Evidence map›Paper›PMID 34606352›Full record

ArticleHealth affairs (Project Hope)2021

Mental Health Conditions Increase Severe Maternal Morbidity By 50 Percent And Cost $102 Million Yearly In The United States.

Clare C Brown, Caroline E Adams, Karen E George, Jennifer E Moore

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Design and implementation of a stratified care model for refugee women's behavioral health in an obstetrical care setting.Families, systems & health : the journal of collaborative family healthcare · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Impact of substance use and trauma on postpartum readmission rates and hospitalization costs: An observational study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Observational
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Clare C BrownClare C. Brown (ccbrown@uams.edu) is an assistant professor in the Department of Health Policy and Management, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, in Little Rock, Arkansas, and a senior research fellow at the Institute for Medicaid Innovation, in Washington, D.C.
Caroline E AdamsCaroline E. Adams was a health policy and research assistant at the Institute for Medicaid Innovation at the time this work was performed.
Karen E GeorgeKaren E. George is a clinical associate professor of obstetrics and gynecology at George Washington University, in Washington, D.C., and a senior women's health fellow at the Institute for Medicaid Innovation.
Jennifer E MooreJennifer E. Moore is the founding executive director of the Institute for Medicaid Innovation and an assistant research professor in the Department of Obstetrics and Gynecology, University of Michigan Medical School, in Ann Arbor, Michigan.
George Washington University · USUniversity of Arkansas for Medical Sciences · USUniversity of Michigan–Ann Arbor · USUrban Institute · US

Funding

The role of prisons in community spread of COVID-19: Disparate epidemiologic profiles in rural, racial/ethnic minority, and low socioeconomic US countiesU54MD002329 · NIMHD · UNIV OF ARKANSAS FOR MED SCIS · PI RACZYNSKI, JAMES M · 2017 to 2022
$7.7M
NIMHD NIH HHS U54 MD002329
6 · The paper itself

Abstract

Perinatal mental health disorders are increasingly acknowledged as contributors to adverse maternal outcomes. We analyzed data from the Healthcare Cost and Utilization Project National Inpatient Sample (2016 and 2017) to estimate hospitalization cost, length-of-stay, and severe maternal morbidity associated with perinatal mental health disorders overall, as well as stratified by payer and by specific mental health category. We found that people with mental health disorders had $458 higher costs per delivery hospitalization and 50 percent higher rates of severe maternal morbidity compared with people without mental health disorders. We estimated increased annual delivery hospitalization costs of $102 million in the US among people with perinatal mental health conditions compared with those without. Furthermore, people diagnosed with trauma- or stress-related mental health disorders had even higher rates of hospitalization costs-$825 higher per delivery-and 87 percent higher rates of severe maternal morbidity compared with people without those diagnoses. These findings provide important information for perinatal mental health program feasibility and cost-effectiveness analyses and suggest the need for increased focus on trauma- and stress-related disorders.

Indexed as

Mental DisordersMental HealthFemaleHealth Care CostsHospitalizationHumansInpatientsPregnancyUnited States

Identifiers

PMID34606352
PMCPMC8759410
OpenAlexW3204749986

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.