Evidence map›Paper›PMID 34982328›Full record

ArticleMaternal and child health journal2022

Improving Postpartum Care: Identifying Opportunities to Reduce Postpartum Emergency Room Visits Among Publicly-Insured Women of Color.

Taylor Harrell, Elizabeth A Howell, Amy Balbierz, Luz Guel, Juan Pena, Teresa Janevic, Ksenia Gorbenko

Abstract read
In one paragraph

Article in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Trial
  2. Postpartum care receipt among parents of infants admitted to a freestanding children's hospital neonatal intensive care unit (NICU).Journal of perinatology : official journal of the California Perinatal Association · 2026
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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

7 authors.

Taylor HarrellDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY, 10029, USA. taylor.harrell@icahn.mssm.edu.ORCID http://orcid.org/0000-0001-8792-1424
Elizabeth A HowellDepartment of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Amy BalbierzDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1077, New York, NY, 10029, USA.
Luz GuelDepartment of Environmental Medicine & Public Health, The Mount Sinai Transdisciplinary Center on Early Environmental Exposures, Icahn School of Medicine at Mount Sinai, 17 East 102nd Street, New York, NY, 10029, USA.
Juan PenaDepartment of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1070, New York, NY, 10029, USA.
Teresa JanevicDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1077, New York, NY, 10029, USA.
Ksenia GorbenkoDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1077, New York, NY, 10029, USA.

Funding

Improving Health Outcomes by Targeting Postpartum Patients with High NeedR01MD016029 · NIMHD · UNIVERSITY OF PENNSYLVANIA · PI HOWELL, ELIZABETH A · 2020 to 2025
$4.9M
March of Dimes Foundation 25-FY20-12NIMHD NIH HHS R01 MD016029NIMHD NIH HHS R01MD016029
6 · The paper itself

Abstract

BACKGROUND/

objectivesThe purpose of this study was to explore the postpartum experiences of publicly-insured women of color, and identify how postpartum care can be improved to reduce hospital emergency department usage after delivery.

methodsWe conducted four focus groups with 18 publicly-insured women who primarily self-identified as Black and/or Latina and gave birth between June 1, 2019 and May 1, 2020. We used inductive qualitative analysis to identify prominent themes from focus group discussions.

resultsWe identified four domains: (1) lack of access to and communication with a medical team; (2) lack of preparation; (3) value of social support; and (4) participant-identified opportunities for improvement. CONCLUSIONS FOR PRACTICE: This study describes the postpartum experiences of publicly-insured women of color with the objective of identifying areas for intervention to reduce postpartum emergency department usage. Our findings suggest that focused efforts on enhancing continuity of care to increase healthcare access, strengthening patient-provider communication by training providers to recognize unconscious bias, increasing postpartum preparation by adapting teaching materials to an online format, and engaging women's caregivers throughout the pregnancy course to bolster social support, may be beneficial.

Indexed as

Emergency Service, HospitalPostnatal CareBlack or African AmericanFemaleHealth Services AccessibilityHispanic or LatinoHumansPostpartum PeriodPregnancyEmergency departmentHealth disparitiesMaternal healthMedicaid-insuredPostpartum

Identifiers

PMID34982328
PMCPMC8724640

What OpenQuestion holds

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Registered trials

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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.