Maternal mortality in the U.S. is on the rise and more than half of maternal deaths occur in the postpartum year.
Reviewed by Lily Ramsey, LLMNov 6 2023 A study by Columbia University Mailman School of Public Health and the School of Social Work provides insights into the challenges that birthing people face in the year after birth - both medical and social - which could be drivers of postpartum morbidity and mortality. The study is the first large scale and representative survey of postpartum health ever conducted in the U.S. The findings are published online and in print in the journal Health Affairs.
"Pregnancy Medicaid typically ends 60 days after birth. By providing public health insurance through to one year postpartum, states hope to improve access to health care services that that will translate to better health" said Heidi Allen, PhD, associate professor, and senior author. In 2011–15, nearly two-thirds of maternal deaths were deemed to have been preventable with timely and high-quality medical care.
Approximately 1 in 5 mothers reported delaying or forgoing needed care in the postpartum year regardless of insurance type. Compared with respondents who had commercial insurance, Medicaid respondents were less likely to have a usual source of care and reported substantially less use of primary, specialty, and dental care in the postpartum year. One in 4 Medicaid beneficiaries reported no health care use at all in the year after birth.
Related Stories"Our results clearly show there are significant gaps in postpartum health care access, particularly for mental health services and for mothers with Medicaid coverage. It is also clear that policymakers need to intervene beyond health care to address beneficiaries' social needs which are likely contributing to poor maternal health outcomes and disparities," observed Daw.
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