Evidence map›Paper›PMID 35041142›Full record

ArticleMaternal and child health journal2022

Risk Factors for Dual Burden of Severe Maternal Morbidity and Preterm Birth by Insurance Type in California.

Alison M El Ayadi, Rebecca J Baer, Caryl Gay, Henry C Lee, Juno Obedin-Maliver, Laura Jelliffe-Pawlowski, Audrey Lyndon

Open access · hybridAbstract read
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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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Alison M El AyadiDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, 550 16th Street, 3rd Floor, San Francisco, CA, 94158, USA. alison.elayadi@ucsf.edu.ORCID http://orcid.org/0000-0003-2674-4887
Rebecca J BaerDepartment of Pediatrics, University of California, San Diego, San Diego, CA, USA.
Caryl GayDepartment of Family Health Care Nursing, University of California, San Francisco, San Francisco, CA, USA.
Henry C LeeDivision of Neonatal & Developmental Medicine, Department of Pediatrics, Stanford University, Stanford, CA, USA.
Juno Obedin-MaliverDepartment of Obstetrics and Gynecology, Stanford University, Stanford, CA, USA.
Laura Jelliffe-PawlowskiCalifornia Preterm Birth Initiative, University of California, San Francisco, San Francisco, CA, USA.
Audrey LyndonDepartment of Family Health Care Nursing, University of California, San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAmong childbearing women, insurance coverage determines degree of access to preventive and emergency care for maternal and infant health. Maternal-infant dyads with dual burden of severe maternal morbidity and preterm birth experience high physical and psychological morbidity, and the risk of dual burden varies by insurance type. We examined whether sociodemographic and perinatal risk factors of dual burden differed by insurance type.

methodsWe estimated relative risks of dual burden by maternal sociodemographic and perinatal characteristics in the 2007-2012 California birth cohort dataset stratified by insurance type and compared effects across insurance types using Wald Z-statistics.

resultsDual burden ranged from 0.36% of privately insured births to 0.41% of uninsured births. Obstetric comorbidities, multiple gestation, parity, and birth mode conferred the largest risks across all insurance types, but effect magnitude differed. The adjusted relative risk of dual burden associated with preeclampsia superimposed on preexisting hypertension ranged from 9.1 (95% CI 7.6-10.9) for privately insured to 15.9 (95% CI 9.1-27.6) among uninsured. The adjusted relative risk of dual burden associated with cesarean birth ranged from 3.1 (95% CI 2.7-3.5) for women with Medi-Cal to 5.4 (95% CI 3.5-8.2) for women with other insurance among primiparas, and 7.0 (95% CI 6.0-8.3) to 19.4 (95% CI 10.3-36.3), respectively, among multiparas.

conclusionsRisk factors of dual burden differed by insurance type across sociodemographic and perinatal factors, suggesting that care quality may differ by insurance type. Attention to peripartum care access and care quality provided by insurance type is needed to improve maternal and neonatal health.

Indexed as

Premature BirthCesarean SectionFemaleHumansInfantInfant, NewbornInsurance CoverageParityPregnancyRisk FactorsHealth disparitiesInsurance coveragePreterm birthSevere maternal morbidity

Identifiers

PMID35041142
PMCPMC8917014
OpenAlexW4205724517

What OpenQuestion holds

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LicenceCC BY
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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.