Short‐Interval Pregnancy Following Delivery in Catholic‐Affiliated Versus Non‐Catholic‐Affiliated Hospitals Among Patients Insured Through the Medicaid Program
Bibliographic Data
| ID | 6444892 |
|---|---|
| Authors | Allison Liu (0000-0003-3990-1976, University of Chicago), Valeria Hernández (0009-0004-1108-6118, University of Chicago), Debra Stulberg (0000-0001-9942-0862, University of Chicago), L Phillip Schumm (0000-0002-3050-2429, Chicago Department of Public Health), Manoradhan Murugesan (0000-0002-8625-9237, Chicago Department of Public Health), Ashley Mchugh (0000-0002-0228-8744, University of Chicago), Annie Dude (0000-0001-9619-7853, University of North Carolina at Chapel Hill) |
| Year | 2025 |
| Volume | 57 |
| Issue | 3 |
| Pages | 321-328 |
| Publication date | 2025-07-06 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Perspectives on Sexual and Reproductive Health (JOURNAL) |
| Journal identifiers | ISSN: 1538-6341 • E-ISSN: 1931-2393 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/psrh.70021 |
| PMID | 40619881 |
| OpenAlex | W4412097176 |
| Language | EN |
| References cited | 48 |
Background As the number of U.S. Catholic‐affiliated hospitals increases, more patients who receive care at Catholic hospitals may face restrictions to reproductive healthcare services, including postpartum contraception and sterilization. Little is known about how Catholic hospital affiliation affects the likelihood of a short‐interval pregnancy following a delivery. A short interpregnancy interval is associated with poor obstetric outcomes in subsequent pregnancies. Methods In this retrospective study of Medicaid claims data, we examined if an index delivery at a Catholic‐affiliated hospital was associated with a short‐interval pregnancy among patients in nine states (2010–2014). We used Cox proportional hazards regression to compare the time to subsequent pregnancy for those who delivered at Catholic‐affiliated hospitals versus non‐Catholic‐affiliated hospitals. We also estimated the likelihood of a subsequent pregnancy by 6, 12, and 18 months following an index delivery. Results We matched 1,197,898 index births to a provider and the religious affiliation of the delivery hospital. Across all nine states, 20.9% (249,764) of deliveries were at Catholic hospitals. After adjusting for maternal age, maternal race and ethnicity, and rural residence, subjects who delivered in a Catholic hospital had a 5% increased adjusted odds of conception by 18 months (95% confidence interval: 1.04–1.07; adjusted odds ratio: 1.07, 95% confidence interval: 1.05–1.10 by 6 months and adjusted odds ratio: 1.06, 95% confidence interval: 1.05–1.08 by 12 months for Catholic vs. non‐Catholic hospitals). Discussion Medicaid enrollees who deliver at Catholic hospitals are at increased risk for short‐interval pregnancies
Confidence interval · Environmental health · Family medicine · Health care · Medicaid · Obstetrics · Odds ratio · Population · Pregnancy · Prenatal care · Residence · Retrospective cohort study · Demography · Maternal and fetal healthcare · Maternal and Perinatal Health Interventions · Medicine · Reproductive Health and Contraception · Internal Medicine
Maternal morbidity and mortality associated with interpregnancy interval
Effects of birth spacing on maternal health
Unintended pregnancy and associated maternal preconception, prenatal and postpartum behaviors
Birth Spacing and Risk of Adverse Perinatal Outcomes
Proportional hazards tests and diagnostics based on weighted residuals
Racial and ethnic disparities in severe maternal morbidity
The interplay of race, socioeconomic status and neighborhood residence upon birth outcomes in a high black infant mortality community
Prenatal Care Utilization in Mississippi
Patient-, Hospital-, and Neighborhood-Level Factors Associated with Severe Maternal Morbidity During Childbirth
Association of Medicaid Expansion Under the Affordable Care Act With Medicaid Coverage in the Prepregnancy, Prenatal, and Postpartum Periods
Medicaid Covered Births, 2008 Through 2010, in the Context of the Implementation of Health Reform
Effects of Birth Spacing on Maternal, Perinatal, Infant, and Child Health
Delivery at Catholic hospitals and postpartum contraception use, five US states, 2015–2018
My Hands Are Tied”
When There's a Heartbeat
Pregnancy Intentions, Maternal Behaviors, and Infant Health
Self-Reported Experiences of Racial Discrimination and Black–White Differences in Preterm and Low-Birthweight Deliveries
| Citation velocity | historical |
|---|---|
| Highly cited | No |