Evidence map›Paper›PMID 41341078›Full record

ArticleHealth equity2025

Implementation and Evaluation of Postpartum Midwifery Care at Home at a Federally Qualified Health Center in Washington, DC.

Katie DePalma, Ebony Marcelle, Emma Clark, Teresa O'Brien, Sanjana Chimata, Erica Eliason, Bayyinah Muhammad, Sola Stamm, Nicole Vernot-Jonas, Pawel Olowski and 2 more

Abstract read
In one paragraph

Article in Health equity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Katie DePalmaSchool of Nursing, Georgetown University, Washington, District of Columbia, USA.
Ebony MarcelleSchool of Nursing, Georgetown University, Washington, District of Columbia, USA.
Emma ClarkSchool of Nursing, Georgetown University, Washington, District of Columbia, USA.
Teresa O'BrienCommunity of Hope, Washington, District of Columbia, USA.
Sanjana ChimataSchool of Nursing, Georgetown University, Washington, District of Columbia, USA.
Erica EliasonCenter for State Health Policy, Rutgers University, New Brunswick, New Jersey, USA.
Bayyinah MuhammadCommunity of Hope, Washington, District of Columbia, USA.
Sola StammSchool of Nursing, Georgetown University, Washington, District of Columbia, USA.
Nicole Vernot-JonasDepartment of Global Health, School of Health, Georgetown University, Washington, District of Columbia, USA.
Pawel OlowskiCommunity of Hope, Washington, District of Columbia, USA.
Dawn ShermanCommunity of Hope, Washington, District of Columbia, USA.
Christina X MareaSchool of Nursing, Georgetown University, Washington, District of Columbia, USA.ORCID https://orcid.org/0000-0003-3820-2452

Funding

Institutional Career Development CoreKL2TR001432 · NCATS · GEORGETOWN UNIVERSITY · PI UMANS, JASON G · 2015 to 2024
$7.5M
NCATS NIH HHS KL2 TR001432
6 · The paper itself

Abstract

Background: The postpartum period is a critical time to support birthing people and infants, address and mitigate perinatal health inequities, and promote joy and connection. Yet many birthing people do not perceive value in postpartum visits, particularly when measured against the competing demands and barriers to care faced by those experiencing poverty and other systemic oppression. These inequities are particularly acute for Black birthing people insured by Medicaid due to structural and interpersonal racism, as well as economic disenfranchisement. We implemented an opt-in postpartum care at home program led by midwives at a federally qualified health center to increase the perceived value of postpartum care and increase patient engagement. Methods: We evaluated implementation using the reach, effectiveness, adoption, implementation, and maintenance framework. We assessed reach and effectiveness using electronic health record data for 2022 (pre-implementation) and 2023 (implementation). Results: Among 473 birthing people eligible during the evaluation period, 118 (28%) had a postpartum home care visit. Postpartum visit attendance rates increased from 78% in 2022 to 84% in 2023. In-home postpartum care increased family involvement, enabled longer and more comprehensive visits, and improved provider satisfaction. Conclusions: Postpartum care at home can reduce barriers to care, increase visit attendance, and promote joy. In-home postpartum care with a midwife has the potential to mitigate health inequities experienced by Black birthing people by fostering trust and shifting the power dynamic in the patient-provider relationship. Community-based care must be designed and implemented with antiracist and emancipatory approaches.

Indexed as

FQHChealth inequitieshome caremidwiferyperinatalpostpartum

Identifiers

PMID41341078
PMCPMC12670692

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.