Reports on Managed Care from Brown University Provide New Insights (The Association Between Maternal Insurance Status On Maternal and Neonatal Outcomes In Women With Hypertensive Disorders of Pregnancy): Managed Care

Insurance Daily News

2023 APR 05 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators discuss new findings in Managed Care. According to news reporting from Providence, Rhode Island, by NewsRx journalists, research stated, “The objective of this study was to examine the association between maternal insurance status and maternal and neonatal adverse outcomes in women who had hypertensive disorders in pregnancy. A population-based retrospective cohort study was undertaken using the US Vital Statistics dataset on Period Linked Birth-Infant Data from 2016-2020.”

The news correspondents obtained a quote from the research from Brown University, “The study population was restricted to non-anomalous births from women whose pregnancies were complicated by hypertensive disorders. Insurance status was categorized as private, Medicaid, self-pay and other. The primary outcome was a composite of maternal adverse outcomes, which included admission to the intensive care unit, unplanned hysterectomy, maternal blood transfusion or uterine rupture. We examined the role of prenatal care in these relationships using a mediation analysis with Kotelchuck’s Adequacy of Prenatal Care Utilization Index. Multivariable logistic regression models were used to estimate the association between maternal insurance status and adverse outcomes (using adjusted odds ratios [aOR] and 99% confidence interval [CI]). Of the 18,999,865 live births in the five-year study, 1,642,654 (8.6%) met the inclusion criteria. The frequency of the composite maternal adverse outcome was 1.3%. The maternal composite occurred more frequently in women with Medicaid (aOR = 1.11, 99% CI: 1.06, 1.16) or self-pay (aOR = 1.40, 99% CI: 1.25, 1.55) when compared to private insurance. Adjusting for prenatal care slightly attenuated this association, but remained significant.”

According to the news reporters, the research concluded: “Among women with hypertensive disorders in pregnancy, women with Medicaid insurance or self-pay were more likely to experience maternal and neonatal adverse outcomes than women with private insurance.”

This research has been peer-reviewed.

For more information on this research see: The Association Between Maternal Insurance Status On Maternal and Neonatal Outcomes In Women With Hypertensive Disorders of Pregnancy. Journal of Human Hypertension, 2023. Journal of Human Hypertension can be contacted at: Springernature, Campus, 4 Crinan St, London, N1 9XW, England. (Nature Publishing Group - http://www.nature.com/; Journal of Human Hypertension - http://www.nature.com/jhh/)

Our news journalists report that additional information may be obtained by contacting Stephen Wagner, Brown University, Warren Alpert Medical School, Dept. of Obstetrics and Gynecology, Providence, RI 02912, United States. Additional authors for this research include Farah Allouch, Richard Burwick, Megha Gupta, Michal Fishel Bartal, Matthew J. J. Bicocca and Suneet P. P. Chauhan.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1038/s41371-023-00809-x. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.