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Doula care, birth outcomes, and costs among medicaid beneficiaries

Author

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  • Kozhimannil, K.B.
  • Hardeman, R.R.
  • Attanasio, L.B.
  • Blauer-Peterson, C.
  • O'Brien, M.

Abstract

Objectives: We compared childbirth-related outcomes for Medicaid recipients who received prenatal education and childbirth support from trained doulas with outcomes from a national sample of similar women and estimated potential cost savings. Methods: We calculated descriptive statistics for Medicaid-funded births nationally (from the 2009 Nationwide Inpatient Sample; n = 279 008) and births supported by doula care (n = 1079) in Minneapolis, Minnesota, in 2010 to 2012; used multivariate regression to estimate impacts of doula care; and modeled potential cost savings associated with reductions in cesarean delivery for doula-supported births. Results: The cesarean rate was 22.3% among doula-supported births and 31.5% among Medicaid beneficiaries nationally. The corresponding preterm birth rates were 6.1% and 7.3%, respectively. After control for clinical and sociodemographic factors, odds of cesarean delivery were 40.9% lower for doula-supported births (adjusted odds ratio = 0.59; P

Suggested Citation

  • Kozhimannil, K.B. & Hardeman, R.R. & Attanasio, L.B. & Blauer-Peterson, C. & O'Brien, M., 2013. "Doula care, birth outcomes, and costs among medicaid beneficiaries," American Journal of Public Health, American Public Health Association, vol. 103(4), pages 113-121.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301201_1
    DOI: 10.2105/AJPH.2012.301201
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    Cited by:

    1. Nicoloro-SantaBarbara, Jennifer & Rosenthal, Lisa & Auerbach, Melissa V. & Kocis, Christina & Busso, Cheyanne & Lobel, Marci, 2017. "Patient-provider communication, maternal anxiety, and self-care in pregnancy," Social Science & Medicine, Elsevier, vol. 190(C), pages 133-140.
    2. Anu Manchikanti Gomez & Stephanie Arteaga & Jennet Arcara & Alli Cuentos & Marna Armstead & Renee Mehra & Rachel G. Logan & Andrea V. Jackson & Cassondra J. Marshall, 2021. "“My 9 to 5 Job Is Birth Work”: A Case Study of Two Compensation Approaches for Community Doula Care," IJERPH, MDPI, vol. 18(20), pages 1-17, October.
    3. OjiNjideka Hemphill, Nefertiti & Crooks, Natasha & Zhang, Wenqiong & Fitter, Fareeha & Erbe, Katherine & Rutherford, Julienne N. & Liese, Kylea L. & Pearson, Pamela & Stewart, Karie & Kessee, Nicollet, 2023. "Obstetric experiences of young black mothers: An intersectional perspective," Social Science & Medicine, Elsevier, vol. 317(C).
    4. Yushan Yu & Xiangyang Zhang & Caixia Sun & Huijie Zhou & Qi Zhang & Chun Chen, 2017. "Reducing the rate of cesarean delivery on maternal request through institutional and policy interventions in Wenzhou, China," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-12, November.

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