Prenatal care initiation among very low-income women in the aftermath of welfare reform: does pre-pregnancy Medicaid coverage make a difference?
Maternal and Child Health JournalPublished 8 June 2006
Deborah Rosenberg, Arden Handler, Kristin Rankin, Meagan Zimbeck, E. Kathleen Adams
Citations52
SJR quartileQ1
SJR score0.79
SNIP0.79
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
It is essential to preserve the Medicaid expansions for pregnant women, foster Medicaid family planning waivers, and promote access to primary care and early prenatal care, particularly for very low-income women.
Abstract
Pre-pregnancy Medicaid coverage appears to be associated with early initiation of prenatal care. Almost a decade after welfare reform, it is essential to preserve the Medicaid expansions for pregnant women, foster Medicaid family planning waivers, and promote access to primary care and early prenatal care, particularly for very low-income women.
Keywords
Medicine
New England Journal of MedicinePrevention of Recurrent Preterm Delivery by 17 Alpha-Hydroxyprogesterone Caproate
1,553 Citations2003Paul J. Meis, Mark A. Klebanoff +20 more
Weekly injections of 17P resulted in a substantial reduction in the rate of recurrent preterm delivery among women who were at particularly high risk for pre term delivery and reduced the likelihood of several complications in their infants.
American Journal of Public HealthAn evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index.
1,161 Citations1994Milton Kotelchuck
An alternative two-part index, the Adequacy of Prenatal Care Utilization Index, is proposed that combines independent assessments of the timing of prenatal care initiation and the frequency of visits received after initiation and offers a more accurate and comprehensive set of measures of antenatal care utilization.
Paediatric and Perinatal EpidemiologySocio‐economic disparities in pregnancy outcome: why do the poor fare so poorly?
835 Citations2000Michael S. Kramer, L. Séguin +2 more
Research that identifies and quantifies the causal pathways and mechanisms whereby social disadvantage leads to higher risks of IUGR and preterm birth may eventually help to reduce current disparities and improve pregnancy outcome across the entire socio-economic spectrum.
Obstetrics and GynecologyDoes prenatal care improve birth outcomes? A critical review
322 Citations1995Kevin Fiscella
Prenatal care has not been demonstrated to improve birth outcomes conclusively, and policymakers deciding on funding for prenatal care must consider these findings in the context of prenatal care's overall benefits and potential cost-effectiveness.
Family Planning PerspectivesPredicting Maternal Behaviors During Pregnancy: Does Intention Status Matter?
250 Citations1998Kathryn Kost, David Landry +1 more
Both the intendedness of a pregnancy and the mother's social and demographic characteristics are important predictors of pregnancy-related behavior.
American Journal of Obstetrics and GynecologyThe impact of prenatal care in the United States on preterm births in the presence and absence of antenatal high-risk conditions
193 Citations2002Anthony M. Vintzileos, Cande V. Ananth +3 more
In the United States, prenatal care is associated with fewer preterm births in the presence, as well as absence of high-risk conditions for both African American and white women, and strategies to increase prenatal care participation may decrease preterm birth rates.
JAMAEffects of Medicaid Eligibility Expansion on Prenatal Care and Pregnancy Outcome in Tennessee
162 Citations1990Joyce M. Piper
Analysis of the timing of enrollment relative to the beginning of pregnancy showed that more than two thirds of the women who enrolled did so after the first trimester, and there were no concomitant improvements in use of early prenatal care, birth weight, or neonatal mortality.
American Journal of Obstetrics and GynecologyThe impact of prenatal care on neonatal deaths in the presence and absence of antenatal high-risk conditions
138 Citations2002Anthony M. Vintzileos, Cande V. Ananth +3 more
In the United States, prenatal care is associated with fewer neonatal deaths in black and white infants and this beneficial effect was more pronounced for births that occurred at > or =36 weeks of gestation and in the presence of preterm premature rupture of the membranes, placenta previa, fetal growth restriction, and postterm pregnancy.
PubMedChanges in prenatal care timing and low birth weight by race and socioeconomic status: implications for the Medicaid expansions for pregnant women.
125 Citations2001Lisa Dubay, Theodore Joyce +2 more
The expansions in Medicaid lead to significant improvements in prenatal care utilization among women of low socioeconomic status, and the emerging lesson from the Medicaid expansions is that increased access to primary care is not adequate if the goal is to narrow the gap in newborn health between poor and nonpoor populations.
JAMAAccess to Prenatal Care Following Major Medicaid Eligibility Expansions
121 Citations1993Paula Braveman
In spite of major Medicaid expansions, access to prenatal care was limited for women without private insurance and financial barriers were salient even when controlling for many factors related to care-seeking behavior.
JAMAThe Effect of Providing Health Coverage to Poor Uninsured Pregnant Women in Massachusetts
115 Citations1993Jennifer S. Haas
It is suggested that access to prenatal care may have declined for all women in Massachusetts between 1984 and 1987, and the expansion of health coverage to uninsured low-income pregnant women was not associated with an improvement in access to antenatal care or birth outcomes.
American Journal of Public HealthThe effect of expanding Medicaid prenatal services on birth outcomes.
113 Citations1998Laura‐Mae Baldwin, Eric H. Larson +6 more
A statewide Medicaid-sponsored support service and case management program was associated with a decrease in the low-birthweight rate of medically high-risk women.
PEDIATRICSThe Association Between Adequacy of Prenatal Care Utilization and Subsequent Pediatric Care Utilization in the United States
105 Citations1998Michael D. Kogan, Greg R. Alexander +2 more
Prenatal care utilization can be used to identify and target interventions to women who are at risk for not obtaining well-child care or complete immunizations for their children.
PsycEXTRA DatasetSurveillance for Disparities in Maternal Health-Related Behaviors--Selected States, Pregnancy Risk Assessment Monitoring System (PRAMS), 2000-2001
103 Citations2004Tanya M. Phares, Brian Morrow +4 more
This report summarizes data for 2000-2001 from eight states on four behaviors (smoking duringregnancy, alcohol use during pregnancy, breastfeeding initiation, and use of the infant back sleep position) for which substantial health disparities have been identified previously.
Medical Care Research and ReviewThe Impact of the Medicaid Expansions for Pregnant Women: A Synthesis of the Evidence
103 Citations2001Embry Howell
A comprehensive review of the published literature on the impact of expanding Medicaid for pregnant women to higher income groups of women shows evidence that new groups of pregnant women received health insurance coverage through Medicaid, and that some women received improved prenatal care services.
Obstetrics and GynecologyPrenatal care and black-white fetal death disparity in the United States: heterogeneity by high-risk conditions
96 Citations2002Anthony M. Vintzileos
In the Unites States, strategies to increase prenatal care participation, especially among blacks, are expected to decrease fetal death rates.
New England Journal of MedicineFor Every Dollar Spent -- The Cost-Savings Argument for Prenatal Care
93 Citations1994Jane Huntington, Frederick A. Connell
Prenatal care, it is argued, can prevent the costs and medical complications associated with low birth weight; it is public health spending that pays for itself; this proposition seems intuitively reasonable and supports a popular public policy.
Annals of Internal MedicineThe Crucial Link between Literacy and Health
88 Citations2003Jennifer Fisher Wilson
Literacy directly affects patients' ability to follow instructions from physicians, take medication, understand disease-related information, learn about disease prevention and self-management, and understand their rights, says Ruth Parker, MD.
American Journal of Public HealthTiming of Insurance Coverage and Use of Prenatal Care Among Low-Income Women
64 Citations2002Susan Egerter, Paula Braveman +1 more
Timing of prenatal coverage should be considered in research on the relationship between coverage and care use among low-income women, and women who first obtained Medi-Cal coverage during pregnancy were at low risk of having too few visits.
American Journal of Public HealthThe effects of Florida's Medicaid eligibility expansion for pregnant women.
55 Citations1998Stephen H. Long, M. Susan Marquis
The benefits from the Florida expansion appear to be greater than those reported for other states, and the role of the public health delivery system may account for some of Florida's success.
Maternal and Child Health JournalRisk Factors for Late or No Prenatal Care Following Medicaid Expansions in California
54 Citations2000Melissa Nothnagle, Kristen S. Marchi +2 more
American Journal of Preventive MedicineEffect of Medicaid Expansions on Preterm Birth
49 Citations1997Wayne A. Ray, Edward F. Mitchel +1 more
In Tennessee, the Medicaid expansions materially increased enrollment and use of prenatal care among high-risk women, but did not reduce the likelihood of preterm birth.
Women s Health IssuesAn intersection of women’s and perinatal health: the role of chronic conditions
43 Citations2000Dawn P. Misra, Holly Grason +1 more
This paper has three objectives: to review data on the prevalence of chronic disease among women of reproductive age, to establish that chronic diseases are an important influence on perinatal health, and to emphasize opportunities where women's health and perinnatal health can intersect.
PubMedSurveillance for selected maternal behaviors and experiences before, during, and after pregnancy. Pregnancy Risk Assessment Monitoring System (PRAMS), 2000.
42 Citations2003Letitia Williams, Brian Morrow +6 more
Pregnancy Risk Assessment Monitoring System data indicate that 19 states are well below the Healthy People 2010 objective for folic acid consumption, as measured by multivitamin use, and data for infant checkups indicate that guidelines for care are not being followed for as many as half of those discharged early.
Women s Health IssuesPsychological and sociological barriers to prenatal care
32 Citations1994Marycatherine Augustyn, Lois A. Maiman
A review of psychosocial characteristics of women who delay prenatal care reveals that perceptions of barriers to care need to be considered by both designers of prenatal programs and by health care professionals.
American Journal of Obstetrics and GynecologyThe impact of prenatal care on preterm births among twin gestations in the United States, 1989-2000
29 Citations2003Anthony M. Vintzileos, Cande V. Ananth +2 more
Prenatal care is associated with fewer twin preterm births in the presence and absence of high-risk conditions and increased prenatal care participation may help decrease preterm birth rates and also narrow the black-white twin pre term birth disparity.
The Medicaid Eligibility Maze: Coverage Expands, but Enrollment Problems Persist
28 Citations1999Marilyn Ellwood
This report looks at five states to highlight common problems that all states are facing as they struggle to maintain Medicaid enrollment for low-income children and their parents.
Journal of Health Care for the Poor and UnderservedImproving Prenatal Care Services for Low-Income African American Women and Infants
14 Citations1998Kathy Sanders‐Phillips, Susie Davis
Barriers to prenatal care, the strengths and limitations of prenatal care in reducing infant mortality and improving infant outcomes, and the importance of providing more comprehensive prenatal care that addresses both the medical and psychosocial needs of the low-income African American mother and her infant are discussed.
Journal of Health Care for the Poor and UnderservedThe Pre-Pregnancy Insurance Status of Public Aid Recipients in the Aftermath of Welfare Reform: Women in the Medicaid Gap
12 Citations2006Arden Handler, Deborah M. Rosenberg +3 more
This analysis suggests that in the period after welfare reform, there was an increase in the prevalence of very low-income women who, despite having their delivery paid for by Medicaid, did not have pre-pregnancy Medicaid coverage.