative descriptive study.BMC pregnancy and childbirth · 2025Article
- Looking Back, Visioning Forward: Preconception Health in the US 2005 to 2023.Maternal and child health journal · 2025Article
- Neonates at Risk: Understanding the Impact of High-Risk Pregnancies on Neonatal Health.Medicina (Kaunas, Lithuania) · 2025Review
- Planning for the forgotten fourth trimester of pregnancy: A parallel group randomized control trial to test a postpartum planning intervention vs. standard prenatal care.Contemporary clinical trials · 2024Article
- A multilevel developmental psychopathology model of childbirth and the perinatal transition.Development and psychopathology · 2024Review
- Review
- 'Do we need doulas…?' - Perspectives of maternity care managers on the role of doulas in Poland.Nursing open · 2023Article
- Health Experiences of African American Mothers, Wellness in the Postpartum Period and Beyond (HEAL): A Qualitative Study Applying a Critical Race Feminist Theoretical Framework.International journal of environmental research and public health · 2023Article
- PROMs and PREMs in routine perinatal care: mixed methods evaluation of their implementation into integrated obstetric care networks.Journal of patient-reported outcomes · 2023Article
- Extended Medicaid coverage will improve access but insufficient to enhance postpartum care utilization: a secondary analysis of the 2016-2019 Arizona Medicaid claims.Frontiers in public health · 2023Article
- Obstetric experiences of young black mothers: An intersectional perspective.Social science & medicine (1982) · 2023Article
- Childhood trauma and postpartum care use, estimating mediation by posttraumatic stress disorder and depressive symptoms.Annals of epidemiology · 2022Article
- Healthy for Two/Healthy for You: Design and methods for a pragmatic randomized clinical trial to limit gestational weight gain and prevent obesity in the prenatal care setting.Contemporary clinical trials · 2022Article
- Setting the Agenda for Reproductive and Maternal Health in the Era of COVID-19: Lessons from a Cruel and Radical Teacher.Maternal and child health journal · 2021Article
- Bridging the Postpartum Gap: A Randomized Controlled Trial to Improve Postpartum Visit Attendance Among Low-Income Women with Limited English Proficiency.Women's health reports (New Rochelle, N.Y.) · 2021Article
- Maternal Psychological Symptom Trajectories From 2 to 24 Months Postpartum: A Latent Class Growth Analysis.Nursing researchArticle
- It's Time to Eliminate Racism and Fragmentation in Women's Health Care.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
74 authors at 20 institutions in 3 countries.
Funding
Abstract
backgroundMany pregnant people find no bridge to ongoing specialty or primary care after giving birth, even when clinical and social complications of pregnancy signal need. Black, indigenous, and all other women of color are especially harmed by fragmented care and access disparities, coupled with impacts of racism over the life course and in health care.
methodsWe launched the initiative "Bridging the Chasm between Pregnancy and Health across the Life Course" in 2018, bringing together patients, advocates, providers, researchers, policymakers, and systems innovators to create a National Agenda for Research and Action. We held a 2-day conference that blended storytelling, evidence analysis, and consensus building to identify key themes related to gaps in care and root causes of inequities. In 2019, more than 70 stakeholders joined six working groups to reach consensus on strategic priorities based on equity, innovation, effectiveness, and feasibility.
findingsWorking groups identified six key strategic areas for bridging the chasm. These include: 1) progress toward eliminating institutional and interpersonal racism and bias as a requirement for accreditation of health care institutions, 2) infrastructure support for community-based organizations, 3) extension of holistic team-based care to the postpartum year and beyond, with integration of doulas and community health workers on the team, 4) extension of Medicaid coverage and new quality and pay-for-performance metrics to link maternity care and primary care, 5) systems to preserve maternal narratives and data across providers, and 6) alignment of research with women's lived experiences.
conclusionsThe resulting agenda presents a path forward to remedy the structural chasms in women's health care, with key roles for advocates, policymakers, researchers, health care leaders, educators, and the media.
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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.