ArrayMaternal and Reproductive Health

This Black History Month 2025, P4A is focusing on Black maternal health. We published a substantial body of research in the last year that examines the factors that contribute to persistent disparities in maternal health outcomes in the United States.

Longstanding concern in the health research community over racial disparities in maternal health is growing stronger. Large gaps in access to and the quality of perinatal care - the crucial information and screenings recommended before, during, and after pregnancy - exist within the Latinx community.

The study investigates the utilization and quality of maternal care among Hispanic birthing people, focusing on differences by primary language (Spanish vs. English) and state policy environment.

This study examines the persistent disparities in birth outcomes between infants born to Black and white mothers in the United States from 2007 to 2018. The research focuses on understanding how structural racism, neighborhood deprivation, and maternal characteristics contribute to these inequities.

The body of serious research into women’s health now includes many reliable studies that help us understand the unique biological factors that affect women. There is also intriguing research on the wide range of social determinants impacting the health of women and girls.

This study investigates changes in pre pregnancy health care interactions among American Indian and Alaska Native (AI/AN) birth givers following the implementation of the Affordable Care Act (ACA).

Access to contraception, receipt of quality medical care, and the ability of individuals to make their own reproductive decisions are critical elements of basic healthcare and health equity for all. The recent overturning of Roe v. Wade and related trigger laws have severely limited access to safe abortions in parts of the United States, especially for women with low incomes and women of color.

Person-centered contraceptive access promotes reproductive autonomy, sexual wellbeing, menstrual regulation, and other preventive health measures. However, contraceptive access varies by social and geographic position, reflecting patterns in the US contraceptive access policy climate. State-level contraceptive access policies can enable access to family planning care, particularly for systemically marginalized and less socioeconomically advantaged groups, or conversely, may disproportionately disadvantage such communities.

Severe maternal morbidity (SMM)—defined by the Centers for Disease Control and Prevention as unintended outcomes of labor and delivery that result in significant short- or long-term consequences to a woman’s health—is a major determinant of maternal mortality. Each year 15 of every 1,000 people hospitalized for a delivery experience SMM. In addition to adverse health outcomes, SMM can lead to disruptions in mother-infant bonding, which can compromise children’s social and emotional development, and confers substantial economic costs to families, communities, and insurers including Medicaid.

Since the early 1990s, Medicaid has been critical in providing insurance coverage for pregnant women with low incomes in the United States - pregnancy-related Medicaid coverage is available to women with incomes up to 200 percent of the federal poverty level in most states. Building on existing studies tracking changes in Medicaid coverage and uninsurance under the law, researchers Emily M. Johnston, Stacey McMorrow, Clara Alvarez Caraveo and Lisa Dubay examined data for new mothers with Medicaid-covered prenatal care in this study published in Health Affairs.

The period before pregnancy is critically important for the health of a woman and her infant, yet not all women have access to health insurance during this time. Rebecca Myerson of the University of Wisconsin-Madison, Samuel Crawford of the University of Southern California, and Laura R. Wherry of New York University evaluated whether increased access to health insurance under the Affordable Care Act (ACA) Medicaid expansions affected ten preconception health indicators, including the prevalence of chronic conditions and health behaviors, birth control use and pregnancy intention, and the receipt of preconception health services.

While Earned Income Tax Credit expansions are typically associated with improvements in maternal mental health, little is known about the mechanisms through which the program affects this outcome. Anuj Gangopadhyaya, Fredric Blavin, Jason Gates, and Breno Braga of the Urban Institute assess the impact of more than two decades of federal expansions in EITC credits and the implementation of state-specific EITC programs on maternal mental health in a new working paper.