Postpartum navigation decreases severe maternal morbidity most among Black women
Abstract
Background 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. Objective 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. Study design 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 demogra…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Patient navigation has been shown to reduce postpartum rehospitalization and increase postpartum visit attendance, contraceptive use, depression screening, and immunization uptake.
“Patient navigation has been shown to reduce postpartum rehospitalization and increase postpartum visit attendance, contraceptive use, depression screening, and immunization uptake. 16,18”
From Care utilization and clinical outcomes among high-risk patients enrolled in a postpartum navigation program: a retrospective matched cohort study (2026) · cites this paper as [16]
In Brown et al., the reduction in readmission was most pronounced among Black women who enrolled, who demonstrated a 43% reduction in readmission rate compared to Black women not enrolled.
“this reduction was most pronounced among Black women who enrolled, who demonstrated a 43% reduction in readmission rate compared to Black women not enrolled.”
From Care utilization and clinical outcomes among high-risk patients enrolled in a postpartum navigation program: a retrospective matched cohort study (2026) · cites this paper as [16]
The similar readmission rates between this study and Brown et al. suggest that our findings may be limited by the size and diversity of our sample, considering Brown et al. included over 5000 patients.
“Given the similar readmission rates between this study and our study , it is possible that our fi ndings are limited by the size and diversity of our sample, considering Brown et al. included over 5000 patients.”
From Care utilization and clinical outcomes among high-risk patients enrolled in a postpartum navigation program: a retrospective matched cohort study (2026) · cites this paper as [16]
A retrospective cohort study by Brown et al. found a 20% reduction in all-cause hospitalization within 30 days of birth for patients in a navigation program compared to controls.
“The study found a 20% reduction in all-cause hospitalization within 30 days of birth for patients in the navigation program compared to controls;”
From Care utilization and clinical outcomes among high-risk patients enrolled in a postpartum navigation program: a retrospective matched cohort study (2026) · cites this paper as [16]
Cites
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765 · see citing works
Gibson, J., McKenzie‐McHarg, K., Shakespeare, J., Price, J., & Gray, R. (2009) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2009.01363.x · Cited by 1,000 · see citing works
van Walraven, C., Dhalla, I. A., Bell, C. M., Etchells, E. E., Stiell, I. G., Zarnke, K. B., Austin, P. C., & Forster, A. J. (2010) · Canadian Medical Association Journal · doi:10.1503/cmaj.091117 · Cited by 966 · see citing works
Reducing Disparities in Severe Maternal Morbidity and Mortality
Howell, E. A. (2018) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000000349 · Cited by 758 · see citing works
Patient navigation: State of the art or is it science?
Wells, K. J., Battaglia, T. A., Dudley, D. J., Garcia, R., Greene, A. L., Calhoun, E. A., Mandelblatt, J. S., Paskett, E. D., & Raich, P. C. (2008) · Cancer · doi:10.1002/cncr.23815 · Cited by 572 · see citing works
Brown, R. L., & Rounds, L. A. (1995) · PubMed · Cited by 546 · see citing works
A global view of severe maternal morbidity: moving beyond maternal mortality
GELLER, S. E., Koch, A. R., Garland, C. E., MacDonald, E. J., Storey, F., & LAWTON, B. A. (2018) · Reproductive Health · doi:10.1186/s12978-018-0527-2 · Cited by 394 · see citing works
Project BOOST: Effectiveness of a multihospital effort to reduce rehospitalization
Hansen, L. O., Greenwald, J. L., Budnitz, T. L., Howell, E. E., Halasyamani, L. K., Maynard, G., Vidyarthi, A. R., Coleman, E. A., & Williams, M. V. (2013) · Journal of Hospital Medicine · doi:10.1002/jhm.2054 · Cited by 290 · see citing works
Dodge, K. A., Goodman, W. B., Murphy, R. A., O’Donnell, K., Sato, J., & Guptill, S. (2014) · American Journal of Public Health · doi:10.2105/ajph.2013.301361 · Cited by 181 · see citing works
Chapman, H., & Gillespie, S. M. (2018) · Aggression and Violent Behavior · doi:10.1016/j.avb.2018.10.006 · Cited by 171 · see citing works
Using a Patient Navigator to Improve Postpartum Care in an Urban Women's Health Clinic
Yee, L. M., Martinez, N. G., Nguyen, A. T., Hajjar, N., Chen, M. J., & Simon, M. A. (2017) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000001977 · Cited by 140 · see citing works
A comorbidity-based screening tool to predict severe maternal morbidity at the time of delivery
Easter, S. R., Bateman, B. T., Sweeney, V. H., Manganaro, K., Lassey, S. C., Gagne, J. J., & Robinson, J. N. (2019) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2019.06.025 · Cited by 129 · see citing works
Chen, J., Cox, S. N., Kuklina, E. V., Ferré, C. D., Barfield, W. D., & Li, R. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.36148 · Cited by 123 · see citing works
Patient navigation across the spectrum of women’s health care in the United States
McKenney, K. M., Martinez, N. G., & Yee, L. M. (2017) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2017.08.009 · Cited by 99 · see citing works
Williams, N. (2014) · Occupational Medicine · doi:10.1093/occmed/kqu058 · Cited by 89 · see citing works
Unexpected complications of low-risk pregnancies in the United States
Danilack, V. A., Nunes, A. P., & PHIPPS, M. G. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2015.03.038 · Cited by 87 · see citing works
Randomized Controlled Trial of Universal Postnatal Nurse Home Visiting: Impact on Emergency Care
Dodge, K. A., Goodman, W. B., Murphy, R. A., O’Donnell, K. J., & Sato, J. (2013) · PEDIATRICS · doi:10.1542/peds.2013-1021m · Cited by 77 · see citing works
Dodge, K. A., Goodman, W. B., Bai, Y., O’Donnell, K., & Murphy, R. A. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.14522 · Cited by 72 · see citing works
Goodman, W. B., Dodge, K. A., Bai, Y., Murphy, R. A., & O’Donnell, K. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.16024 · Cited by 59 · see citing works
Chen, M. D. B. S. (2020) · The American Journal of Managed Care · doi:10.37765/ajmc.2020.42142 · Cited by 57 · see citing works
Wilson, D. B. (2021) · Journal of quantitative criminology · doi:10.1007/s10940-021-09494-w · Cited by 49 · see citing works
Postpartum management of hypertension and effect on readmission rates
Lovgren, T. R., Connealy, B. D., Yao, R., & Dahlke, J. D. (2021) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2021.100517 · Cited by 48 · see citing works
Bridging the postpartum gap: best practices for training of obstetrical patient navigators
Yee, L. M., Williams, B. R., Green, H. M., Carmona-Barrera, V., Díaz, L., Davis, K., Kominiarek, M. A., Feinglass, J. M., Zera, C., & Grobman, W. A. (2021) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2021.03.038 · Cited by 37 · see citing works
Goodman, W. B., Dodge, K. A., Bai, Y., O’Donnell, K. J., & Murphy, R. A. (2019) · Development and Psychopathology · doi:10.1017/s0954579419000889 · Cited by 33 · see citing works
Hospital Readmission Following Delivery With and Without Severe Maternal Morbidity
Black, C. M., Vesco, K. K., Mehta, V., Ohman‐Strickland, P., Demissie, K., & Schneider, D. F. (2021) · Journal of Women s Health · doi:10.1089/jwh.2020.8815 · Cited by 29 · see citing works
Johnson, P. D., Duzyj, C. M., Howell, E. A., & Janevic, T. M. (2019) · Journal of Perinatology · doi:10.1038/s41372-019-0426-6 · Cited by 21 · see citing works
Analytical Methods for a Learning Health System: 3. Analysis of Observational Studies
Stoto, . A., Oakes, M., Stuart, E. A., Brown, R., Zurovac, J., & Priest, E. L. (2017) · eGEMs (Generating Evidence & Methods to improve patient outcomes) · doi:10.5334/egems.252 · Cited by 15 · see citing works
Prompt Launch of a Rapid Transitions Care Model Prevents Re-hospitalizations of Covid-19 Patients
BrownZenobia, MessaoudiChoukri, FlynnAnne, BleauHallie, LeskaErlind, KhalilullahMacsood, Abel-BeyAmparo, & BallTrever (2020) · NEJM Catalyst · Cited by 2 · see citing works
Flagged first, then by citations
1 of the 29 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Wyckoff, J., Lapolla, A., Asias-Dinh, B. D., Barbour, L. A., Brown, F. M., Catalano, P. M., Corcoy, R., Renzo, G. C. D., Drobycki, N., Kautzky‐Willer, A., et al. (2025) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaf288 · Cited by 50 · see citing works
Wyckoff, J., Lapolla, A., Asias-Dinh, B. D., Barbour, L. A., Brown, F. M., Catalano, P. M., Corcoy, R., Renzo, G. C. D., Drobycki, N., Kautzky‐Willer, A., et al. (2025) · European Journal of Endocrinology · doi:10.1093/ejendo/lvaf116 · Cited by 20 · see citing works
Racial and ethnic disparities in severe maternal morbidity from pregnancy through 1-year postpartum
Boghossian, N. S., Greenberg, L. T., Lorch, S. A., Phibbs, C. S., Buzas, J. S., Passarella, M. A., Saade, G. R., & Rogowski, J. (2024) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2024.101412 · Cited by 22 · see citing works
Continuity of care as central theme in perinatal care: A systematic review
BAART, A., Brunsveld‐Reinders, A. H., Pijnappel, L., HAAN, M. D., & Ginkel, J. M. D. M. (2024) · Midwifery · doi:10.1016/j.midw.2024.104273 · Cited by 17 · see citing works
Socioeconomic disadvantage in pregnancy and postpartum risk of cardiovascular disease
Venkatesh, K. K., Khan, S. S., Catov, J. M., Wu, J., McNeil, R. B., Greenland, P., Wu, J., Levine, L. D., Yee, L. M., Simhan, H. N., et al. (2024) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2024.05.007 · Cited by 13 · see citing works
Lewis, A., Shah, D. K., Leonis, R., Rees, J., & Correia, K. F. B. (2024) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2024.07.024 · Cited by 7 · see citing works
Corry-Saavedra, K., Murphy, A. M., & Mei, J. Y. (2025) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2025.2466210 · Cited by 6 · see citing works
Stanhope, K. K., Stallworth, T., Forrest, A. D., Vuncannon, D. M., Juarez, G., Boulet, S. L., Geary, F. H., Dunlop, A. L., Blake, S., Green, V. L., et al. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107586 · Cited by 6 · see citing works
Hernandez, A. M., O’Connell, M., Griffin, N., Kruper, A., Graettinger, K., Palatnik, A., & Peebles, J. (2026) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2025.101829 · Cited by 3 · see citing works
Bridging the Postpartum Cliff—First Year Outcomes of a Postpartum Transition to Primary Care Clinic
Malhotra, R., Parikh, A., Sous, N., Thomas, P., Gittens‐Williams, L., & Feurdean, M. (2025) · Women s Health Reports · doi:10.1177/26884844251379414 · Cited by 3 · see citing works
Alsliti, H., Rasheed, A. I., Tripathi, S., Jesso, S. T., & Madathil, S. C. (2025) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2025.105918 · Cited by 3 · see citing works
Fitzpatrick, S. L., Polo, J., Ephraim, P. L., Vrany, E. A., Chiuzan, C. C., Basile, M. J., Friel, C. P., Moon, K. C., Silvia, E., Bleau, H., et al. (2025) · Contemporary Clinical Trials · doi:10.1016/j.cct.2025.107850 · Cited by 2 · see citing works
Self-citationMedicaid Continuous Coverage Requirement and Postpartum Hospitalization
Meille, G., Steenland, M. W., & Eliason, E. L. (2026) · JAMA Health Forum · doi:10.1001/jamahealthforum.2025.6872 · Cited by 2 · see citing works
Maternal Vulnerability Index and Severe Maternal Morbidity
Boghossian, N. S., Radack, J. K., Passarella, M. A., Phibbs, C. S., Greenberg, L. T., Buzas, J. S., Saade, G. R., Rogowski, J., & Lorch, S. A. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.17068 · Cited by 1 · see citing works
External validation and comparison of four prediction scores for severe maternal morbidity
Binsted, A. S., Saade, G. R., & Kawakita, T. (2024) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2024.101471 · Cited by 1 · see citing works
The Role of Race in Pregnancy, Hypertension, and Long-Term Outcomes
Levene, J., Chang, A., Reddy, A. R., Hauspurg, A. K., Davis, E. M., & Countouris, M. E. (2025) · Current Cardiology Reports · doi:10.1007/s11886-025-02224-9
Gast, S., Enstrom, C., Roberts, A., Knipper, E., Yacovino, J., & Brooksbank, J. A. (2025) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000001251
Stierman, E. K., Calhoun, B., Mitra, S., Pereira, S. K., Vance, M. R., Bruce, T. M., Mullen, D., Minihane, M., Bower, K. M., Creanga, A. A., et al. (2026) · Women s Health · doi:10.1177/17455057261425021 · Cited by 1 · see citing works
Hink, A. B., & Allee, L. C. (2026) · Surgical Clinics of North America · doi:10.1016/j.suc.2026.02.009
Nantwi, A., & Janevic, T. M. (2026) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000006305
Combellick, J. L., Johnson, A., Hill-Smith, S., Dorsey, J., & Patton, E. W. (2026) · Health Equity · doi:10.1177/24731242261455183
Effect of a patient‐centered planning intervention on postpartum visit attendance
Boulet, S. L., Stanhope, K. K., Stallworth, T., Juarez, G., Lozada, M., Geary, F. H., Green, V. L., King, T., Furst, L. H., Vuncannon, D. M., et al. (2026) · Pregnancy · doi:10.1002/pmf2.70346
Afolabi, A. O., Modanloo, S., & Uwizeye, G. (2026) · Nursing for Women s Health · doi:10.1016/j.nwh.2026.05.009
Schroeder, B. E., Kuller, J. A., Craig, A. M., Dotters-Katz, S. K., & Ashana, D. C. (2026) · Obstetrical & Gynecological Survey · doi:10.1097/ogx.0000000000001576
Glazer, K. B., Lindley, S. M., Malenda, A., Burdick, M., Oshewa, O., Levine, L. D., Zeitlin, J. A., Janevic, T. M., & Howell, E. A. (2026) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2026.102108
Patient Navigation and Postpartum Health Care Outcomes
Yee, L. M., Feinglass, J. M., Williams, B. R., Diaz, L., Carmona-Barrera, V., Cheung, Y., Davis, K., Yeh, C., Niznik, C. M., Kominiarek, M. A., et al. (2026) · JAMA Health Forum · doi:10.1001/jamahealthforum.2026.3338
- Authors
- Brown, Z., Messaoudi, C., Silvia, E., Bleau, H., Meskill, A., Flynn, A., Abel-Bey, A. C., & Ball, T. J.
- Affiliations
- Northwell Health (US)
- Corresponding author
- Brown, Zenobia
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2023-08
- Volume
- 229
- Issue
- 2
- Pages
- 160.e1-160.e8
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W4313597385
- Cited by
- 26
- References
- 29
- Citations by year
- 2026: 10 · 2025: 10 · 2024: 6
- FWCI
- 9.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- postpartum care, severe maternal morbidity, postpartum hospitalization, Black women, racial disparities, transitional care management, high-risk pregnancy, hypertension in pregnancy, social determinants of health, health equity, postpartum depression screening, postpartum hemorrhage screening
- MeSH terms
- White, Black or African American, Ethnicity, Female, Hospitalization, Humans, Morbidity, New York City, Patient Readmission, Postnatal Care, Pregnancy, Pregnancy Complications, Retrospective Studies, Black People, Postpartum Period, Patient Navigation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
