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Strengthen the Evidence for Maternal and Child Health Programs

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Established Evidence Results

Results for Measure: Postpartum Visit

Below are articles that support specific interventions to advance MCH National Performance Measures (NPMs) and Standardized Measures (SMs). Most interventions contain multiple components as part of a coordinated strategy/approach.

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Displaying records 1 through 1 (1 total).

Steenland, M. W., Short, S. E., & Galarraga, O. (2021). Association Between Rhode Island's Paid Family Leave Policy and Postpartum Care Use. Obstetrics and gynecology, 137(4), 728–730. https://doi.org/10.1097/AOG.0000000000004303

Evidence Rating: Emerging

Intervention Components (click on component to see a list of all articles that use that intervention): Policy/Guideline (State),

Intervention Description: Paid family leave implemented in the state of Rhode Island in 2014

Intervention Results: The policy was associated with a 2.18 percentage point increase (95% CI 0.98, 3.38, P=.004) in postpartum care. The increase in postpartum care associated with Rhode Island's paid family leave policy was 1.50 percentage points (95% CI 0.75, 2.25, P=.002) among White women. The policy was associated with a 3.38 percentage point increase (95% CI 1.12, 5.63, P=.009) among women from underrepresented racial groups, an effect size that was 1.92 percentage points (95% CI 0.58, 3.26, P=.005) greater than among White women

Conclusion: Increased paid leave in the United States may help reduce existing racial disparities in postpartum care use. It remains to be determined whether increased postpartum care leads to improved health outcomes.

Study Design: Retrospective observational study that used a difference-in-differences analysis

Setting: Rhode Island

Population of Focus: Postpartum women

Sample Size: 43,609 women (5,453 from Rhode Island and 38,156 from other northeastern states)

Access Abstract

The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.