Evidence map›Paper›PMID 42449301›Full record

SynthesisBMC public health2026

The impact of paid family leave on parent and infant health outcomes: a systematic review of quasi-experimental research.

Laura Hergenrother, Sara Honaker, Meghan Shanahan

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Laura HergenrotherDepartment of Maternal and Child Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, 170 Rosenau Hall, CB #7400, Chapel Hill, NC, 27599-7400, United States. laurach@ad.unc.edu.
Sara HonakerDepartment of Maternal and Child Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, 170 Rosenau Hall, CB #7400, Chapel Hill, NC, 27599-7400, United States.
Meghan ShanahanDepartment of Maternal and Child Health, University of North Carolina at Chapel Hill, 137 E. Franklin Street, Ste. 500, Rm. 500-F, Chapel Hill, NC, 27599-7505, United States.

Funding

CDC HHS 5131725JG CDC HHS 5131725
6 · The paper itself

Abstract

backgroundDespite strong international evidence that Paid Family Leave (PFL) policies support the physical health and mental health of parents and infants and domestic evidence of its benefits on family economic well-being, the United States lacks a national PFL policy.

methodsThis systematic review sought to evaluate the association of PFL in the United States with parent and infant health outcomes. Quasi-experimental research studies with comparisons of states with PFL policies versus those without such policies were eligible for review. A search strategy was created to match the research aims, and PubMed, CINAHL, Scopus, and PsycINFO were searched. Included studies were assessed by a title and abstract screening, followed by a full-text screening completed by two reviewers. Data were abstracted and narratively synthesized.

resultsAll included studies found improvements in birthing people's health outcomes for those exposed to PFL compared to those not exposed. All studies found positive or neutral benefits of PFL for non-birthing partners' and infants' health outcomes. Health outcomes were measured as physical, mental, and well-being outcomes for parents, and physical health outcomes for infants. PFL was associated with a positive effect on birthing people's physical health via: self-reported health status, number of nights spent in the hospital, the likelihood of reporting sick days, and daily prescription drug use; mental health via postpartum psychological distress; and well-being via: the likelihood of being overweight and alcohol consumption. Findings were less pronounced for non-birthing partners. PFL was associated with improvements in infant health via: the post-neonatal mortality rate, parent-reported overall infant health, abusive head trauma admissions, and hospital admissions for upper respiratory and gastrointestinal infections.

conclusionsAlthough PFL was found to be associated with a variety of health impacts, diverse groups of parents and infants experienced different magnitudes of treatment effects. Future work is needed to better understand the extent to which PFL is associated with health inequities at the population level. Analyses are recommended to span across social identities.

Indexed as

Family LeaveHealth StatusInfant HealthParental LeaveParentsFemaleHumansInfantUnited StatesHealth InequitiesInfant Health OutcomesMaternal and Child HealthPaid Family Leave (PFL)Parent Health Outcomes

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

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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.