Postpartum navigation decreases severe maternal morbidity most among Black women
Postpartum care is crucial for addressing conditions associated with severe maternal morbidity and mortality. Examination of programs that affect these outcomes for women at high risk, including disparate populations, is needed. This study aimed to examine whether a postpartum navigation program dec...
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| Veröffentlicht in: | American journal of obstetrics and gynecology Jg. 229; H. 2; S. 160.e1 - 160.e8 |
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Elsevier Inc
01.08.2023
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| ISSN: | 0002-9378, 1097-6868, 1097-6868 |
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| Abstract | Postpartum care is crucial for addressing conditions associated with severe maternal morbidity and mortality. Examination of programs that affect these outcomes for women at high risk, including disparate populations, is needed.
This study aimed to examine whether a postpartum navigation program decreases all-cause 30-day postpartum hospitalizations and hospitalizations because of severe maternal morbidity identified using the US Centers for Disease Control and Prevention guidelines. The effect of this program was explored across patient demographics, including race and ethnicity.
This was a retrospective cohort study that used health records of women who delivered at 3 large hospitals in the New York metropolitan area (Queens and Long Island) between April 2020 and November 2021 and who were at high risk of severe maternal morbidity. The incidence rates of 30-day postpartum all-cause hospitalization and hospitalization because of severe maternal morbidity were compared between women who were and were not enrolled in a novel postpartum transitional care management program. Navigation included standardized assessments, development of care plans, clinical management, and connection to clinical and social services that would extend beyond the postpartum period. Because the program prioritized enrolling women of the greatest risk, the risk-adjusted incidence was estimated using multivariate Poisson regression and stratified across patient demographics.
Patient health records of 5819 women were included for analysis. Of note, 5819 of 19,258 deliveries (30.2%) during the study period were identified as having a higher risk of severe maternal morbidity. This was consistent with the incidence of high-risk pregnancies for tertiary hospitals in the New York metropolitan area. The condition most identified for risk of severe maternal morbidity at the time of delivery was hypertension (3171/5819 [54.5%]). The adjusted incidence of all-cause rehospitalization was 20% lower in enrollees than in nonenrollees (incident rate ratio, 0.80; 95% confidence interval, 0.67–0.95). Rehospitalization was decreased the most among Black women (incident rate ratio, 0.57; 95% confidence interval, 0.42–0.80). The adjusted incidence of rehospitalization because of indicators of severe maternal morbidity was 56% lower in enrollees than in nonenrollees (incident rate ratio, 0.44; 95% confidence interval, 0.24–0.77). Furthermore, it decreased most among Black women (incident rate ratio, 0.23; 95% confidence interval, 0.07–0.73).
High-risk medical conditions at the time of delivery increased the risk of postpartum hospitalization, including hospitalizations because of severe maternal morbidity. A postpartum navigation program designed to identify and resolve clinical and social needs reduced postpartum hospitalizations and racial disparities with hospitalizations. Hospitals and healthcare systems should adopt this type of care model for women at high risk of severe maternal morbidity. Cost analyses are needed to evaluate the financial effect of postpartum navigation programs for women at high risk of severe maternal morbidity or mortality, which could influence reimbursement for these types of services. Further evidence and details of novel postpartum interventional models are needed for future studies. |
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| AbstractList | Postpartum care is crucial for addressing conditions associated with severe maternal morbidity and mortality. Examination of programs that affect these outcomes for women at high risk, including disparate populations, is needed.BACKGROUNDPostpartum care is crucial for addressing conditions associated with severe maternal morbidity and mortality. Examination of programs that affect these outcomes for women at high risk, including disparate populations, is needed.This study aimed to examine whether a postpartum navigation program decreases all-cause 30-day postpartum hospitalizations and hospitalizations because of severe maternal morbidity identified using the US Centers for Disease Control and Prevention guidelines. The effect of this program was explored across patient demographics, including race and ethnicity.OBJECTIVEThis study aimed to examine whether a postpartum navigation program decreases all-cause 30-day postpartum hospitalizations and hospitalizations because of severe maternal morbidity identified using the US Centers for Disease Control and Prevention guidelines. The effect of this program was explored across patient demographics, including race and ethnicity.This was a retrospective cohort study that used health records of women who delivered at 3 large hospitals in the New York metropolitan area (Queens and Long Island) between April 2020 and November 2021 and who were at high risk of severe maternal morbidity. The incidence rates of 30-day postpartum all-cause hospitalization and hospitalization because of severe maternal morbidity were compared between women who were and were not enrolled in a novel postpartum transitional care management program. Navigation included standardized assessments, development of care plans, clinical management, and connection to clinical and social services that would extend beyond the postpartum period. Because the program prioritized enrolling women of the greatest risk, the risk-adjusted incidence was estimated using multivariate Poisson regression and stratified across patient demographics.STUDY DESIGNThis was a retrospective cohort study that used health records of women who delivered at 3 large hospitals in the New York metropolitan area (Queens and Long Island) between April 2020 and November 2021 and who were at high risk of severe maternal morbidity. The incidence rates of 30-day postpartum all-cause hospitalization and hospitalization because of severe maternal morbidity were compared between women who were and were not enrolled in a novel postpartum transitional care management program. Navigation included standardized assessments, development of care plans, clinical management, and connection to clinical and social services that would extend beyond the postpartum period. Because the program prioritized enrolling women of the greatest risk, the risk-adjusted incidence was estimated using multivariate Poisson regression and stratified across patient demographics.Patient health records of 5819 women were included for analysis. Of note, 5819 of 19,258 deliveries (30.2%) during the study period were identified as having a higher risk of severe maternal morbidity. This was consistent with the incidence of high-risk pregnancies for tertiary hospitals in the New York metropolitan area. The condition most identified for risk of severe maternal morbidity at the time of delivery was hypertension (3171/5819 [54.5%]). The adjusted incidence of all-cause rehospitalization was 20% lower in enrollees than in nonenrollees (incident rate ratio, 0.80; 95% confidence interval, 0.67-0.95). Rehospitalization was decreased the most among Black women (incident rate ratio, 0.57; 95% confidence interval, 0.42-0.80). The adjusted incidence of rehospitalization because of indicators of severe maternal morbidity was 56% lower in enrollees than in nonenrollees (incident rate ratio, 0.44; 95% confidence interval, 0.24-0.77). Furthermore, it decreased most among Black women (incident rate ratio, 0.23; 95% confidence interval, 0.07-0.73).RESULTSPatient health records of 5819 women were included for analysis. Of note, 5819 of 19,258 deliveries (30.2%) during the study period were identified as having a higher risk of severe maternal morbidity. This was consistent with the incidence of high-risk pregnancies for tertiary hospitals in the New York metropolitan area. The condition most identified for risk of severe maternal morbidity at the time of delivery was hypertension (3171/5819 [54.5%]). The adjusted incidence of all-cause rehospitalization was 20% lower in enrollees than in nonenrollees (incident rate ratio, 0.80; 95% confidence interval, 0.67-0.95). Rehospitalization was decreased the most among Black women (incident rate ratio, 0.57; 95% confidence interval, 0.42-0.80). The adjusted incidence of rehospitalization because of indicators of severe maternal morbidity was 56% lower in enrollees than in nonenrollees (incident rate ratio, 0.44; 95% confidence interval, 0.24-0.77). Furthermore, it decreased most among Black women (incident rate ratio, 0.23; 95% confidence interval, 0.07-0.73).High-risk medical conditions at the time of delivery increased the risk of postpartum hospitalization, including hospitalizations because of severe maternal morbidity. A postpartum navigation program designed to identify and resolve clinical and social needs reduced postpartum hospitalizations and racial disparities with hospitalizations. Hospitals and healthcare systems should adopt this type of care model for women at high risk of severe maternal morbidity. Cost analyses are needed to evaluate the financial effect of postpartum navigation programs for women at high risk of severe maternal morbidity or mortality, which could influence reimbursement for these types of services. Further evidence and details of novel postpartum interventional models are needed for future studies.CONCLUSIONHigh-risk medical conditions at the time of delivery increased the risk of postpartum hospitalization, including hospitalizations because of severe maternal morbidity. A postpartum navigation program designed to identify and resolve clinical and social needs reduced postpartum hospitalizations and racial disparities with hospitalizations. Hospitals and healthcare systems should adopt this type of care model for women at high risk of severe maternal morbidity. Cost analyses are needed to evaluate the financial effect of postpartum navigation programs for women at high risk of severe maternal morbidity or mortality, which could influence reimbursement for these types of services. Further evidence and details of novel postpartum interventional models are needed for future studies. Postpartum care is crucial for addressing conditions associated with severe maternal morbidity and mortality. Examination of programs that affect these outcomes for women at high risk, including disparate populations, is needed. This study aimed to examine whether a postpartum navigation program decreases all-cause 30-day postpartum hospitalizations and hospitalizations because of severe maternal morbidity identified using the US Centers for Disease Control and Prevention guidelines. The effect of this program was explored across patient demographics, including race and ethnicity. This was a retrospective cohort study that used health records of women who delivered at 3 large hospitals in the New York metropolitan area (Queens and Long Island) between April 2020 and November 2021 and who were at high risk of severe maternal morbidity. The incidence rates of 30-day postpartum all-cause hospitalization and hospitalization because of severe maternal morbidity were compared between women who were and were not enrolled in a novel postpartum transitional care management program. Navigation included standardized assessments, development of care plans, clinical management, and connection to clinical and social services that would extend beyond the postpartum period. Because the program prioritized enrolling women of the greatest risk, the risk-adjusted incidence was estimated using multivariate Poisson regression and stratified across patient demographics. Patient health records of 5819 women were included for analysis. Of note, 5819 of 19,258 deliveries (30.2%) during the study period were identified as having a higher risk of severe maternal morbidity. This was consistent with the incidence of high-risk pregnancies for tertiary hospitals in the New York metropolitan area. The condition most identified for risk of severe maternal morbidity at the time of delivery was hypertension (3171/5819 [54.5%]). The adjusted incidence of all-cause rehospitalization was 20% lower in enrollees than in nonenrollees (incident rate ratio, 0.80; 95% confidence interval, 0.67–0.95). Rehospitalization was decreased the most among Black women (incident rate ratio, 0.57; 95% confidence interval, 0.42–0.80). The adjusted incidence of rehospitalization because of indicators of severe maternal morbidity was 56% lower in enrollees than in nonenrollees (incident rate ratio, 0.44; 95% confidence interval, 0.24–0.77). Furthermore, it decreased most among Black women (incident rate ratio, 0.23; 95% confidence interval, 0.07–0.73). High-risk medical conditions at the time of delivery increased the risk of postpartum hospitalization, including hospitalizations because of severe maternal morbidity. A postpartum navigation program designed to identify and resolve clinical and social needs reduced postpartum hospitalizations and racial disparities with hospitalizations. Hospitals and healthcare systems should adopt this type of care model for women at high risk of severe maternal morbidity. Cost analyses are needed to evaluate the financial effect of postpartum navigation programs for women at high risk of severe maternal morbidity or mortality, which could influence reimbursement for these types of services. Further evidence and details of novel postpartum interventional models are needed for future studies. |
| Author | Brown, Zenobia Abel-Bey, Amparo C. Bleau, Hallie Meskill, Ashley Flynn, Anne Ball, Trever J. Messaoudi, Choukri Silvia, Emily |
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| Cites_doi | 10.1038/s41372-019-0426-6 10.1503/cmaj.091117 10.1542/peds.2013-1021M 10.1001/jamanetworkopen.2021.16024 10.37765/ajmc.2020.42142 10.1089/jwh.2020.8815 10.1001/jamanetworkopen.2019.14522 10.1186/s12978-018-0527-2 10.1016/j.ajog.2021.03.038 10.1016/j.ajog.2015.03.038 10.1007/s10940-021-09494-w 10.1017/S0954579419000889 10.2105/AJPH.2013.301361 10.1016/j.ajog.2017.08.009 10.1016/j.ajog.2019.06.025 10.1097/GRF.0000000000000349 10.1001/archinte.166.10.1092 10.1097/AOG.0000000000001977 10.1016/j.avb.2018.10.006 10.1016/j.ajogmf.2021.100517 10.1093/occmed/kqu058 10.1002/jhm.2054 10.1002/cncr.23815 10.1001/jamanetworkopen.2020.36148 10.1111/j.1600-0447.2009.01363.x |
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| Keywords | postpartum navigation postpartum hospitalization severe maternal morbidity postpartum hospitalization maternal mortality |
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| References | Brown, Messaoudi, Flynn (bib14) 2020; 1 Goodman, Dodge, Bai, O’Donnell, Murphy (bib17) 2019; 31 McKenney, Martinez, Yee (bib31) 2018; 218 Williams (bib25) 2014; 64 Chapman, Gillespie (bib26) 2019; 44 van Walraven, Dhalla, Bell (bib21) 2010; 182 Dodge, Goodman, Murphy, O’Donnell, Sato (bib18) 2013; 132 Wells, Battaglia, Dudley (bib10) 2008; 113 Dodge, Goodman, Bai, O’Donnell, Murphy (bib28) 2019; 2 Yee, Williams, Green (bib11) 2021; 225 (bib1) 2021 Goodman, Dodge, Bai, Murphy, O’Donnell (bib15) 2021; 4 Chen, Bergman, Miller, Kavanagh, Frownfelter, Showalter (bib20) 2020; 26 (bib2) 2019 (bib13) 2019 Spitzer, Kroenke, Williams, Löwe (bib27) 2006; 166 Yee, Martinez, Nguyen, Hajjar, Chen, Simon (bib12) 2017; 129 Chen, Cox, Kuklina, Ferre, Barfield, Li (bib6) 2021; 4 Danilack, Nunes, Phipps (bib7) 2015; 212 Stoto, Oakes, Stuart, Brown, Zurovac, Priest (bib33) 2017; 5 Howell (bib9) 2018; 61 (bib4) 2020 Hansen, Greenwald, Budnitz (bib19) 2013; 8 Lovgren, Connealy, Yao, Dahlke (bib29) 2022; 4 Dodge, Goodman, Murphy, O’Donnell, Sato, Guptill (bib16) 2014; 104 Bigby, Jodi, Ruth, Fiorentini, Rossenbach (bib5) 2020 Brown, Rounds (bib24) 1995; 94 Black, Vesco, Mehta, Ohman-Strickland, Demissie, Schneider (bib8) 2021; 30 Geller, Koch, Garland, MacDonald, Storey, Lawton (bib3) 2018; 15 Gibson, McKenzie-McHarg, Shakespeare, Price, Gray (bib23) 2009; 119 Wilson (bib22) 2022; 38 Easter, Bateman, Sweeney (bib32) 2019; 221 Johnson, Duzyj, Howell, Janevic (bib30) 2019; 39 Easter (10.1016/j.ajog.2023.01.002_bib32) 2019; 221 Gibson (10.1016/j.ajog.2023.01.002_bib23) 2009; 119 Wilson (10.1016/j.ajog.2023.01.002_bib22) 2022; 38 Black (10.1016/j.ajog.2023.01.002_bib8) 2021; 30 Williams (10.1016/j.ajog.2023.01.002_bib25) 2014; 64 Danilack (10.1016/j.ajog.2023.01.002_bib7) 2015; 212 van Walraven (10.1016/j.ajog.2023.01.002_bib21) 2010; 182 Howell (10.1016/j.ajog.2023.01.002_bib9) 2018; 61 Stoto (10.1016/j.ajog.2023.01.002_bib33) 2017; 5 Dodge (10.1016/j.ajog.2023.01.002_bib16) 2014; 104 Geller (10.1016/j.ajog.2023.01.002_bib3) 2018; 15 Chen (10.1016/j.ajog.2023.01.002_bib20) 2020; 26 Yee (10.1016/j.ajog.2023.01.002_bib11) 2021; 225 Brown (10.1016/j.ajog.2023.01.002_bib24) 1995; 94 Wells (10.1016/j.ajog.2023.01.002_bib10) 2008; 113 Lovgren (10.1016/j.ajog.2023.01.002_bib29) 2022; 4 Bigby (10.1016/j.ajog.2023.01.002_bib5) 2020 Goodman (10.1016/j.ajog.2023.01.002_bib15) 2021; 4 McKenney (10.1016/j.ajog.2023.01.002_bib31) 2018; 218 Dodge (10.1016/j.ajog.2023.01.002_bib18) 2013; 132 Yee (10.1016/j.ajog.2023.01.002_bib12) 2017; 129 Spitzer (10.1016/j.ajog.2023.01.002_bib27) 2006; 166 Goodman (10.1016/j.ajog.2023.01.002_bib17) 2019; 31 Hansen (10.1016/j.ajog.2023.01.002_bib19) 2013; 8 Chapman (10.1016/j.ajog.2023.01.002_bib26) 2019; 44 Brown (10.1016/j.ajog.2023.01.002_bib14) 2020; 1 Chen (10.1016/j.ajog.2023.01.002_bib6) 2021; 4 (10.1016/j.ajog.2023.01.002_bib13) 2019 Dodge (10.1016/j.ajog.2023.01.002_bib28) 2019; 2 Johnson (10.1016/j.ajog.2023.01.002_bib30) 2019; 39 |
| References_xml | – volume: 221 start-page: 271.e1 year: 2019 end-page: 271.e10 ident: bib32 article-title: A comorbidity-based screening tool to predict severe maternal morbidity at the time of delivery publication-title: Am J Obstet Gynecol – volume: 1 start-page: 14 year: 2020 ident: bib14 article-title: Prompt launch of a rapid transitions care model prevents re-hospitalizations of COVID-19 patients publication-title: NEJM Catal Innov Care Deliv – volume: 31 start-page: 1863 year: 2019 end-page: 1872 ident: bib17 article-title: Randomized controlled trial of Family Connects: effects on child emergency medical care from birth to 24 months publication-title: Dev Psychopathol – year: 2019 ident: bib2 article-title: Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division: executive summary – volume: 113 start-page: 1999 year: 2008 end-page: 2010 ident: bib10 article-title: Patient navigation: state of the art or is it science? publication-title: Cancer – year: 2020 ident: bib4 article-title: National Center for Chronic Disease Prevention and Health Promotion. Infographic: racial/ethnic disparities in pregnancy-related deaths — United States, 2007-2016. Centers for Disease Control and Prevention – volume: 104 start-page: S136 year: 2014 end-page: S143 ident: bib16 article-title: Implementation and randomized controlled trial evaluation of universal postnatal nurse home visiting publication-title: Am J Public Health – volume: 182 start-page: 551 year: 2010 end-page: 557 ident: bib21 article-title: Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community publication-title: CMAJ – volume: 64 start-page: 473 year: 2014 end-page: 474 ident: bib25 article-title: The CAGE questionnaire publication-title: Occup Med (Lond) – year: 2020 ident: bib5 article-title: Recommendations for maternal health and infant health quality improvement in Medicaid and the Children’s Health Insurance Program – volume: 218 start-page: 280 year: 2018 end-page: 286 ident: bib31 article-title: Patient navigation across the spectrum of women’s health care in the United States publication-title: Am J Obstet Gynecol – volume: 225 start-page: 138 year: 2021 end-page: 152 ident: bib11 article-title: Bridging the postpartum gap: best practices for training of obstetrical patient navigators publication-title: Am J Obstet Gynecol – volume: 132 start-page: S140 year: 2013 end-page: S146 ident: bib18 article-title: Randomized controlled trial of universal postnatal nurse home visiting: impact on emergency care publication-title: Pediatrics – volume: 4 year: 2021 ident: bib6 article-title: Assessment of incidence and factors associated with severe maternal morbidity after delivery discharge among women in the US publication-title: JAMA Netw Open – volume: 30 start-page: 1736 year: 2021 end-page: 1743 ident: bib8 article-title: Hospital readmission following delivery with and without severe maternal morbidity publication-title: J Womens Health (Larchmt) – year: 2019 ident: bib13 article-title: Severe morbidity indicators and corresponding ICD-9-CM/ICD-10-CM/PCS codes during delivery hospitalizations – volume: 4 year: 2021 ident: bib15 article-title: Effect of a universal postpartum nurse home visiting program on child maltreatment and emergency medical care at 5 years of age: a randomized clinical trial publication-title: JAMA Netw Open – volume: 4 start-page: 100517 year: 2022 ident: bib29 article-title: Postpartum management of hypertension and effect on readmission rates publication-title: Am J Obstet Gynecol MFM – volume: 38 start-page: 323 year: 2022 end-page: 341 ident: bib22 article-title: The relative incident rate ratio effect size for count-based impact evaluations: when an odds ratio is not an odds ratio publication-title: J Quant Criminol – volume: 212 start-page: 809.e1 year: 2015 end-page: 809.e6 ident: bib7 article-title: Unexpected complications of low-risk pregnancies in the United States publication-title: Am J Obstet Gynecol – volume: 61 start-page: 387 year: 2018 end-page: 399 ident: bib9 article-title: Reducing disparities in severe maternal morbidity and mortality publication-title: Clin Obstet Gynecol – volume: 8 start-page: 421 year: 2013 end-page: 427 ident: bib19 article-title: Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. publication-title: Journal of hospital medicine. – volume: 94 start-page: 135 year: 1995 end-page: 140 ident: bib24 article-title: Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice publication-title: Wis Med J – volume: 39 start-page: 1204 year: 2019 end-page: 1212 ident: bib30 article-title: Patient and hospital characteristics associated with severe maternal morbidity among postpartum readmissions publication-title: J Perinatol – volume: 2 year: 2019 ident: bib28 article-title: Effect of a community agency-administered nurse home visitation program on program use and maternal and infant health outcomes: a randomized clinical trial publication-title: JAMA Netw Open – volume: 119 start-page: 350 year: 2009 end-page: 364 ident: bib23 article-title: A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women publication-title: Acta Psychiatr Scand – volume: 129 start-page: 925 year: 2017 end-page: 933 ident: bib12 article-title: Using a patient navigator to improve postpartum care in an urban women’s health clinic publication-title: Obstet Gynecol – volume: 26 start-page: 26 year: 2020 end-page: 31 ident: bib20 article-title: Using applied machine learning to predict healthcare utilization based on socioeconomic determinants of care publication-title: Am J Manag Care – volume: 44 start-page: 27 year: 2019 end-page: 35 ident: bib26 article-title: The revised Conflict Tactics Scales (CTS2): a review of the properties, reliability, and validity of the CTS2 as a measure of partner abuse in community and clinical samples publication-title: Aggress Violent Behav – year: 2021 ident: bib1 article-title: Severe maternal morbidity in the United States. Centers for Disease Control and Prevention – volume: 15 start-page: 98 year: 2018 ident: bib3 article-title: A global view of severe maternal morbidity: moving beyond maternal mortality publication-title: Reprod Health – volume: 5 start-page: 30 year: 2017 ident: bib33 article-title: Analytical methods for a learning health system: 3. Analysis of observational studies publication-title: EGEMs (Wash DC) – volume: 166 start-page: 1092 year: 2006 end-page: 1097 ident: bib27 article-title: A brief measure for assessing Generalized Anxiety Disorder: the GAD-7 publication-title: Arch Intern Med – volume: 39 start-page: 1204 year: 2019 ident: 10.1016/j.ajog.2023.01.002_bib30 article-title: Patient and hospital characteristics associated with severe maternal morbidity among postpartum readmissions publication-title: J Perinatol doi: 10.1038/s41372-019-0426-6 – volume: 182 start-page: 551 year: 2010 ident: 10.1016/j.ajog.2023.01.002_bib21 article-title: Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community publication-title: CMAJ doi: 10.1503/cmaj.091117 – year: 2019 ident: 10.1016/j.ajog.2023.01.002_bib13 – volume: 132 start-page: S140 issue: Suppl2 year: 2013 ident: 10.1016/j.ajog.2023.01.002_bib18 article-title: Randomized controlled trial of universal postnatal nurse home visiting: impact on emergency care publication-title: Pediatrics doi: 10.1542/peds.2013-1021M – volume: 4 year: 2021 ident: 10.1016/j.ajog.2023.01.002_bib15 article-title: Effect of a universal postpartum nurse home visiting program on child maltreatment and emergency medical care at 5 years of age: a randomized clinical trial publication-title: JAMA Netw Open doi: 10.1001/jamanetworkopen.2021.16024 – volume: 26 start-page: 26 year: 2020 ident: 10.1016/j.ajog.2023.01.002_bib20 article-title: Using applied machine learning to predict healthcare utilization based on socioeconomic determinants of care publication-title: Am J Manag Care doi: 10.37765/ajmc.2020.42142 – volume: 30 start-page: 1736 year: 2021 ident: 10.1016/j.ajog.2023.01.002_bib8 article-title: Hospital readmission following delivery with and without severe maternal morbidity publication-title: J Womens Health (Larchmt) doi: 10.1089/jwh.2020.8815 – volume: 2 year: 2019 ident: 10.1016/j.ajog.2023.01.002_bib28 article-title: Effect of a community agency-administered nurse home visitation program on program use and maternal and infant health outcomes: a randomized clinical trial publication-title: JAMA Netw Open doi: 10.1001/jamanetworkopen.2019.14522 – volume: 15 start-page: 98 issue: Suppl1 year: 2018 ident: 10.1016/j.ajog.2023.01.002_bib3 article-title: A global view of severe maternal morbidity: moving beyond maternal mortality publication-title: Reprod Health doi: 10.1186/s12978-018-0527-2 – volume: 225 start-page: 138 year: 2021 ident: 10.1016/j.ajog.2023.01.002_bib11 article-title: Bridging the postpartum gap: best practices for training of obstetrical patient navigators publication-title: Am J Obstet Gynecol doi: 10.1016/j.ajog.2021.03.038 – volume: 212 start-page: 809.e1 year: 2015 ident: 10.1016/j.ajog.2023.01.002_bib7 article-title: Unexpected complications of low-risk pregnancies in the United States publication-title: Am J Obstet Gynecol doi: 10.1016/j.ajog.2015.03.038 – volume: 38 start-page: 323 year: 2022 ident: 10.1016/j.ajog.2023.01.002_bib22 article-title: The relative incident rate ratio effect size for count-based impact evaluations: when an odds ratio is not an odds ratio publication-title: J Quant Criminol doi: 10.1007/s10940-021-09494-w – volume: 31 start-page: 1863 year: 2019 ident: 10.1016/j.ajog.2023.01.002_bib17 article-title: Randomized controlled trial of Family Connects: effects on child emergency medical care from birth to 24 months publication-title: Dev Psychopathol doi: 10.1017/S0954579419000889 – volume: 5 start-page: 30 year: 2017 ident: 10.1016/j.ajog.2023.01.002_bib33 article-title: Analytical methods for a learning health system: 3. Analysis of observational studies publication-title: EGEMs (Wash DC) – volume: 104 start-page: S136 issue: Suppl1 year: 2014 ident: 10.1016/j.ajog.2023.01.002_bib16 article-title: Implementation and randomized controlled trial evaluation of universal postnatal nurse home visiting publication-title: Am J Public Health doi: 10.2105/AJPH.2013.301361 – volume: 218 start-page: 280 year: 2018 ident: 10.1016/j.ajog.2023.01.002_bib31 article-title: Patient navigation across the spectrum of women’s health care in the United States publication-title: Am J Obstet Gynecol doi: 10.1016/j.ajog.2017.08.009 – volume: 1 start-page: 14 year: 2020 ident: 10.1016/j.ajog.2023.01.002_bib14 article-title: Prompt launch of a rapid transitions care model prevents re-hospitalizations of COVID-19 patients publication-title: NEJM Catal Innov Care Deliv – volume: 221 start-page: 271.e1 year: 2019 ident: 10.1016/j.ajog.2023.01.002_bib32 article-title: A comorbidity-based screening tool to predict severe maternal morbidity at the time of delivery publication-title: Am J Obstet Gynecol doi: 10.1016/j.ajog.2019.06.025 – volume: 94 start-page: 135 year: 1995 ident: 10.1016/j.ajog.2023.01.002_bib24 article-title: Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice publication-title: Wis Med J – volume: 61 start-page: 387 year: 2018 ident: 10.1016/j.ajog.2023.01.002_bib9 article-title: Reducing disparities in severe maternal morbidity and mortality publication-title: Clin Obstet Gynecol doi: 10.1097/GRF.0000000000000349 – volume: 166 start-page: 1092 year: 2006 ident: 10.1016/j.ajog.2023.01.002_bib27 article-title: A brief measure for assessing Generalized Anxiety Disorder: the GAD-7 publication-title: Arch Intern Med doi: 10.1001/archinte.166.10.1092 – volume: 129 start-page: 925 year: 2017 ident: 10.1016/j.ajog.2023.01.002_bib12 article-title: Using a patient navigator to improve postpartum care in an urban women’s health clinic publication-title: Obstet Gynecol doi: 10.1097/AOG.0000000000001977 – year: 2020 ident: 10.1016/j.ajog.2023.01.002_bib5 – volume: 44 start-page: 27 year: 2019 ident: 10.1016/j.ajog.2023.01.002_bib26 article-title: The revised Conflict Tactics Scales (CTS2): a review of the properties, reliability, and validity of the CTS2 as a measure of partner abuse in community and clinical samples publication-title: Aggress Violent Behav doi: 10.1016/j.avb.2018.10.006 – volume: 4 start-page: 100517 year: 2022 ident: 10.1016/j.ajog.2023.01.002_bib29 article-title: Postpartum management of hypertension and effect on readmission rates publication-title: Am J Obstet Gynecol MFM doi: 10.1016/j.ajogmf.2021.100517 – volume: 64 start-page: 473 year: 2014 ident: 10.1016/j.ajog.2023.01.002_bib25 article-title: The CAGE questionnaire publication-title: Occup Med (Lond) doi: 10.1093/occmed/kqu058 – volume: 8 start-page: 421 issue: 8 year: 2013 ident: 10.1016/j.ajog.2023.01.002_bib19 article-title: Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. publication-title: Journal of hospital medicine. doi: 10.1002/jhm.2054 – volume: 113 start-page: 1999 year: 2008 ident: 10.1016/j.ajog.2023.01.002_bib10 article-title: Patient navigation: state of the art or is it science? publication-title: Cancer doi: 10.1002/cncr.23815 – volume: 4 year: 2021 ident: 10.1016/j.ajog.2023.01.002_bib6 article-title: Assessment of incidence and factors associated with severe maternal morbidity after delivery discharge among women in the US publication-title: JAMA Netw Open doi: 10.1001/jamanetworkopen.2020.36148 – volume: 119 start-page: 350 year: 2009 ident: 10.1016/j.ajog.2023.01.002_bib23 article-title: A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women publication-title: Acta Psychiatr Scand doi: 10.1111/j.1600-0447.2009.01363.x |
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| SubjectTerms | Black or African American Black People - statistics & numerical data Ethnicity Female hospitalization Hospitalization - statistics & numerical data Humans maternal mortality Morbidity New York City - epidemiology Patient Navigation - methods Patient Navigation - statistics & numerical data Patient Readmission - statistics & numerical data Postnatal Care - methods Postnatal Care - statistics & numerical data postpartum postpartum hospitalization postpartum navigation Postpartum Period - ethnology Pregnancy Pregnancy Complications - epidemiology Pregnancy Complications - ethnology Pregnancy Complications - etiology Retrospective Studies severe maternal morbidity White |
| Title | Postpartum navigation decreases severe maternal morbidity most among Black women |
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