We compared childbirth-related outcomes for Medicaid recipients who received prenatal education and childbirth support from trained doulas with a national sample of similar women estimated potential cost savings.We calculated descriptive statistics Medicaid-funded births nationally (from the 2009 Nationwide Inpatient Sample; n = 279,008) supported by doula care (n 1079) in Minneapolis, Minnesota, 2010 to 2012; used multivariate regression estimate impacts care; modeled savings associated...

High-quality communication and a positive patient-provider relationship are aspects of patient-centered care, crucial component quality. We assessed racial/ethnic disparities in patient-reported problems perceived discrimination maternity care among women nationally measured variation the correlates these outcomes.Data for this analysis came from Listening to Mothers III survey, national sample who gave birth singleton baby US hospital 2011-2012. Outcomes were reluctance ask questions...

Abstract Background There exists limited documentation of nonmedical methods labor induction and pain management during childbirth in the United States. We estimated prevalence interventions for examined association between medical care labor. Methods used a nationally representative survey U.S. women who gave birth 2005 ( N = 1,382) to examine use management. Using logistic regression, we calculated odds induce or mitigate pain, obstetric analgesia by whether were reported. Results Nearly...

Abstract Background Compared with term infants (39–41 weeks), early‐term (37–38 weeks) and late preterm (34–36 have increased breastfeeding difficulties. We evaluated how hospital practices affect by gestational age. Methods This Listening to Mothers III survey cohort included 1,860 mothers who delivered a 34–41‐week singleton from July 2011 June 2012. High support was defined as at least seven consistent the Baby‐Friendly Hospital Initiative's Ten Steps for United States hospitals. Logistic...

<h3>Objective:</h3> The purpose of this study was to characterize the relationship between maternal depressive symptoms and employment whether it is mediated by social support. <h3>Methods:</h3> We used data from a nationally representative sample 700 US women who gave birth in 2005 completed 2 surveys <i>Listening Mothers</i> series, first early 2006, an average 7.3 months postpartum, second 13.4 postpartum. A dichotomous measure calculated 2-item Patient Health Questionnaire, reported...

Introduction Breastfeeding initiation rates in the United States have risen recent years. However, there are notable disparities by socioeconomic status and race/ethnicity. Previous research has suggested that care from a doula (a trained professional who provides nonmedical support during perinatal period) may increase breastfeeding initiation. The goal of this analysis was to study whether be associated with among low‐income, diverse women. Methods We compared (means 95% confidence...

Background Breastfeeding is beneficial for women and infants, medical contraindications are rare. Prenatal labor-related complications may hinder breastfeeding, but supportive hospital practices encourage who intend to breastfeed. We measured the relationship between having a complex pregnancy (entering with hypertension, diabetes, or obesity) early infant feeding, accounting breastfeeding intentions practices. Methods performed retrospective analysis of data from nationally-representative...

Introduction Research has shown good outcomes among individual low‐risk women who receive perinatal care from midwives, yet little is known about how hospital‐level variation in midwifery relates to procedure use and maternal health. This study aimed document the association between proportion of midwife‐attended births obstetric utilization. Methods analysis used 2 data sources: Healthcare Cost Utilization Project State Inpatient Database for New York 2014, Department Health on percentage...

Abstract Background Nearly 90% of United States pregnant women with a prior cesarean give birth by repeat cesarean. Public health goals encourage greater use vaginal after ( VBAC ), but there is little prospective data on predictors women's preference for . We characterized preferred mode delivery first and thematically categorized reasons their preference. Methods Data were from cohort 3006 whose childbirth was in Pennsylvania 2009‐2011. The analytic sample included who had reported next at...

To examine the association of Massachusetts Medicaid Accountable Care Organization (ACO) implementation with changes in mental health care utilization postpartum period. We for people a birth covered by or private insurance. used difference-in-differences design to compare differences before and after ACO those versus The primary outcome was binary measure having at least one outpatient visit 6 months postpartum. estimated linear probability models controlling age, prenatal illness,...

Negative experiences in the health care system, including perceived discrimination, can result patient disengagement from care. Four million US women give birth each year, and perinatal period is a time of sustained interaction with but potential consequences negative have not been examined this context. We assessed whether discrimination during hospitalization were associated postpartum follow-up care.Data Listening to Mothers III survey, nationally drawn sample 2400 singleton births...