Wednesday, March 06, 2024

 

Has Medicaid expansion affected pregnancy outcomes among women with gestational diabetes?



Peer-Reviewed Publication

WILEY



The Affordable Care Act (ACA) aims to broaden healthcare access, but its effect on maternal and newborn health among women with gestational diabetes—or diabetes that develops during pregnancy—across diverse demographics is unclear. In a study published in the International Journal of Gynecology & Obstetrics, researchers compared the impact of the implementation of the ACA on maternal and newborn health in Maryland (with ACA implementation) and Georgia (without ACA implementation) among 52,479 women.

The investigators found that after ACA implementation, Maryland showed improved newborn outcomes compared with Georgia. This included measures related to Agar scores, the need for assisted ventilation, and the need for neonatal intensive care. There were no significant differences in Cesarean section deliveries.

“It is plausible that Maryland's decision to adopt Medicaid expansion, coupled with the state's proclivity for inclusiveness and adaptability, could inherently drive better outcomes,” said corresponding author Oluwasegun Akinyemi, MD, MPH, a senior research fellow at the Howard University College of Medicine and a PhD student at the University of Maryland School of Public Health. “This perspective aligns with the supposition that state‐specific sociocultural dynamics, beyond mere policy adoption, profoundly influence health outcomes.”

URL upon publication: https://onlinelibrary.wiley.com/doi/10.1002/ijgo.15439

 

Additional Information
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About the Journal
The International Journal of Gynecology & Obstetrics publishes articles on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects, with emphasis on matters of worldwide interest.

About Wiley
Wiley is a knowledge company and a global leader in research, publishing, and knowledge solutions. Dedicated to the creation and application of knowledge, Wiley serves the world’s researchers, learners, innovators, and leaders, helping them achieve their goals and solve the world's most important challenges. For more than two centuries, Wiley has been delivering on its timeless mission to unlock human potential. Visit us at Wiley.com. Follow us on FacebookTwitterLinkedIn and Instagram.

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