Evidence map›Paper›PMID 37414330›Full record

ArticleContraception2023

Association of intrapartum severe maternal morbidity with receipt of postpartum contraception among Medicaid recipients.

Maria I Rodriguez, Ann Martinez Acevedo, Stephanie Renfro, Julia Tasset, Oluwadamilola Sosanya, Aaron B Caughey

Open access · greenAbstract read
In one paragraph

Article in Contraception, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 1 institution in 1 country.

Maria I RodriguezCenter for Reproductive Health Equity, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, United States. Electronic address: rodrigma@ohsu.edu.
Ann Martinez AcevedoCenter for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR, United States.
Stephanie RenfroCenter for Health Systems Effectiveness, Oregon Health & Science University, Portland, OR, United States.
Julia TassetCenter for Reproductive Health Equity, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, United States.
Oluwadamilola SosanyaCenter for Reproductive Health Equity, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, United States.
Aaron B CaugheyCenter for Reproductive Health Equity, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, United States.
Oregon Health & Science University · US

Funding

Examining the role of pregnancy coverage in preventing poor obstetric outcomes among Latina immigrantsR01MD013648 · NIMHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI RODRIGUEZ, MARIA ISABEL · 2019 to 2023
$2.2M
NIMHD NIH HHS R01 MD013648
6 · The paper itself

Abstract

objectivesWe sought to determine the association between intrapartum severe maternal morbidity and receipt of postpartum contraception within 60 days among Medicaid recipients in Oregon and South Carolina. STUDY

designWe conducted a historical cohort study of all Medicaid births in Oregon and South Carolina from 2011 to April 2018. Intrapartum severe maternal morbidity was measured using diagnosis and procedure codes according to the Center for Disease Control's classifications. Our primary outcome of interest was receipt of postpartum contraception within 60 days of birth. We captured permanent and reversible forms of contraception. We examined the association of intrapartum severe maternal morbidity with receipt of postpartum contraception, and whether this varied by type of Medicaid (Traditional vs Emergency). We used Poisson regression models with robust (sandwich) estimation of variance to calculate relative risk (RR) for each model.

resultsOur analytic cohort included 347,032 births. We identified 3079 births with evidence of intrapartum severe maternal morbidity (0.9% of all births). When adjusted for maternal age, rural vs urban status, and state of residence, Medicaid beneficiaries with births complicated by intrapartum severe maternal morbidity are 7% less likely to receive any contraception (RR 0.93, 95% CI (0.91, 0.95)) by 60 days postpartum. Among births complicated by severe maternal morbidity we found that Emergency Medicaid recipients were 92% less likely than Traditional Medicaid recipients to receive any method of contraception (RR 0.08, 95% CI (0.08, 0.08)).

conclusionsMedicaid recipients experiencing intrapartum severe maternal morbidity are less likely to receive contraception within 60 days than Medicaid beneficiaries with uncomplicated births. IMPLICATIONS: Medicaid recipients with intrapartum severe maternal morbidity are less likely to receive postpartum contraception, than Medicaid beneficiaries without severe maternal morbidity.

Indexed as

ContraceptionMedicaidPostpartum PeriodAdolescentAdultCohort StudiesFemaleHumansOregonPregnancySouth CarolinaUnited StatesYoung AdultContraceptionImmigrantMedicaidSevere maternal morbidity

Identifiers

PMID37414330
PMCPMC10592377
OpenAlexW4383067065

What OpenQuestion holds

Textmetadata
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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.