ArticleAJPM focus2025
State-Level Prevalence of Maternity Care Deserts: Association With Healthcare Access, Utilization, and Outcomes Among Medicaid Recipients.
Article in AJPM focus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled 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.
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
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Can Social Work Interventions Improve Perinatal Mental Health Outcomes? A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's HealthPooled it
- How to Conduct Usability Testing of Medical Education Simulations: Methods Tutorial Using a Telemedicine Simulation for Maternal Care.JMIR medical education · 2026Article
- Coaching the Caregivers: A Burnout Intervention for Military Physicians and Medical Students.International journal of environmental research and public health · 2026Observational
- Maternal Weathering and Infant Health: Understanding Low Birth Weight and Preterm Birth Among American Indians.Journal of racial and ethnic health disparities · 2026Article
- Bridging the Rural-Urban Divide: Independent Pharmacies and Women's Contraceptive Access.Pharmacy (Basel, Switzerland) · 2026Article
- Maternal Nativity and Residence in US Territories and Preterm Birth.JAMA network open · 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
- The use of the detailed fetal anatomy ultrasound in the first and second trimesters.Pregnancy (Hoboken, N.J.) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: More than 2 million women of childbearing age live in U.S. counties without access to maternity care-counties referred to as maternity care deserts. The objective of this study was to identify whether living in a state with a high prevalence of maternity care deserts is associated with maternal and child health access and utilization and contributing to adverse health outcomes among Medicaid recipients. Methods: This is a descriptive, cross-sectional, secondary data analysis using most recent data available (2021-2023) from multiple existing state-level sources (e.g., Medicaid Health Care Core Data Sets, March of Dimes Peristats, Pregnancy Risk Assessment Monitoring System). State-level analyses included all U.S. states, District of Columbia, and Puerto Rico (N=52). Analyses were stratified by state prevalence of maternity care deserts (high=states where ≥21% of counties have no hospital/birth center providing obstetric services). Multivariate analyses of covariance were used to test associations with 3 domains of dependent variables: healthcare access (i.e., mental health, pediatrics, family medicine), utilization (e.g., timely access to pre and postnatal care, vaccinations), and maternal/child health outcomes (e.g., maternal and infant mortality). Results: Three multivariate analysis of covariance tests indicated significant main effects for state-level maternity care desert prevalence and all domains (all Conclusions: High state-level prevalence of maternity care deserts is associated with adverse maternal and child outcomes; exacerbating concerns as health during the perinatal period sets the trajectory for health across the lifespan. Policy and practice solutions must address pervasive health inequities associated with maternity care deserts (e.g., expanding access to maternity care through family medicine physicians, doulas, telehealth access, and supporting rural obstetric readiness).
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