SynthesisJAMA network open2023
Health Insurance Coverage and Postpartum Outcomes in the US: A Systematic Review.
Synthesis in JAMA network open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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.
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.
Who cites it
22 citing papers in PubMed, 28 citations in OpenAlex.
- enDigital Postpartum Support for Early Risk Identification Among Postpartum Women: Formative Randomized Evaluation and Exploratory Predictive Modeling Study.JMIR formative research · 2026Trial
- Postpartum Primary Care Engagement Using Default Scheduling and Tailored Messaging: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Experiences of Mothers Following the Medicaid Postpartum Extension.JAMA network open · 2026Article
- Medicaid Expansion and Severe Maternal Morbidity During Delivery Hospitalizations.Obstetrics and gynecology · 2026Article
- Racial Inequities in Postpartum Coverage During Medicaid Continuous Coverage: Evidence From Affordable Care Act Expansion Versus Nonexpansion States.American journal of preventive medicine · 2026Article
- Protocol for Monitoring Postpartum Hypertension Outcomes via a Smartphone App (MOMitor): Ecological Momentary Assessment.JMIR research protocols · 2026Article
- Medicaid Continuous Coverage Requirement and Postpartum Hospitalization.JAMA health forum · 2026Article
- Interventions to address inequities in infant mortality and morbidity in the NICU and beyond: A focus on the mother-infant dyad.Seminars in perinatology · 2025Review
- Perinatal healthcare access, perceived quality, and preferences among historically underrepresented mother-infant dyads: a mixed methods study.BMC pregnancy and childbirth · 2025Observational
- Postpartum Medicaid Use in Birthing Parents and Access to Financed Care.JAMA health forum · 2025Article
- Effects of the continuous Medicaid coverage provision of the family first coronavirus response act on postpartum Medicaid coverage, depression symptoms, and birth control use.Health services research · 2025Article
- Postpartum Acute Care Utilization in a Health Care System in the Southeastern United States.Journal of women's health (2002) · 2025Article
- Opportunities and Challenges to Improve Postpartum Care: Payors' and Purchasers' Perspectives in California.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Clinical and Demographic Characteristics of Patient-Initiated Encounters Before the 6-Week Postpartum Visit.Maternal and child health journal · 2024Article
- Postpartum care for parent-infant dyads: A community midwifery model.Birth (Berkeley, Calif.) · 2024Article
- Study protocol: a mixed-methods study of the implementation of doula care to address racial health equity in six state Medicaid programs.Health research policy and systems · 2024Article
- Clinician care priorities and practices in the fourth trimester: perspective from a California survey.BMC pregnancy and childbirth · 2024Article
- Association between gestational diabetes and cardiovascular disease within 24 months postpartum.American journal of obstetrics & gynecology MFM · 2024Article
- Increasing Postpartum Primary Care Engagement through Default Scheduling and Tailored MessagingmedRxiv : the preprint server for health sciences · 2024Article
- Continuous Medicaid Eligibility During the COVID-19 Pandemic and Postpartum Coverage, Health Care, and Outcomes.JAMA health forum · 2024Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
Importance: Approximately half of postpartum individuals in the US do not receive any routine postpartum health care. Currently, federal Medicaid coverage for pregnant individuals lapses after the last day of the month in which the 60th postpartum day occurs, which limits longer-term postpartum care. Objective: To assess whether health insurance coverage extension or improvements in access to health care are associated with postpartum health care utilization and maternal outcomes within 1 year post partum. Evidence Review: Medline, Embase, CENTRAL, CINAHL, and ClinicalTrials.gov were searched for US-based studies from inception to November 16, 2022. The reference lists of relevant systematic reviews were scanned for potentially eligible studies. Risk of bias was assessed using questions from the Cochrane Risk of Bias tool and the Risk of Bias in Nonrandomized Studies of Interventions tool. Strength of evidence (SoE) was assessed using the Agency for Healthcare Research and Quality Methods Guide. Findings: A total of 25 973 citations were screened and 28 mostly moderate-risk-of-bias nonrandomized studies were included (3 423 781 participants) that addressed insurance type (4 studies), policy changes that made insurance more comprehensive (13 studies), policy changes that made insurance less comprehensive (2 studies), and Medicaid expansion (9 studies). Findings with moderate SoE suggested that more comprehensive association was likely associated with greater attendance at postpartum visits. Findings with low SoE indicated a possible association between more comprehensive insurance and fewer preventable readmissions and emergency department visits. Conclusions and Relevance: The findings of this systematic review suggest that evidence evaluating insurance coverage and postpartum visit attendance and unplanned care utilization is, at best, of moderate SoE. Future research should evaluate clinical outcomes associated with more comprehensive insurance coverage.
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What OpenQuestion holds
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.